现代中医临床2025，Vol.32Issue(5)：49-53,5.DOI:10.3969/j.issn.2095-6606.2025.05.009
从《黄帝内经》"思则气结"理论辨治肺结节
Discussion on the treatment of pulmonary nodules based on the theory of"anxiety causes qi stagnation"in Yellow Emperor's Inner Canon
摘要
Abstract
Based on the Huangdi Neijing(Yellow Emperor's Inner Canon)theory of"anxiety causes qi stagnation",this article explores the pathogenesis,treatment and ideas of lung nodules in Traditional Chinese Medicine.According to this theory,emotional factors are significant in the basic pathogenesis of pulmonary nodules."Overthinking"leads to stagnation of qi in the lung,spleen and liver,and blockage of blood and qi,and body fluids.Overthinking damages the lung,resulting in lung qi congestion,overthinking damages the spleen,resulting in a decline in spleen qi,and overthinking damages the liver,so that the liver loses its free-flowing nature.The dysfunction of visceral organs and accumulation of pathological products lead to nodule formation.In terms of treatment,emotional therapy should be applied in daily life,emphasizing regulation of emotions.Medicinal treatment should focus on nourishing deficiency and purging excess,regulating qi flow.Therefore,the overarching principle is to promote qi circulation and dissipate nodules,combined with timely supplementary organs such as the lung,spleen and liver to achieve a significant effect.And combined with clinical cases,this paper introduces the experience of diagnosing and treating pulmonary nodules based on the theory of"thinking causes qi stagnation".关键词
肺结节/思则气结/气郁/行气散结/情志Key words
pulmonary nodules/anxiety causes qi stagnation/qi depression/promoting qi and dispersing stasis/emotional state分类
医药卫生引用本文复制引用
马晓勿,赵欣,马建岭,史利卿,罗景舒,刘松,郭兆迪,张珑菲..从《黄帝内经》"思则气结"理论辨治肺结节[J].现代中医临床,2025,32(5):49-53,5.基金项目
中央高水平中医医院临床科研业务费资助项目(No.Y2023B03) （No.Y2023B03）
国家自然科学基金项目(No.82474472) （No.82474472）
北京中医药大学东方医院医疗机构制剂与新药研发项目(No.2023-DYXY-005) （No.2023-DYXY-005）
