基于"阳化气,阴成形"从温阳法论治肺部结节OA
Treating Pulmonary Nodules with Warming Yang Method Based on the Principle of"Yang Transforms into Qi,while Yin Constitutes Form"
《素问·阴阳应象大论篇》中记载的"阳化气,阴成形"高度概括了人体脏腑组织的生命活动,阴阳失衡是导致疾病发生的关键.本文通过分析"阳化气,阴成形"理论,发现肺部结节发生和发展的核心机制是"阳化气不足,阴成形太过".结节乃有形之体,是机体阳气亏虚,精血津液运行障碍,化为痰饮瘀毒,敛聚局部而生;结节本质乃阳虚阴结,本虚标实,本虚即脾肾阳虚,标实即痰饮、瘀血、浊毒.中医学强调治病求本,故基于"阳化气,阴成形"理论,以温阳化气为基本治则,探讨温阳法在肺部结节治疗中的应用,分别从温阳补肾、温阳健脾、温阳化痰、温阳活血、温阳解毒和温阳散结等角度辨证施治,以防"阴成形太过",使"阳化气"之功能正常发挥,则机体阴阳平衡,百病不生.
The concept of"Yang transforms into qi,while yin constitutes form",as recorded in the chapter of"Plain questions:Yin-Yang Appropriate Correspondences"of the Huangdi Neijing(The Yellow Emperor's Inner Classic),succinctly summarizes the vital activities of human viscera and bowls tissues.The imbalance of yin and yang is crucial in the onset of diseases.Through the analysis of this theory,this paper identifies the core mechanism underlying the occurrence and development of pulmonary nodules as"insufficient qi transformation leading to excessive formation of substance(yin)."Nodules,as tangible entities,originates from the deficiency of bodily yang qi,because deficient qi hinders the circulation of essence,blood,and body fluids,and the obstructed essence,blood,and body fluids transforms into phlegm-fluid retention,and static toxins in local areas,forming pulmonary nodules.The nodules themselves are caused by yang deficiency and yin binding,the root cause is deficiency and the superficial cause is excess,wherein the deficiency represents the deficiency of Spleen and kidney yang,and the excess refers to accumulation of phlegm-fluid retention,blood stasis,and turbid toxins.Traditional Chinese Medicine emphasizes treating the root cause of diseases.Therefore,based on the theory of"Yang transforms into qi,while yin constitutes form,"the application of the treatment principle of warming Yang and transforming qi should be applied in the treatment of pulmonary nodules.Various treatment strategies such as warming yang to tonify the kidneys,fortify the spleen,resolve phlegm,activate blood,resolve toxins,and dissipate binds could be employed to prevent excessive formation of substance(yin).By ensuring the normal function of"Yang transforms qi,"the balance of yin and yang in the body is maintained,thus preventing the onset of various diseases.
刘颖;马君;左明晏
湖北中医药大学附属襄阳医院,湖北 襄阳 441000山东中医药大学附属医院,山东 济南 250014
阳化气,阴成形肺部结节温阳法
Yang transforms into qi,while yin constitutes formPulmonary nodulesYang-warming method
《中医药信息》 2024 (007)
42-46 / 5
山东省中医药科技发展计划项目(2019-0127);湖北省卫生健康委员会科研项目(WJ2019F097)
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