Analysis of the Pathogenesis and Treatment of Pulmonary Nodules based on the “Six Constraints” Theory

JIANG Heyan; CAO Fang; WEI Wan; CHENG Yu; KOU Mengjia; JIAO Yang

doi:10.13288/j.11-2166/r.2023.22.018

您当前的位置：

首页 >

文章列表页 >

Analysis of the Pathogenesis and Treatment of Pulmonary Nodules based on the “Six Constraints” Theory

更新时间：2023-11-10

- Analysis of the Pathogenesis and Treatment of Pulmonary Nodules based on the “Six Constraints” Theory
- Journal of Traditional Chinese Medicine Vol. 64, Issue 22, Pages: 2368-2371(2023)
- 作者机构：
  
  1.北京中医药大学，北京市朝阳区北三环东路11号，100029
  2.北京中医药大学东方医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2023.22.018
  CLC：
- Received：25 March 2023，
  
  Revised：2023-06-06，
  
  Published：17 November 2023
- 稿件说明：
移动端阅览
姜河延,曹芳,韦婉等.基于“六郁”理论探析肺结节的病机与辨治[J].中医杂志,2023,64(22):2368-2371.

JIANG Heyan,CAO Fang,WEI Wan,et al.Analysis of the Pathogenesis and Treatment of Pulmonary Nodules based on the “Six Constraints” Theory[J].Journal of Traditional Chinese Medicine,2023,64(22):2368-2371.
姜河延,曹芳,韦婉等.基于“六郁”理论探析肺结节的病机与辨治[J].中医杂志,2023,64(22):2368-2371. DOI： 10.13288/j.11-2166/r.2023.22.018.

JIANG Heyan,CAO Fang,WEI Wan,et al.Analysis of the Pathogenesis and Treatment of Pulmonary Nodules based on the “Six Constraints” Theory[J].Journal of Traditional Chinese Medicine,2023,64(22):2368-2371. DOI： 10.13288/j.11-2166/r.2023.22.018.

摘要

基于朱震亨“六郁”理论，提出肺结节的形成与气郁、血郁、痰郁、火郁、湿郁、食郁六郁密切相关。认为六郁皆可导致肺结节，其中以气郁为主导，气郁久则化为火郁，导致脾失运化可成痰郁、湿郁、食郁，气不行血则成血郁，六郁相因为病且病机之间相互关联，共同促进肺结节的发生发展。治疗以畅通气机为主，以治疗六郁的经典名方越鞠丸为基本方，并根据六郁偏颇在越鞠丸基础上灵活配伍疏肝理气、清热散结、化痰散结、健脾化湿、消食化积、活血化瘀之品。

Abstract

Based on ZHU Zhenheng's “six constraints” theory， it is proposed that the formation of pulmonary nodules is closely related to the six constraints， which are constraint of

， blood， phlegm， fire， dampness and food. All six constraints might lead to pulmonary nodules， among which

constraint is the dominant one. When

constraint lasts for a long time， it will turn into fire constraint， resulting in the failure of spleen to transport， which may lead to phlegm constraint， dampness constraint and food constraint； when

fails to move blood， blood constraint is formulated. Mutual generation of six constraints lead to the disease， and the pathogenesis is interrelated， jointly promoting the occurrence and development of pulmonary nodules. The treatment is mainly to unblock

， usually using

Yueju Pills

（越鞠丸）， a classic formula commonly used for six constraints， as the basic formula. And according to the six constraints partiality， it is suggested to flexibly add the medicinals of soothing the liver and rectifying

， clearing heat and dissipating masses， dissolving phlegm and dissipating masses， fortifying spleen and dissipating dampness， promoting digestion and removing accumulation， invigorating blood and dissolving stasis.

关键词

Keywords

references

中华医学会呼吸病学分会肺癌学组，中国肺癌防治联盟专家组 . 肺结节诊治中国专家共识（2018年版）［J］. 中华结核和呼吸杂志， 2018 ， 41 （ 10 ）： 763 - 771 .

周清华，范亚光，王颖，等 . 中国肺部结节分类、诊断与治疗指南（2016年版）［J］. 中国肺癌杂志， 2016 ， 19 （ 12 ）： 793 - 798 .

谭可欣，郑佳彬，张旭，等 . 中医药在肺结节全程管理中的优势及展望［J］. 中医杂志， 2022 ， 63 （ 14 ）： 1388 - 1393 .

