从伏气理论探讨肺纤维化病因病机
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摘要
伏气理论的提出由来已久,随着疾病谱变迁,越来越多难治性隐匿性疾病可以通过中医理论伏气理论来阐释,为疑难性疾病的认识和提供了理论基础和实践方法。肺纤维化的病因病机复杂为所共识,在临证治疗时,其源病因未明,其流病机未断,是认识和治疗肺纤维化的关键。从发病过程来看,肺纤维化起病隐匿,病情进展缓慢,并且反复加重、缠绵难愈,这些特点均符合中医"伏邪",特别是"伏痰""伏毒""伏瘀"等致病特点。因此,可以遵循伏邪理论来探索本病的致病原因、治疗方法等。文章从伏气理论的角度出发探讨肺纤维化的病因病机,以期深入认识肺纤维化的发病机制为治疗肺纤维化提供理论依据。
The theory of latent-Qi has put forward for a long time.With the disease change,more and more intractable underlying disease can be explained by latent-Qi theory of TCM,providing the theoretical basis and practical method.The etiology and pathogenesis of pulmonary fibrosis is complex and the key to understanding and treating pulmonary fibrosis.According to the onset process,pulmonary fibrosis progross is slow and repeatedly aggravating,lingering painless,these characteristics are in line with the latent-Qi of traditional Chinese medicine,especially the latent phlegm,latent txoin and latent stasis.Therefore,based on latent-Qi theory,it explored the causes of the disease,treatment and etc.This paper discusses the etiology and pathogenesis of pulmonary fibrosis from the point of view of the theory of latent-Qi in order to further understand the pathogenesis of pulmonary fibrosis and provide the theoretical basis for the treatment of pulmonary fibrosis.
The theory of latent-Qi has put forward for a long time.With the disease change,more and more intractable underlying disease can be explained by latent-Qi theory of TCM,providing the theoretical basis and practical method.The etiology and pathogenesis of pulmonary fibrosis is complex and the key to understanding and treating pulmonary fibrosis.According to the onset process,pulmonary fibrosis progross is slow and repeatedly aggravating,lingering painless,these characteristics are in line with the latent-Qi of traditional Chinese medicine,especially the latent phlegm,latent txoin and latent stasis.Therefore,based on latent-Qi theory,it explored the causes of the disease,treatment and etc.This paper discusses the etiology and pathogenesis of pulmonary fibrosis from the point of view of the theory of latent-Qi in order to further understand the pathogenesis of pulmonary fibrosis and provide the theoretical basis for the treatment of pulmonary fibrosis.
引文
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[2] 张霆.从伏气学说探讨肺癌之病因病机[J].中医研究,2007(3):5-7.
[3] 杨克敏,潘宝峰,张伟伟,等.张天嵩从伏邪论治弥漫性泛细支气管炎特色浅析[J].浙江中医杂志,2015,50(2):83-84.
[4] 彭皓均,吴彦,吴智兵,等.以“伏气学说”探讨多发性硬化的病因及发病规律[J].广州中医药大学学报,2014,31(4):648-650.
[5] 刘兴隆,刘爱琴,祝捷,等.基于伏气温病理论辨治放射性肺炎[J].四川中医,2014,32(6):40-41.
[6] 沈胡刚,黄金龙.伏气学说浅谈[J].中医学报,2016,31(9):1334-1336.
[7] 刘欣欣,刘林.伏气温病理论指导当今疾病治疗的临床运用[J].湖北中医杂志,2017,39(3):40-42.
[8] Moore B B.Following the path of CCL2 from prostaglandins to periostin in lung fibrosis[J].Am J Respir Cell Mol Biol,2014,50(5):848-852.
[9] 赵川荣.《三时伏气外感篇》源于《幼科要略》[J].中医杂志,1991(11):58.
[10] 钱潢.伤寒溯源集[M].上海:上海卫生出版社,1957.
[11] 刘晨光,范慧慧,许二平.伏邪理论辨析及其临床应用[J].中医学报,2013,28(4):515-516.