Exploring the diagnosis and treatment mode of pulmonary nodules based on the method of unblocking collaterals and dissipating masses with acrid-warm medicinals

Bingya MA; Zhiming LI; Dianna LIU; Quanwang LI

doi:10.3969/j.issn.2095-6606.2022.03.012

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Exploring the diagnosis and treatment mode of pulmonary nodules based on the method of unblocking collaterals and dissipating masses with acrid-warm medicinals

更新时间：2022-06-02

- Exploring the diagnosis and treatment mode of pulmonary nodules based on the method of unblocking collaterals and dissipating masses with acrid-warm medicinals
- Modern Chinese Clinical Medicine Vol. 29, Issue 3, Pages: 52-55(2022)
- 作者机构：
  
  1.北京中医药大学　北京　100029
  2.北京中医药大学第三附属医院肿瘤血液科
  3.北京中医药大学东方医院肿瘤科
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2022.03.012
  CLC： R273
- Published：30 May 2022，
  
  Received：27 June 2021，
- 稿件说明：
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Bingya MA, Zhiming LI, Dianna LIU, et al. Exploring the diagnosis and treatment mode of pulmonary nodules based on the method of unblocking collaterals and dissipating masses with acrid-warm medicinals. [J]. Modern Chinese Clinical Medicine 29(3):52-55(2022)
DOI：

Bingya MA, Zhiming LI, Dianna LIU, et al. Exploring the diagnosis and treatment mode of pulmonary nodules based on the method of unblocking collaterals and dissipating masses with acrid-warm medicinals. [J]. Modern Chinese Clinical Medicine 29(3):52-55(2022) DOI： 10.3969/j.issn.2095-6606.2022.03.012.

摘要

肺结节是指影像学表现为直径≤3 cm的局灶性、类圆形、密度增高的实性或亚实性肺部阴影，常为肺癌的早期病变。气滞、津停、络郁是肺结节的核心病机，气、痰、瘀为肺结节的主要病理因素，外邪犯肺或情志不舒是肺结节的主要病因，肺络是肺结节的基本病位。临床施治以辛温通络散结为治疗大法，选用辛散温通、引经透络的药物，以射干麻黄汤为代表方，并随证加减变化，可提高临床疗效。

Abstract

Pulmonary nodules are focal

round-like

solid

or sub-solid radiographic opacities that measures up to 3 cm. Pulmonary nodules can turn out to be cancerous. TCM theories believe that the basic pathogenesis of the condition is stagnation of lung qi

stasis of body fluids

and blockages of collaterals. In this framework

phlegm

and stasis are the key pathological factors

and the main causes of pulmonary nodules are exogenous pathogens attacking the lungs or emotional discomfort

damaging the lung collaterals

the main location of the disease. In clinical practice

the basic method is unblocking collaterals and dissipating masses with acrid-warm medicinals. Shegan Mahuang Decoction is selected as the representative formula and adjusted as needed for different syndromes

to improve the clinical efficacy.

关键词

肺结节辛温通络散结法射干麻黄汤

Keywords

pulmonary nodulesunblocking collaterals and dissipating masses with acrid-warm medicinalsShegan Mahuang Decoction

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