国医大师韩明向固本培元治疗慢性阻塞性肺疾病特色探颐
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国家自然科学基金区域创新发展联合基金重点支持项目(U20A20398)——基于炎症免疫网络调控的新安固本培元法之方证对应改善COPD患者感受的分子机制研究;安徽省中医药传承创新科研项目(2024ccx101)——新安程派伤寒学术思想研究;安徽省临床医学研究转化专项(20220428107020045)——全国名中医肺系疾病学术思想传承及特色方药的临床开发研究


TCM Master HAN Mingxiang's Experience in Treatment of Chronic Obstructive Pulmonary Disease with Root-consolidating and Original Qi-banking Therapy
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    摘要:

    深入分析国医大师韩明向治疗慢性阻塞性肺疾病过程中的辨证、立法、选方及用药特点,总结韩明向教授基于新安固本培元理论治疗慢性阻塞性肺疾病(COPD)的经验和特点。韩明向教授在新安固本培元理论指导下,创造性提出“肺气虚证分级分度”理念,并以此统领COPD证候变化;从“气虚-痰饮-血瘀”角度出发,辨析COPD的病变机制;以“固本祛实”为治疗法则,兼顾COPD表里同病的发病特点。通过分析韩明向教授治疗COPD的全过程,发现韩明向教授擅长应用健脾补肾调肺以固本,益气活血化痰以除根,宣肺解表以透邪,随证灵活组方,疗效确切,特色明显,可供临床借鉴。

    Abstract:

    An in-depth analysis of traditional Chinese medicine(TCM) master HAN Mingxiang's approach to the treatment of chronic obstructive pulmonary disease(COPD) is presented,focusing on his methods of syndrome differentiation,treatment principles,selection of formulas,and medication characteristics.Professor HAN's experience and characteristics in the treatment of COPD based on Xin'an root-consolidating and original qi-banking theory were summarized.Professor HAN,guided by the Xin'an root-consolidating and original qi-banking theory,has creatively proposed the concept of “grading and staging of lung qi deficiency syndrome” and used this framework to understand the changes in the syndromes of COPD.From the perspective of “qi deficiency,phlegm and fluid retention,and blood stasis”,he analyzes the pathogenesis of COPD.His treatment approach follows the principle of “consolidating the root and eliminating the excess”,taking into account the unique onset characteristics of both exterior and interior manifestations of COPD.By analyzing Professor HAN's treatment process for COPD,it becomes evident that he excels in using methods to tonify the spleen and kidney,regulate the lung to consolidate the root,replenish qi,activate blood,resolve phlegm to eliminate the root cause,and ventilate lung and relieve exterior to expel the pathogen.His flexible use of individualized prescriptions according to the changing syndromes yields definite therapeutic effects with distinct characteristics,providing valuable clinical insights for reference.

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吴凡,李泽庚,童佳兵,朱洁,杨勤军,蒋健康,韩明向.国医大师韩明向固本培元治疗慢性阻塞性肺疾病特色探颐[J].世界中医药,2024,(21).

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  • 收稿日期:2024-04-12
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  • 在线发布日期: 2025-01-20
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