Syndrome Differentiation and Treatment Patterns in Chronic Obstructive Pulmonary Disease Guided by the Theory of Lung Collateral Disease

JIA Zhenhua

doi:10.13288/j.11-2166/r.2026.07.007

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Syndrome Differentiation and Treatment Patterns in Chronic Obstructive Pulmonary Disease Guided by the Theory of Lung Collateral Disease

更新时间：2026-04-01

- Syndrome Differentiation and Treatment Patterns in Chronic Obstructive Pulmonary Disease Guided by the Theory of Lung Collateral Disease
- Journal of Traditional Chinese Medicine Vol. 67, Issue 7, Pages: 736-740(2026)
- 作者机构：
  
  1.山东中医药大学药物研究院，山东省济南市长清区大学科技园大学路4655号，250355
  2.络病理论创新转化全国重点实验室
  3.河北以岭医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2026.07.007
  CLC：
- Received：15 September 2025，
  
  Revised：2025-11-20，
  
  Published：02 April 2026
- 稿件说明：
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贾振华.肺络病证治视角下慢性阻塞性肺疾病的证治规律[J].中医杂志,2026,67(07):736-740.

JIA Zhenhua.Syndrome Differentiation and Treatment Patterns in Chronic Obstructive Pulmonary Disease Guided by the Theory of Lung Collateral Disease[J].Journal of Traditional Chinese Medicine,2026,67(07):736-740.
贾振华.肺络病证治视角下慢性阻塞性肺疾病的证治规律[J].中医杂志,2026,67(07):736-740. DOI： 10.13288/j.11-2166/r.2026.07.007.

JIA Zhenhua.Syndrome Differentiation and Treatment Patterns in Chronic Obstructive Pulmonary Disease Guided by the Theory of Lung Collateral Disease[J].Journal of Traditional Chinese Medicine,2026,67(07):736-740. DOI： 10.13288/j.11-2166/r.2026.07.007.

摘要

基于肺络病证治理论，探讨慢性阻塞性肺疾病（COPD）“气络-气道-血（脉）络”的传变规律。肺之气络承载元气、宗气、卫气，主调控与温养；肺之气道为气机升降之通道；肺之血（脉）络运行营血以濡养渗灌。三者协同配合，共同完成肺主气、司呼吸及“换气转血”的核心功能，其功能交汇于“孙络-玄府”。COPD的发生发展遵循“气络-气道-血（脉）络”的传变规律，即初期以气络因虚留滞（宗气虚陷）为本，进而导致气道壅滞不利、气道绌急；终则气病及血，形成“痰挟瘀血碍气而病”的脉络瘀阻状态。在此过程中，病理损伤具有交互性。据此提出COPD“心肺气虚，脉络瘀阻，气道壅滞”的核心病机，并确立益气活血通络、化痰止咳定喘的治法，为临床精准辨治提供理论依据。

Abstract

This paper explores the transmission patterns of "

collaterals-

airways-blood （vessels） collaterals" in chronic obstructive pulmonary disease （COPD） based on the syndrome differentiation and treatment theory of lung collateral disease. Lung

collaterals carry original

， pectoral

and defensive

， primarily responsible for regulation and nourishment. The lung's airway serves as the pathway for the ascending and descending of

. The lung's blood （vessel） collaterals circulate

ying

（营）-blood to nourish and infiltrate. Those three work synergistically to complete the core function of the lung， including governing

， controlling respiration， and facilitating "

exchange and blood transformation"， with their functions converging in the "minute collateral-sweat pores". The occurrence and development of COPD follow the transmission pattern of "

collaterals-

airways-blood （vessels） collaterals". Initially， the condition is rooted in

stagnation

caused by deficiency （pectoral

deficiency and sink）， which leads to airway obstruction and difficulty in ventilation. Ultimately， disorder of

affects the function of blood， resulting in a state of vessel collaterals obstruction characterized as "phlegm complicated by blood stasis hindering

causes disease" .

关键词

Keywords

references

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School of Integrative Medicine， Anhui University of Chinese Medicine

Key Laboratory of Ministry of Education in Xin'an Medicine， Anhui University of Chinese Medicine

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Anhui University of Traditional Chinese Medicine

First Affiliated Hospital of Anhui University of Traditional Chinese Medicine

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