潘永福教授治疗孤立性肺小结节经验撷菁
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摘要
潘永福教授治疗孤立性肺小结节,认为该病主要与肺、肝、脾三脏密切相关,病机特点以"气、虚、火、痰、瘀"为主,肺热痰凝证、肝郁痰瘀证、脾虚痰蕴证是本病主要证型。临证治疗以气郁为先导,强调情志调摄的重要性,以疏肝理气化痰散结为基础;同时重视脾胃功能,提倡培土生金;注重整体和局部的阴阳平衡,用药精简、平和甘淡。临床疗效明显。
This paper introduces professor Pan Yongfu's experience in treating solitary small pulmonary nodules. He believes that the disease is mainly related to the three viscera of the lung,liver and spleen. The pathogenesis is characterized by Qi,deficiency,fire,phlegm and stasis. The syndrome of lung heat phlegm stagnation,stagnation of liver qi and phlegm stasis,spleen deficiency and phlegm accumulation are the main syndromes of this disease. Clinical treatment with Qi as the forerunner,and emphasizes the importance of emotion transfer. At the same time,pay attention to the function of the spleen and stomach,promote peitushengjin. And focus on the overall and regional balance of yin and Yang. The clinical effect is obvious.
This paper introduces professor Pan Yongfu's experience in treating solitary small pulmonary nodules. He believes that the disease is mainly related to the three viscera of the lung,liver and spleen. The pathogenesis is characterized by Qi,deficiency,fire,phlegm and stasis. The syndrome of lung heat phlegm stagnation,stagnation of liver qi and phlegm stasis,spleen deficiency and phlegm accumulation are the main syndromes of this disease. Clinical treatment with Qi as the forerunner,and emphasizes the importance of emotion transfer. At the same time,pay attention to the function of the spleen and stomach,promote peitushengjin. And focus on the overall and regional balance of yin and Yang. The clinical effect is obvious.
引文
[1]Koh JM,Tan GJ,How CH.PILL series.The solitary pulmonary nodule[J].Singapore Med J,2012,53(6):372.
[2]张菁,马靖,王广发.实性和亚实性肺结节临床处理——ACCP最新肺结节诊疗指南简介[J].中华结核和呼吸杂志,2014,37(3):202.
[3]吕苑.四君子汤的药理研究和临床应用[J].中医研究,2012,25(1):76.
[2]张菁,马靖,王广发.实性和亚实性肺结节临床处理——ACCP最新肺结节诊疗指南简介[J].中华结核和呼吸杂志,2014,37(3):202.
[3]吕苑.四君子汤的药理研究和临床应用[J].中医研究,2012,25(1):76.