基于“皮部-经络-脏腑”论治干燥综合征相关性间质性肺疾病
Treatment of Sjogren's Syndrome Related Interstitial Lung Disease Based on The Theory of "Pibu-Meridian-Viscera"
DOI:10.19945/j.cnki.issn.1006-3250.2021.09.035
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1.山东中医药大学中医学院,济南 250014
2.山东中医药大学附属医院,济南 250011
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陈凤, 林琪明, 张伟. 基于“皮部-经络-脏腑”论治干燥综合征相关性间质性肺疾病[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.19945/j.cnki.issn.1006-3250.2021.09.035
CHEN Feng, LIN Qi-ming, ZHANG Wei. Treatment of Sjogren's Syndrome Related Interstitial Lung Disease Based on The Theory of "Pibu-Meridian-Viscera"[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.19945/j.cnki.issn.1006-3250.2021.09.035
陈凤, 林琪明, 张伟. 基于“皮部-经络-脏腑”论治干燥综合征相关性间质性肺疾病[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.19945/j.cnki.issn.1006-3250.2021.09.035 DOI:
CHEN Feng, LIN Qi-ming, ZHANG Wei. Treatment of Sjogren's Syndrome Related Interstitial Lung Disease Based on The Theory of "Pibu-Meridian-Viscera"[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.19945/j.cnki.issn.1006-3250.2021.09.035 DOI:
干燥综合征相关性间质性肺疾病属于中医“燥痹”“肺痹”“肺痿”范畴。本文基于“皮部-经络-脏腑”理论形成空间构架,强调从整体全面探查病邪所藏之处,明确传变途径和病情虚实变化。该病以正虚为本,气血精津于“皮部-经络-脏腑”网络系统运化失常为核心病机,痰瘀阻滞为关键病理产物和致病因素,病理演变过程为早期皮部受邪、玄府郁闭,中期精津失布、痰瘀胶结,晚期精亏不散、脏腑失用,治疗应视其病位病性,以早期宣散气机、中期祛痰逐瘀、晚期攻补兼施为主要治则,动态辨治,截断疾病发展,以期对临床有所裨益。
Sjogren's syndrome-related interstitial lung diseases belong to traditional Chinese medicine "dryness Bi" "lung Bi" "lung impotence" category. Based on the theory of "Pibu-meridians-viscera organs", the paper forms a spatial framework, emphasizes the overall and comprehensive exploration of the hidden places of pathogenic factors, and makes clear the route of transmisson and the actual changes of the disease. The disease is based on positive deficiency, the core pathogenesis is the abnormal transport of Qi and blood in the "Pibu-meridian-viscera" network system, and the block of phlegm and blood stasis is the key pathological product and pathogenic factor. The pathological evolution process is as follows: the skin is affected by pathogenic factors and xuanfu stagnation in the early stage, the distribution of Jingjin and phlegm and blood stasis is lost in the middle stage, and the late stage is characterized by the constant loss of refined deficit and the loss of zang-fu use. The treatment should be based on the disease location, and the main treatment principles should be early dispelling Qi activity, eliminating phlegm and driving blood stasis in the middle stage, and attack and repair in the late stage. The dynamic differentiation and treatment should be performed to cut off the development of the disease, so as to be beneficial to clinical practice.
皮部-经络-脏腑干燥综合征间质性肺疾病整体观扶正固本通络逐邪
pibu - meridian - viscera organsSjogren's syndromeInterstitial lung diseaseThe overall viewsupporting the healthy energyDredging collaterals and eliminating evil
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