Exploring the syndrome differentiation and treatment of interstitial lung disease based on the three-dimensional hierarchical differentiation and treatment view of qi, blood, and essence level

XU Mengjiao; YAN Jun

doi:10.3969/j.issn.1006-2157.2023.11.007

您当前的位置：

首页 >

文章列表页 >

Exploring the syndrome differentiation and treatment of interstitial lung disease based on the three-dimensional hierarchical differentiation and treatment view of qi, blood, and essence level

Theoretical Studies | 更新时间：2023-12-08

- Exploring the syndrome differentiation and treatment of interstitial lung disease based on the three-dimensional hierarchical differentiation and treatment view of qi, blood, and essence level
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 11, Pages: 1523-1528(2023)
- 作者机构：
  
  1.中国中医科学院望京医院　北京　100102
  2.北京中医药大学东直门医院
- 作者简介：
  
  YAN Jun, Ph.D., Chief Physician, Doctoral Supervisor. Dongzhimen Hospital, Beijing University of Chinese Medicine, No. 5, Haiyangcang, Dongcheng District, Beijing 100700.Email: dzmyyyj@126.com
- 基金信息：
  
  National Natural Science Foundation of China(81373589)
- DOI：10.3969/j.issn.1006-2157.2023.11.007
  CLC： R259.63
- Received：21 June 2023，
  
  Online First：08 September 2023，
  
  Published：30 November 2023
- 稿件说明：
移动端阅览
XU Mengjiao, YAN Jun. Exploring the syndrome differentiation and treatment of interstitial lung disease based on the three-dimensional hierarchical differentiation and treatment view of qi, blood, and essence level[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(11): 1523-1528.
DOI：

XU Mengjiao, YAN Jun. Exploring the syndrome differentiation and treatment of interstitial lung disease based on the three-dimensional hierarchical differentiation and treatment view of qi, blood, and essence level[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(11): 1523-1528. DOI： 10.3969/j.issn.1006-2157.2023.11.007.

摘要

气分、血分、精分三维层次辨治观体现了疾病由脏腑功能失调到组织结构损伤乃至脏腑功能衰竭的演变规律，其可以更好地阐释疾病发生、进展的动态过程，在内科疾病的辨治中具有现实性指导意义。间质性肺疾病属于临床难治性疾病，初病在气，后及营血，久耗肺精。气之宣降不畅，初累肺气为先；血之瘀痹凝涩，延及肺络为后；精之暗耗戕伐，深入肺之形质。间质性肺疾病作为慢性进展性疾病，由最初以脏腑功能失调为主的气分证进展到以器质性结构损伤为特点的精分证，其病理、病位的动态发展贯穿了气分、血分、精分。间质性肺疾病的发生、发展与气、血、精失用相关，本文基于气分、血分、精分三维层次辨治观探析间质性肺疾病病机由浅入深的动态发展，为辨治间质性肺疾病提供新的思路与参考。

Abstract

The three-dimensional hierarchical differentiation and treatment view of qi

blood

and essence level reflects the evolution of diseases from organ dysfunction to tissue structure damage and even organ failure. This view can better explain the dynamic process of disease occurrence and progression and has practical guiding significance in the differentiation and treatment of internal medicine diseases. Interstitial lung disease is a clinically refractory disease

with the initial invasion to qi

followed by damage to ying blood

and then depletion of lung essence. Because the flow of qi is not smooth

it first affects lung qi. Then it leads to blood stasis and obstruction along the lung collateral. The depletion of essence destroys and penetrates the form and substance of the lungs. Interstitial lung disease

as a chronic progressive disease

has evolved from qi level syndrome characterized by organ dysfunction to essence level syndrome characterized by organic structural damage. The dynamic development of pathology and location of interstitial lung disease runs through the three-dimensional hierarchical differentiation and treatment view of qi

blood and essence level.The occurrence and development of interstitial lung disease are related to the depletion of qi

blood

and essence. This article explores the dynamic development of interstitial lung disease pathogenesis from a shallow to a deep perspective based on the three-dimensional hierarchical differentiation and treatment view of qi

blood

and essence level

providing new ideas and references for the differentiation and treatment of interstitial lung disease.

关键词

Keywords

references

GULER SA , CORTE TJ . Interstitial Lung Disease in 2020: A History of Progress [J]. Clin Chest Med , 2021 , 42 ( 2 )： 229 - 239 .

RAGHU G , REMY-JARDIN M , RICHELDI L , et al . Idiopathic Pulmonary Fibrosis (an Update) and Progressive Pulmonary Fibrosis in Adults: An Official ATS/ERS/JRS/ALAT Clinical Practice Guideline [J]. Am J Respir Crit Care Med , 2022 , 205 ( 9 )： 18 - 47 .

