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
3.北京中医药大学东直门医院
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姜良铎(1948-),男,教授,主任医师、博士研究生导师。首都国医名师,第六批全国老中医药专家学术经验继承工作指导老师。对发热性疾病、感染性疾病、呼吸系统疾病、消化系统疾病、肿瘤等具有丰富的诊疗经验,并善于治疗多种疑难杂症。在长期临床实践中提出“通则不病,病则不通”“管道和排毒理论”“从状态论治”以及“外感病的内伤基础”等多个学术观点。
收稿:2021-06-29,
修回:2021-08-02,
纸质出版:2021-11-17
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胡家蕊,张晓梅,李梦乾等.姜良铎从通从毒论治肺结节[J].中医杂志,2021,62(22):1956-1959.
HU Jiarui,ZHANG Xiaomei,LI Menggan,et al.Professor JIANG Liangduo′s Experience in Treating Pulmonary Nodules by Keeping Unobstructed State and Dealing with Toxin[J].Journal of Traditional Chinese Medicine,2021,62(22):1956-1959.
胡家蕊,张晓梅,李梦乾等.姜良铎从通从毒论治肺结节[J].中医杂志,2021,62(22):1956-1959. DOI: 10.13288/j.11-2166/r.2021.22.005.
HU Jiarui,ZHANG Xiaomei,LI Menggan,et al.Professor JIANG Liangduo′s Experience in Treating Pulmonary Nodules by Keeping Unobstructed State and Dealing with Toxin[J].Journal of Traditional Chinese Medicine,2021,62(22):1956-1959. DOI: 10.13288/j.11-2166/r.2021.22.005.
总结姜良铎教授从通从毒论治肺结节的临床经验。认为肺结节属正虚气滞湿阻,痰瘀毒邪郁滞,局部积聚造成“不通”状态而成,“从通从毒论治”肺结节,是消除肺结节、抑制结节化毒癌变的有效方法。凡通调首先注重理气,一方面调畅胸中气机,另一方面疏解肝气、复肝疏泄之性,人体气机条畅,方能津液流通不滞,血行通畅;其次亦重视扶正补虚,尤应侧重补肺、肾、脾三脏;再次加强利湿化痰祛浊,活血散瘀,配以搜剔性强、通利经络的药物以通络散结,消除积聚。肺结节之解毒化积,常配以清热解毒化湿中药,其具有较强的抑毒散结的作用。
This paper summarized professor JIANG Liangduo′s experience in treating pulmonary nodules by keeeping unobstructed state and dealing with toxin. He believes that pulmonary nodules are caused by healthy
qi
deficiency,
qi
stagnation and dampness obstruction, resulting in phlegm stasis, toxin constraint; the local accumulations lead to the “obstructed state”. Therefore, the method of “keeping unobstructed state and dealing with the toxins” is one of the effective ways to eliminate pulmonary nodules and to prevent nodules from transforming toxins and cancers. To keep the unobstructed state, firstly, attention should be paid to rectify
qi
both in the chest and of the liver to restore the liver′s function of governing the free flow of
qi
); when there is no obstruction of
qi
movement, the body fluids are not constraint, and the blood circulates smoothly. Secondly, it should be focused on to reinforce healthy
qi
and supplement
qi
deficiency, especially in the lung, kidney and spleen. Thirdly, it is suggested to drain dampness, dissolve phlegm and dispel turbid, and to invigorate blood and dissolve stasis. Meanwhile, the herbal medicine which has strong searching and expelling function, and can unblock the meridians and collaterals are used, so as to unblock collaterals, dissipate masses, and eliminate the accumulations and gatherings. When relieving the toxins and remove accumulation of pulmonary nodules, herbal medicine of heat-clearing, toxin-relieving and dampness-removing are often used, which have strong effects of suppressing toxins and dissipating masses
.
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 .
姜良铎 , 焦扬 , 王蕾 . 从毒论理,从通论治,以调求平 [J]. 中医杂志 , 2006 , 47 ( 3 ): 169 - 171 .
姜良铎 . 从息论态,综合施治 [J]. 中医杂志 , 2007 , 48 ( 5 ): 394 - 396 .
刘彧杉 , 张晓梅 , 姜良铎 . 从状态论治肺小结节 [J]. 陕西中医药大学学报 , 2020 , 43 ( 4 ): 74 - 77 .
袁铭 . 应用苇茎汤合血府逐瘀汤治疗慢性肺炎性结节效果观察 [J]. 中国实用医药 , 2019 , 14 ( 23 ): 120 - 122 .
张晓梅 , 姜良铎 , 肖培新 . 肺结节病因病机探讨 [J]. 环球中医药 , 2019 , 12 ( 3 ): 435 - 437 .
姜良铎 , 张文生 . 从毒论治初探 [J]. 北京中医药大学学报 , 1998 , 21 ( 5 ): 2 - 3 .
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