Discussion of the pathogenesis and treatment of pulmonary nodules complicated by extrapulmonary nodules based on "holism of physique and spirit"

YANG Tianshu; ZHANG Yongsheng; CHAI Xinlou; JIANG Liangduo

doi:10.3969/j.issn.1006-2157.2023.10.003

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Discussion of the pathogenesis and treatment of pulmonary nodules complicated by extrapulmonary nodules based on "holism of physique and spirit"

Special Theme: TCM Prevention and Treatment of Pulmonary Nodules | 更新时间：2023-11-06

- Discussion of the pathogenesis and treatment of pulmonary nodules complicated by extrapulmonary nodules based on "holism of physique and spirit"
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 10, Pages: 1345-1349(2023)
- 作者机构：
  
  1.北京中医药大学东方医院　北京　100078
  2.北京中医药大学
  3.北京中医药大学东直门医院
- 作者简介：
  
  Prof. ZHANG Yongsheng, Ph.D., Chief Physician, Master’s Supervisor. Dongfang Hospital, Beijing University of Chinese Medicine, No.6, Zone 1, Fangxingyuan, Fengtai District, Beijing 100078. E-mail: zhyshengcm@163.com.
- 基金信息：
  
  National Key R&D Program of China(2018YFC1704100;2018YFC1704106)
- DOI：10.3969/j.issn.1006-2157.2023.10.003
  CLC： R259.63
- Received：19 June 2023，
  
  Published Online：21 August 2023，
  
  Published：30 October 2023
- 稿件说明：
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YANG Tianshu, ZHANG Yongsheng, CHAI Xinlou, et al. Discussion of the pathogenesis and treatment of pulmonary nodules complicated by extrapulmonary nodules based on "holism of physique and spirit"[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(10): 1345-1349.
DOI：

YANG Tianshu, ZHANG Yongsheng, CHAI Xinlou, et al. Discussion of the pathogenesis and treatment of pulmonary nodules complicated by extrapulmonary nodules based on "holism of physique and spirit"[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(10): 1345-1349. DOI： 10.3969/j.issn.1006-2157.2023.10.003.

摘要

临床发现，肺结节患者常并发甲状腺结节、乳腺结节等肺外结节，此类患者常伴有焦虑、抑郁等不良情绪及睡眠障碍。本文基于“形神一体观”探讨焦虑、抑郁等五志失调影响气机运行及脏腑功能与肺结节并发肺外结节的关系。五脏藏五神、化五志，五志失调导致人体气机逆乱，湿、痰、瘀聚集而化生结节；五志失调日久损伤脏腑气血、耗伤五脏真元，湿、痰、瘀结聚久而化毒成癌。肺结节并发肺外结节是五志失调及机体内环境失调在人体局部的反映，为形神共病，亦是湿、痰、瘀聚集的靶点。治疗应形神同调、气血同治，以补虚散结、解毒抑癌为主；配合精神疏导、调畅情志，以达到形神安和，则疾病可愈。

Abstract

Patients with pulmonary nodules are often found to have multiple extrapulmonary nodules

such as thyroid nodules and breast nodules

which are often accompanied by anxiety

depression

and other mental disorders and sleep disorders. Based on "holism of physique and spirit"

this article discusses the relationship between disorders of five emotions

such as anxiety and depression that affect the qi movement and the function of zangfu

and the complication of pulmonary nodules with extrapulmonary nodules. The five zang-organs store the five spirits and transform the five emotions. Disorders of five emotions lead to the body’s qi counterflow

resulting in the accumulation of dampness

phlegm

stasis

which transform into the nodules; disorders of five emotions for a long time damage to the zangfu’s qi and blood

depletion of the five zang-organs of the real energy

then dampness

phlegm

stasis accumulate and transform into toxins

which leads to carcinoma. Pulmonary nodules complicated by extrapulmonary nodules are the result of emotional disorders and imbalance of the body’s internal environment in the localized areas of the physique

which is a disease of both physique and spirit and the target of gathering of dampness

phlegm and blood stasis. Treatment should be based on the method of regulating physique and spirit together

treating qi and blood together

replenishing the deficiency and dissipating the nodules

detoxifying and suppressing the cancer

together with the method of spiritual guidance and regulating the emotions and feelings

in order to achieve the state of harmony of physique and spirit

disease can be cured.

关键词

Keywords

references

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