王柳盛，李惠萍．中国大陆间质性肺疾病流行病学资料及研究进展 [J]. 中华内科杂志， 2014 ， 53 ( 8 )： 652 - 654 .

晏军．肺间质纤维化的“肺络癥瘕”观 [J]. 中国中医基础医学杂志， 2012 ， 18 ( 10 )： 1069 - 1070 .

崔红生．毒损肺络与肺间质纤维化 [J]. 中医杂志， 2007 ， 48 ( 9 )： 858 - 859 .

兰智慧．刘良徛教授运用温肺化纤汤治疗肺间质纤维化经验 [J]. 中华中医药杂志， 2014 ， 29 ( 10 )： 3141 - 3143 .

张介宾．景岳全书 [M]. 李继明，整理．北京：人民卫生出版社， 2017 .

杨卫红，廖华君，杨亚平．论《黄帝内经》气血与脉象的关系 [J]. 吉林中医药， 2011 ， 31 ( 5 )： 387 - 388 .

吴小明． “精血同源”的发生学认识 [J]. 吉林中医药， 2005 ， 25 ( 1 )： 3 - 4 .

郭庆藩．庄子集释 [M]. 王孝鱼，点校．北京：中华书局， 2012 ： 730 .

杨士瀛．仁斋直指方 [M]. 孙玉信，朱平生，编校．上海：第二军医大学出版社， 2006 ： 142 - 143 .

李中梓．医宗必读 [M]. 成莉，校注．北京：中国医药科技出版社， 2011 .

孙广仁．中医基础理论 [M]. 2版．北京：中国中医药出版社， 2002 ： 128 .

张介宾．类经图翼 [M]. 北京：人民卫生出版社， 1965 ： 437 .

牟立楠．气、血、精辨证理论的研究 [D]. 哈尔滨：黑龙江中医药大学， 2010 .

张磊，刘立昌，王义成，等．内科疑难疾病从气血精神层次辨治的思维探讨 [J]. 中医研究， 2021 ， 34 ( 4 )： 3 - 6 .

张磊．从气血精神层次探析张琪辨治慢性肾炎的思路 [J]. 上海中医药大学学报， 2013 ， 27 ( 6 )： 24 - 26 .

张磊，颜新．国医大师颜德馨治疗心系疾病气血精神层次用药分析 [J]. 长春中医药大学学报， 2014 ， 30 ( 4 )： 625 - 627 .

代渊，徐世军．气血精动态循环理论与慢性阻塞性肺病的关系 [J]. 时珍国医国药， 2006 ， 17 ( 2 )： 291 .

朱震亨．格致余论 [M]. 施仁潮，整理．北京：人民卫生出版社， 2005 ： 39 .

张伟，郭梦倩．试论“肺为血脏”与活血化瘀法 [J]. 吉林中医药， 2012 ， 32 ( 7 )： 649 - 651 .

叶天士．叶天士医案大全 [M]. 刘从明，赵东升，整理．北京：中医古籍出版社， 2017 ： 772 .

孙广仁．脏腑精气阴阳的概念及其逻辑关系 [J]. 中华中医药学刊， 2008 ， 26 ( 10 )： 2099 - 2101 .

刘敬霞．李建生教授辨脉调气论治慢性阻塞性肺疾病 [J]. 中医研究， 2009 ， 22 ( 12 )： 41 - 44 .

李婷婷，余学庆．从瘀论治特发性肺纤维化 [J]. 中医研究， 2023 ， 36 ( 5 )： 5 - 8 .

叶天士．临证指南医案 [M]. 北京：中国中医药出版社， 2008 ： 171 .

王清任．医林改错 [M]. 李天德，张学文，点校．北京：人民卫生出版社， 1991 ： 44 .

黄宫绣．本草求真 [M]. 王淑民，校注．北京：中国中医药出版社， 1997 ： 482 .

Views

480

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Relationship between TCM patterns and high-resolution CT imaging features of primary Sjogren ’s syndrome patients with interstitial lung disease

Analysis of the pathogenesis and prevention and treatment of IgA nephropathy based on the "sanjiao-membrane source-kidney collaterals"

Global co-occurrence patterns，risk factors，and future projections of colorectal cancer and type 2 diabetes mellitus

Essential viewpoints of prestigious experts on traditional Chinese medicine treatment of hematological diseases Ⅵ

Exploring concepts and practices of syndrome standardization from the perspective of syndrome feature interpretation

Related Author

LIU Yang

DONG Zhenhua

HAO Weixin

Related Institution

Beijing Jishuitan Hospital

Peking Union Medical Hospital,Peking Union Medical College and Chinese Academy of Medical Sciences

AI问答

Postal code：100029
Tel：(010)53911857 Email：jbutcm@bucm.edu.cn
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19 京公网安备11010802024621
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