ZHAO Xinran, YANG Jie, SUN Tao. Discussion on diagnosis and treatment of pulmonary nodules based on the theory of correlation of the lung and liver. [J]. Modern Chinese Clinical Medicine 30(4):62-65(2023)
DOI:
ZHAO Xinran, YANG Jie, SUN Tao. Discussion on diagnosis and treatment of pulmonary nodules based on the theory of correlation of the lung and liver. [J]. Modern Chinese Clinical Medicine 30(4):62-65(2023) DOI: 10.3969/j.issn.2095-6606.2023.04.013.
Discussion on diagnosis and treatment of pulmonary nodules based on the theory of correlation of the lung and liver
the detection of clinical pulmonary nodules has shown an increasing trend
and the long follow-up time and the difficulty of judging whether the nodules are benign and malignant are the primary difficulties. The theory of liver and lung correlation is an important part of the five viscera theory
and the two are closely related both physiologically and pathologically. They affect each other and synergize in the ascending or descending movement of qi and the flow of qi and blood. Pulmonary nodules are not recorded in ancient books of traditional Chinese medicine
but they can be categorized into "
fei ji
" (lung accumulation) since they are tangible lesions that follow a specific law of development. The key to its generation and progression is constraint of liver qi and damage of lung qi leading to disorder of qi movement and blood in the liver and lung. For the treatment of pulmonary nodules
the main methods are to soothe the liver
rectify the lung and promote qi movement
supplemented by softening hardness and dissipating mass
resolving stasis and toxin
and strengthening the resistance to eliminate pathogenic factors. For the treatment of clinical symptoms of pulmonary nodules
it is necessary to pay special attention to diffusing and restoring the smooth movement of lung qi
soothing the stagnated liver qi
restoring the balance of ascending and descending functional activities of qi
so that the whole qi-blood circulation can function smoothly
and paying attention to psychological counseling for patients. Combined with clinical cases
the treatment of pulmonary nodules from the theory of correlation of lung and liver is introduced.
关键词
肺结节肝肺相关病因病机中医
Keywords
pulmonary nodulescorrelation of the lung and liverpathogenesistraditional Chinese medicine
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