中国防痨杂志2025，Vol.47Issue(11)：1522-1527,6.DOI:10.19982/j.issn.1000-6621.20250329
基于《理虚元鉴》"三本二统"治虚理论论治肺痨
Treatment of pulmonary tuberculosis based on the theory of"three books and two systems"in the book Li Xu Yuan Jian
摘要
Abstract
Pulmonary tuberculosis is an important branch of Traditional Chinese Medicine(TCM)deficiency and fatigue disease,caused by invasion of pulmonary tuberculosis insects and deficiency of vital energy,involving dysfunction of lungs,spleen,and kidneys.The"three books and two systems"theory proposed by Ming Dynasty physician Wang Qishi in his book Li Xu Yuan Jian provides guidance for the diagnosis and treatment of pulmonary tuberculosis based on syndrome differentiation.This article combines ancient literature and modern clinical practice to explore the guiding significance of the"three books and two systems"theory for pulmonary tuberculosis treatment,and clarifies that Yin deficiency and fire excess are the core pathogenesis of pulmonary tuberculosis;The imbalance of lungs is the starting point,the imbalance of spleen is the basis and outcome,and the imbalance of kidneys is the root cause.The three organs interact with each other and together constitute the pathogenesis and transmission process of pulmonary tuberculosis;Treatment should be based on nourishing lungs,spleen,and kidneys,mainly by nourishing Yin and lowering fire to promote the generation of gold and water,nourishing Qi and cultivating Yin to nourish soil and produce gold,nourishing Yin and supplementing Yang to strengthen the foundation and nourish the essence.At the same time,treatment should clear fire,kill insects,and eliminate evil,while also stop bleeding and resolving phlegm,and regulate the balance of supporting the body and eliminating evil,and combine with applying test cases of taking the"three books and two systems"theory on treating pulmonary tuberculosis,in order to provide theoretical basis and clinical reference for treating pulmonary tuberculosis with TCM.关键词
医学,中国传统/结核/治疗应用Key words
Medicine,Chinese traditional/Tuberculosis/Therapeutic uses分类
中医学引用本文复制引用
穆婷婷,张旭阳,马艳,蔡秋杰..基于《理虚元鉴》"三本二统"治虚理论论治肺痨[J].中国防痨杂志,2025,47(11):1522-1527,6.基金项目
National Key Research and Development Program(2023YFC3503402) （2023YFC3503402）
Science and Technology Innovation Project of Chinese Academy of Traditional Chinese Medicine(CI2021A03703) （CI2021A03703）
National Administration of Traditional Chinese Medicine Project(GZY-KJS-2017-016) 国家重点研发计划(2023YFC3503402) （GZY-KJS-2017-016）
中国中医科学院科技创新工程(CI2021A03703) （CI2021A03703）
国家中医药管理局项目(GZY-KJS-2017-016) （GZY-KJS-2017-016）
