“心肺有病,鼻为之不利”含义解析与临床意义
Interpretation and clinical implications of "When there are cardiopulmonary lesions, the nose is inhibited"
DOI:10.3969/j.issn.2095-6606.2020.06.010
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1.北京中医药大学中医学院 北京 102488
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张舒雯, 贺娟. “心肺有病,鼻为之不利”含义解析与临床意义[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.3969/j.issn.2095-6606.2020.06.010
Zhang Shuwen, He Juan. Interpretation and clinical implications of "When there are cardiopulmonary lesions, the nose is inhibited"[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.3969/j.issn.2095-6606.2020.06.010
张舒雯, 贺娟. “心肺有病,鼻为之不利”含义解析与临床意义[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.3969/j.issn.2095-6606.2020.06.010 DOI:
Zhang Shuwen, He Juan. Interpretation and clinical implications of "When there are cardiopulmonary lesions, the nose is inhibited"[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.3969/j.issn.2095-6606.2020.06.010 DOI:
《黄帝内经》“心肺有病,鼻为之不利”一语,古今注解中多强调肺鼻联系,而对心鼻联系认识不足。系统梳理历代文献,阐述心鼻二者在生理和病理方面的密切联系实有必要。生理上,心鼻相关实为心肺相关的延伸,心气充足则鼻窍嗅觉灵敏。病理上,阳虚痰阻,胸中气滞;情志不畅,心系拘急;火旺伐金,热胜则肿;心脉瘀阻,鼻络不通。结合临床案例进一步阐述心鼻联系的临床意义:诊断心脏功能时可增加鼻窍检查,治疗鼻塞等鼻部症状时需考虑从心论治。
The traditional Chinese medicine classic ,Huangdi Neijing, says: "When there are cardiopulmonary lesions, the nose is inhibited" , of which most annotations cared about the correlation between the nose and lungs, rather than between the nose and heart. However, from literature research and clinical practice, it is necessary to elucidate the close physiological and pathological correlation between the heart and nose. Physiologically, the correlation between the heart and nose are actually extentions of the correlation between the heart and lung. If heart qi is sufficient, the nose is alert. Pathologically, yang deficiency gives rise to phlegm retention and qi stagnation in the chest; if heart vessels are blocked, then the nosal collaterals would be blocked. Clinically, whether the nose is inhibited or not helps to form a first impression about the cardiac function. What's more, when dealing with nasal congestion, one should take the heart into considertation. It's a good example to show ,Huangdi Neijing,'s guidance on TCM clinical practice.
黄帝内经心病鼻不利
Huangdi Neijingheart diseasenose inhibited
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