湖南中医药大学学报2025，Vol.45Issue(11)：2176-2181,6.DOI:10.3969/j.issn.1674-070X.2025.11.021
从三焦气化理论探析特发性炎性肌病合并肺间质病变中医病机与治法
TCM pathogenesis and therapeutic methods of idiopathic inflammatory myopathy complicated with interstitial lung disease from the perspective of sanjiao qi transformation theory
摘要
Abstract
Based on the sanjiao qi transformation theory,this study explores the etiology and pathogenesis of idiopathic inflammatory myopathy complicated with interstitial lung disease from the perspective of TCM.It is believed that the root lies in the deficiency of the lung,spleen,and kidney,while the manifestations are characterized by the excessive accumulation of phlegm,blood stasis,and heat-toxin.Since sanjiao is the channel for the circulation of qi,blood,and body fluids,its impaired qi transformation function can lead to a vicious cycle of phlegm,blood stasis,and heat-toxin,which obstructs the collateral vessels of the zang-fu organs and tissues,thereby exacerbating the disease.The qi transformation of the sanjiao is closely related to lung function:impaired diffusion in the upper jiao results in lung qi stagnation and disharmony between the Ying-nutrients and Wei-defence;impaired transportation in the middle jiao leads to spleen deficiency,dampness retention,and endogenous phlegm production;and impaired containment in the lower jiao causes kidney failing in to receive qi and upward qi rebellion.Taking disease progression as the axis,idiopathic inflammatory myopathy complicated with interstitial lung disease is divided into three stages:the inflammatory stage,the fibrous tissue proliferation stage,and the pulmonary interstitial fibrosis stage.Considering the dynamic evolution of the pathogenesis and disease progression,a comprehensive analysis proposes the following treatment principles:in the inflammatory stage,clearing heat and detoxifying,as well as dispersing lung qi and eliminating pathogenic factors,should be prioritized;in the fibrous tissue proliferation stage,removing blood stasis and resolving phlegm,along with clearing and unblocking the lung collaterals,are recommended;and in the pulmonary interstitial fibrosis stage,dispersing accumulations,unblocking obstruction,and tonifying the lung and kidney are advised.Moreover,throughout the treatment process,it is crucial to closely monitor the key pathological factors of deficiency,phlegm,blood stasis,and heat-toxin,aiming to restore the smooth flow of sanjiao and regulate the overall qi movement in the body.关键词
特发性炎性肌病/肺间质病变/三焦气化/肺络痹阻/痰瘀/病机Key words
idiopathic inflammatory myopathy/interstitial lung disease/sanjiao qi transformation/lung collateral obstruc-tion/phlegm and blood stasis/pathogenesis分类
中医学引用本文复制引用
高婧,纪伟..从三焦气化理论探析特发性炎性肌病合并肺间质病变中医病机与治法[J].湖南中医药大学学报,2025,45(11):2176-2181,6.基金项目
江苏省中医药科技发展计划项目(ZX2022A1). （ZX2022A1）
