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基于态靶辨治理论探讨间质性肺疾病的诊疗策略

王敏 朱蔚 张莉莉 魏成功 胡静 张雪芹 宋斌 王蕾

吉林中医药2025,Vol.45Issue(12):1398-1401,4.
吉林中医药2025,Vol.45Issue(12):1398-1401,4.DOI:10.13463/j.cnki.jlzyy.2025.12.008

基于态靶辨治理论探讨间质性肺疾病的诊疗策略

Diagnostic and therapeutic strategies for interstitial lung disease based on the system of state-target syndrome differentiation and treatment

王敏 1朱蔚 2张莉莉 1魏成功 3胡静 4张雪芹 5宋斌 6王蕾1

作者信息

  • 1. 中国中医科学院广安门医院,北京 100053
  • 2. 中国人民解放军联勤保障部队第九四二医院,银川 750004
  • 3. 广东省中西医结合医院,广东佛山 528253
  • 4. 上海中医药大学,上海 201203
  • 5. 北京丰台医院,北京 100071
  • 6. 遵义医科大学第三附属医院,贵州 遵义 563000
  • 折叠

摘要

Abstract

Interstitial lung disease(ILD)refers to a heterogeneous group of pulmonary disorders affecting the lung interstitium,characterized pathologically by fibrosis and inflammatory cell infiltration.Based on an understanding of the disease course and its core pathological changes,this study applies the theory of"state-target syndrome differentiation and treatment"to reconstruct the diagnostic and therapeutic framework for ILD,proposing a dynamic evolution model,which is divided into three distinct stages(states):the lung obstruction state(corresponding to the inflammatory phase),the lung atrophy state(corresponding to the fibrotic phase),and the respiratory collapse state(corresponding to the respiratory failure phase).Three core herbal prescriptions are summarized and refined,and syndrome differentiation within each state is performed to refine its treatment schemes.At the same time,a synergistic intervention strategy is established,targeting both symptom-targets(e.g.,dyspnea,cough,sputum)and biomarker-targets(e.g.,abnormalities on chest CT imaging),and key targeted herbs are identified.A multidimensional framework is proposed for interstitial lung disease,which integrates stage-based state identification,syndrome differentiation within each state and modulation of both states and targets,aimed at improving the precise diagnosis and treatment of difficult respiratory diseases.

关键词

间质性肺疾病/态靶辨治/分期识态/态下分证/靶药

Key words

interstitial lung disease/state-target syndrome differentiation and treatment/stage-based state identification/syndrome differentiation within states/targeted drugs

分类

医药卫生

引用本文复制引用

王敏,朱蔚,张莉莉,魏成功,胡静,张雪芹,宋斌,王蕾..基于态靶辨治理论探讨间质性肺疾病的诊疗策略[J].吉林中医药,2025,45(12):1398-1401,4.

基金项目

国家自然科学基金面上项目(81473613) (81473613)

中央高水平中医医院临床科研业务费资助项目(HLCMHPP2023084) (HLCMHPP2023084)

中央级公益性科研院所基本科研业务费专项资金资助项目(ZZ16-XRZ-042) (ZZ16-XRZ-042)

吉林中医药

1003-5699

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