孟玉凤，冯淬灵 . 基于治未病理论及辨体-辨病-辨证模式的肺结节全程管理初探［J］. 中医杂志， 2022 ， 63 （ 10 ）： 927 - 930，935 .

魏华民，朱瑞丽，刘瑞，等 . 从痰瘀窠囊论治肺结节［J］. 世界中医药， 2018 ， 13 （ 11 ）： 2701 - 2705，2708 .

朱丽娜，刘丽坤 . 中医治疗孤立性肺结节思路探讨［J］. 亚太传统医药， 2019 ， 15 （ 2 ）： 79 - 81 .

陈雨，李媛，庞皓玥，等 . 肺结节的中医药治疗及临床研究进展［J］. 现代中西医结合杂志， 2022 ， 31 （ 24 ）： 3491 - 3495 .

陈伟杰，江松平，郭倩 . 略论朱丹溪六郁学说［J］. 江苏中医药， 2015 ， 47 （ 9 ）： 12 - 13 .

张国松，易法银 . 中医之“郁”探讨［J］. 中医杂志， 2020 ， 61 （ 3 ）： 261 - 263 .

陈瑞祺，周胜红 . 肺结节与焦虑的相关性探析［J］. 中医药信息， 2023 ， 40 （ 6 ）： 71 - 75 .

崔瑛 . 浅谈对食郁证的认识［J］. 江西中医药， 2008 ， 39 （ 4 ）： 12 - 13 .

潘磊，由凤鸣，王倩，等 . 从“脾气散精，上归于肺”论治肺结节病［J］. 中华中医药杂志， 2020 ， 35 （ 3 ）： 1305 - 1307 .

周春吉，彭果然，薛晓，等 . 刘鑫从舌脉辨证、从肝论治肺结节病经验［J］. 中医药导报， 2022 ， 28 （ 8 ）： 122 - 125 .

王克林，葛正行 . 柴胡疏肝散加减治疗孤立性肺结节一例［J］. 中西医结合心血管病电子杂志， 2020 ， 8 （ 5 ）： 185 .

彭钰，刘迪，张洪春 . 张洪春教授治疗肺结节临床经验［J］. 中日友好医院学报， 2022 ， 36 （ 6 ）： 358 - 359 .

黄文博，付西，黄娅，等 . 基于“玄府气液”学说探析肺结节的治疗［J］. 中医杂志， 2022 ， 63 （ 12 ）： 1189 - 1192 .

易玲，潘博，唐蔚，等 . 国医大师潘敏求治疗肺结节经验［J］. 湖南中医杂志， 2022 ， 38 （ 9 ）： 45 - 48 .

吴峥嵘 . 活血通络消癥法治疗肺结节病经验［J］. 贵阳中医学院学报， 2018 ， 40 （ 6 ）： 4 - 6，21 .

查看原文

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Treatment of Pulmonary Nodules based on the Theory of "Two Colds Interacting，and Disturbance of Pivots"

ZHANG Zhiwen's Experience in Treating Pulmonary Nodules with "Regulating Qi and Body Fluid， Opening Sweating Pores， Penetrating Kenang （窠囊）， and Preventing Cancer Toxin"

Construction of a Three-dimensional Syndrome Differentiation System for Pulmonary Nodules under the Perspective of Qi， Blood and Fluids

The Prevention and Treatment of Pulmonary Nodules “Nodule-cancer Transformation” Based on the View of “Disease with Latent Pathogen Induced by a New Pathogen”

Construction of Diagnosis and Treatment System of Traditional Chinese Medicine for Pulmonary Nodules Based on the Whole-Course Management of Disease

Related Author

LIN Lizhu

WANG Jingrui

DUAN Kexin

HUANG Junjie

WANG Shujing

CHEN Zhiqiang

WANG Ying

LI Yanlong

Related Institution

The First Affiliated Hospital of Guangzhou University of Chinese Medicine

The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine

The First Clinical Medical College of Guangzhou University of Chinese Medicine

Yibin Integrated Traditional Chinese and Western Medicine Hospital

School of Basic Medical Sciences，Chengdu University of Traditional Chinese Medicine

Address：No.16, Nanxiao street, Dongzhimen, Dongcheng District, Beijing Postal code：100700
Tel：010-64035632 Email：jtcmcn@188.com
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19 京公网安备11010102007558号
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