范伏元教授从"络脉不和"论治肺结节经验OACSTPCD

Collaterals can communicate interior with exterior and connect viscera,through which qi and blood permeate all parts of the body.Based on these physiological characteristics,Professor FAN Fuyuan understands pulmonary nodules from the perspectives of"lung impediment"and"lung accumulation".Collateral disharmony is considered as the fundamental pathogenesis of pulmonary nodules,which is further expounded in two aspects,namely the latent pathogenic qi resulting in phlegm and static blood which obstruct the lung collaterals,and disharmony of the stomach collaterals causing phlegm and static blood accumulating in the lungs to form Kenang(mass of phlegm mingled with static blood).Therefore,dredging collaterals to unblock impediment and harmonizing wei-defensive qi and ying-nutrient blood to dissipate nodules,as well as harmonizing the stomach and expelling stasis,calming the mind and transforming turbidity are taken as the core treatment methods.Shufeng Xuanfei Decoction and Jiawei Wendan Decoction are always prescribed respectively based on pattern differentiation.With their definite clinical efficacy,Professor FAN combines the macroscopic pattern differentiation of zang-fu organs which aims to reconcile the viscera with the microcosmic pattern differentiation of collaterals which aims to harmonize wei-defensive qi,ying-nutrient blood,and body fluids flowing in the collaterals.