基于玄府-肺络新视点探讨干燥综合征相关性间质性肺疾病的中医病机演变
|
摘要
干燥综合征相关性间质性肺疾病属中医"燥痹""皮痹""肺痿"范畴。玄府为物,无器不有;肺络则是肺行使生理功能的重要单位。玄府为肺络之门户,肺络为玄府之濡养,干燥综合征相关性间质性肺疾病各期气郁、津乏、痰阻、血瘀、神丧的病机与"玄府-肺络"构效异常密切相关。临床辨证论治应重视宣散、固本、化浊,立足于三法的开玄通络治则为该病的治疗提供了新的思路。
Sj?gren syndrome related interstitial lung disease belongs to the category of Chinese medicine ‘dryness bi', ‘scleroderma' and ‘lung flaccidity'. Xuanfu is a ubiquitous device; lung collaterals is an important unit in the exercise of physiological functions of the lungs. Xuanfu is the gateway to the lung collaterals while the lung collaterals are the support of Xuanfu. The related interstitial pulmonary diseases of Sj?gren syndrome are affected by qi stagnation, impairment of fluid, phlegm blocking, blood stasis and loss of vitality. The pathogenesis and the ‘Xuanfu-lung collaterals' are closely related to abnormal structural effects. Clinical differentiation treatment should pay attention to the dissemination, consolidation, and resolute turbidity.Opening Xuanfu-lung collaterals treatment based on these three methods provides a new idea for treating Sj?gren syndrome.
Sj?gren syndrome related interstitial lung disease belongs to the category of Chinese medicine ‘dryness bi', ‘scleroderma' and ‘lung flaccidity'. Xuanfu is a ubiquitous device; lung collaterals is an important unit in the exercise of physiological functions of the lungs. Xuanfu is the gateway to the lung collaterals while the lung collaterals are the support of Xuanfu. The related interstitial pulmonary diseases of Sj?gren syndrome are affected by qi stagnation, impairment of fluid, phlegm blocking, blood stasis and loss of vitality. The pathogenesis and the ‘Xuanfu-lung collaterals' are closely related to abnormal structural effects. Clinical differentiation treatment should pay attention to the dissemination, consolidation, and resolute turbidity.Opening Xuanfu-lung collaterals treatment based on these three methods provides a new idea for treating Sj?gren syndrome.
引文
[1]管新竹,张伟.从“内燥”论干燥综合征相关性间质性肺病的发病机制.中医学报,2016,31(9):1289-1292
[2]罗再琼,黄文强,杨九一,等.“玄府”:藏象理论的微观结构.中医杂志,2011,52(16):1354-1356
[3]朱凤娟,韦莉,刘从盛.从“玄府闭密”探讨“久病入络”病机.针灸临床杂志,2008,24(7):38-39
[4]周水平,仝小林,徐远.络病的基本概念与病理特点探析.中医药学刊,2002,20(6):724-726
[5]杨萌,陆鹏,胡幼平.从玄府与络脉的关系论肺络病的治疗.湖南中医杂志,2016,32(6):146-147
[6]江玉,王明杰.叶天士络病学说与刘河间玄府理论.四川中医,2008,26(6):30-31
[7]郑国庆,王艳,王小同.玄府理论的建立与发展.中华医史杂志,2005,35(4):19-23
[8]陆鹏,胡幼平.从“开玄充络”谈热证用灸法.针灸临床杂志,2012,28(9):7-9
[9]王朋,杨明会,李绍旦,等.《黄帝内经》“孙络”探微.北京中医药,2013,32(2):106-108
[10]董丽,冯启峰,白雪,等.基于“络病-玄府”探讨冠状动脉介入术后无复流现象.中医杂志,2016,57(23):2008-2010,2016
[11]路志正.路志正医林集腋.北京:人民卫生出版社,1991:154-155
[12]马武开,唐芳,王莹,等.干燥综合征中医证候分类临床文献研究.中华中医药杂志,2013,28(2):482-485
[13]陈震萍,吕萍,牟重临.“玄府”学说阐发与临床发挥.中华中医药杂志,2017,32(2):446-448
[14]袁琛.探析玄府理论在肺间质病治疗中的应用.新中医,2012,44(10):4-5
[15]胡勇,邢玉瑞.类风湿性关节炎的从玄府论治.时珍国医国药,2017,28(7):1700-1702
[16]黄迪,张伟,石朝民.从毒、络学说管窥蜈蚣在间质性肺病中的应用.时珍国医国药,2015,26(6):1441-1442
[2]罗再琼,黄文强,杨九一,等.“玄府”:藏象理论的微观结构.中医杂志,2011,52(16):1354-1356
[3]朱凤娟,韦莉,刘从盛.从“玄府闭密”探讨“久病入络”病机.针灸临床杂志,2008,24(7):38-39
[4]周水平,仝小林,徐远.络病的基本概念与病理特点探析.中医药学刊,2002,20(6):724-726
[5]杨萌,陆鹏,胡幼平.从玄府与络脉的关系论肺络病的治疗.湖南中医杂志,2016,32(6):146-147
[6]江玉,王明杰.叶天士络病学说与刘河间玄府理论.四川中医,2008,26(6):30-31
[7]郑国庆,王艳,王小同.玄府理论的建立与发展.中华医史杂志,2005,35(4):19-23
[8]陆鹏,胡幼平.从“开玄充络”谈热证用灸法.针灸临床杂志,2012,28(9):7-9
[9]王朋,杨明会,李绍旦,等.《黄帝内经》“孙络”探微.北京中医药,2013,32(2):106-108
[10]董丽,冯启峰,白雪,等.基于“络病-玄府”探讨冠状动脉介入术后无复流现象.中医杂志,2016,57(23):2008-2010,2016
[11]路志正.路志正医林集腋.北京:人民卫生出版社,1991:154-155
[12]马武开,唐芳,王莹,等.干燥综合征中医证候分类临床文献研究.中华中医药杂志,2013,28(2):482-485
[13]陈震萍,吕萍,牟重临.“玄府”学说阐发与临床发挥.中华中医药杂志,2017,32(2):446-448
[14]袁琛.探析玄府理论在肺间质病治疗中的应用.新中医,2012,44(10):4-5
[15]胡勇,邢玉瑞.类风湿性关节炎的从玄府论治.时珍国医国药,2017,28(7):1700-1702
[16]黄迪,张伟,石朝民.从毒、络学说管窥蜈蚣在间质性肺病中的应用.时珍国医国药,2015,26(6):1441-1442