| 引用本文:亓润智1，赵雨薇2，栾美琪3，刘瑞1，张兴1，郑红刚1，花宝金1.花宝金调气解毒治疗肺结节思想探析[J].世界中医药,2022,(11):. |
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| 花宝金调气解毒治疗肺结节思想探析 |
| Professor Hua Baojin's Thought in Treating Pulmonary Nodules by Regulating Qi and Removing Toxin |
| 投稿时间：2022-04-20 |
| DOI：10.3969/j.issn.1673-7202.2022.11.008 |
| 中文关键词: 肺结节 思想探讨 中医药 调气解毒 窠囊 气机升降 经方 @ 花宝金 |
| English Keywords:Pulmonary nodules Thought exploration Traditional Chinese medicine Regulating qi and removing toxin Kenang Ascending and descending of qi movement Classical prescription @ Hua Baojin |
| 基金项目:中国中医科学院科技创新工程项目（CI2021B009）——“调气解毒”肿瘤防治与转化创新团队；国家中医药管理局中医药创新团队项目（ZYYCXTD-C-202205）——基于调气解毒学说的中医肿瘤传承创新团队；中国中医科学院优秀青年科技人才培养专项（ZZ15-YQ-026）——基于外泌体miR-34a/KLF4通路探讨双参颗粒调控免疫微环境抑制肺癌的作用机制 |
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| 中文摘要: |
| 肺结节是一种影像学诊断，现代医学仍以影像学评估、定期随访为主，缺乏行之有效的早期干预手段。中医药在“治未病”思想的指导下，运用辨证论治与整体观的理论与方法，在肺结节的治疗方面具有独特优势，在临床应用越来越广泛。花宝金教授擅用经方，通过多年的临床实践总结形成“调气解毒”预防与治疗肿瘤的主要思想；同时认为肺结节的基本病机与正气亏虚，气机升降失调，津液代谢失常，痰瘀阻滞肺络密切相关，结合多年临床经验，逐渐将调气解毒思想运用于肺结节的临床治疗，主要包括“健脾益气、培土生金”“宣降肺气、通利水道”“解郁行气、调畅情志”“调气为本，兼顾化痰祛瘀解毒”4个基本法则，灵活运用经方，辨证施治，临床取得良好疗效。本文将花宝金教授运用经方治疗肺结节的临床经验进行总结，并对“调气解毒”思想在肺结节治疗中的应用进行探讨。 |
| English Summary: |
| Pulmonary nodule is usually diagnosed by imaging,and there is still lack of effective early intervention means in western medicine except imaging evaluation and regular follow-up.Under the guidance of preventing disease before its onset,syndrome differentiation and treatment and holistic theory,traditional Chinese medicine(TCM) has unique advantages in the prevention and treatment of pulmonary nodules and has been widely used in clinic.Professor Hua Baojin,who is good at using classical prescriptions,formed the idea of preventing and treating tumor by regulating qi and removing toxin based on many years clinical practice.He thought the basic pathogenesis of pulmonary nodules was closely related to insufficient healthy qi,disorder of qi movement,abnormal body fluid metabolism,and phlegm and stasis blocking lung meridian.With rich clinical experience,professor Hua gradually applied the method of regulating qi and removing toxin to the prevention of pulmonary nodules,which mainly included four basic principles:invigorating spleen,replenishing qi,banking up earth and generating metal; ventilating and descending lung qi and dredging water passage; resolving depression,moving qi and regulating mental state; regulating qi combined with resolving phlegm,expelling stasis and removing toxin.Clinical curative effect has been achieved using classical prescriptions according to syndrome differentiation.In this paper,the clinical experience of professor Hua in the treatment of pulmonary nodules was summarized,and his application of regulating qi and removing toxin was discussed. |
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