基于复合病机理论探讨肺结节中医辨治思路

肺结节是临床上较为常见的疾病之一。根据国医大师周仲瑛教授复合病机理论,认为虚、郁、痰、瘀是肺结节形成的基本病因,痰瘀热郁、毒聚络损是肺结节癌变的关键因素;并根据复合病机理论从辨五脏以多脏兼顾、辨兼夹以多法并举、辨标本以扶正祛邪、辨转归以阻截传变四个方面探讨复法制方的基本思路,以期为肺结节中医辨治及组方提供借鉴和参考。 

Exploring the Idea of Chinese Medicine Treatment for Pulmonary Nodule Based on the Theory of Compound Pathogenesis

Pulmonary nodule is one of the common diseases in clinical practice. According to the theory of compound pathogenesis by Professor Zhou Zhong-ying, a master of Chinese medicine, he believes that deficiency, depression, phlegm, and stasis are the basic causes of pulmonary nodules. Besides, heat obstruction caused by phlegm and stasis, combined with collateral damage caused by toxin accumulation are the key factors for the canceration of pulmonary nodule. In addition, Professor Zhou also discusses the basic ideas of compound formulae based on the theory of compound pathogenesis from four aspects: differentiation of the five organs to consider multiple organs, differentiation of concurrent syndromes to combine various methods, differentiation of the root and symptoms to eliminate the pathogenic factors, and differentiation of the prognosis to avoid the disease deterioration, which provide reference for the differentiation and treatment of pulmonary nodules in Chinese medicine and the related formula prescription.