留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

基于窠囊理论探讨慢性阻塞性肺疾病的病机与治疗

徐梦娇 高峰

徐梦娇, 高峰. 基于窠囊理论探讨慢性阻塞性肺疾病的病机与治疗[J]. 南京中医药大学学报, 2024, 40(2): 124-128. doi: 10.14148/j.issn.1672-0482.2024.0124
引用本文: 徐梦娇, 高峰. 基于窠囊理论探讨慢性阻塞性肺疾病的病机与治疗[J]. 南京中医药大学学报, 2024, 40(2): 124-128. doi: 10.14148/j.issn.1672-0482.2024.0124
XU Mengjiao, GAO Feng. Explore the Pathogenesis and Treatment of Chronic Obstructive Pulmonary Disease Based on the Kenang Theory[J]. Journal of Nanjing University of traditional Chinese Medicine, 2024, 40(2): 124-128. doi: 10.14148/j.issn.1672-0482.2024.0124
Citation: XU Mengjiao, GAO Feng. Explore the Pathogenesis and Treatment of Chronic Obstructive Pulmonary Disease Based on the Kenang Theory[J]. Journal of Nanjing University of traditional Chinese Medicine, 2024, 40(2): 124-128. doi: 10.14148/j.issn.1672-0482.2024.0124

基于窠囊理论探讨慢性阻塞性肺疾病的病机与治疗

doi: 10.14148/j.issn.1672-0482.2024.0124
基金项目: 

中国中医科学院科技创新工程资助项目 CI2021A01102

详细信息
    作者简介:

    徐梦娇,女,博士研究生,E-mail:xmj123lalala@163.com

    通讯作者:

    高峰,女, 主任医师, 博士生导师, 主要从事中医药防治呼吸系统疾病研究,E-mail: wjyyhxk@163.com

  • 中图分类号: R256.14

Explore the Pathogenesis and Treatment of Chronic Obstructive Pulmonary Disease Based on the Kenang Theory

  • 摘要: 梳理了窠囊理论的内涵、源流及其与慢性阻塞性肺疾病的相关性,重点论述了基于窠囊理论的慢性阻塞性肺疾病病机与治疗。窠囊理论强调痰、瘀病理产物的重要性,认为元气不足、气机失调皆可导致痰瘀互结,与慢性阻塞性肺疾病的病因病机高度相似,治疗以窠囊理论为指导,化痰活血,痰瘀同治是其基本治则,同时注重调畅气机以助化痰活血,健脾补肾以培元固本。

     

  • [1] FAZLEEN A, WILKINSON T. Early COPD: Current evidence for diagnosis and management[J]. Ther Adv Respir Dis, 2020, 14: 1753466620942128.
    [2] FANG L W, GAO P, BAO H L, et al. Chronic obstructive pulmonary disease in China: A nationwide prevalence study[J]. Lancet Respir Med, 2018, 6(6): 421-430. doi: 10.1016/S2213-2600(18)30103-6
    [3] 中华医学会呼吸病学分会慢性阻塞性肺疾病学组, 中国医师协会呼吸医师分会慢性阻塞性肺疾病工作委员会. 慢性阻塞性肺疾病诊治指南(2021年修订版)[J]. 中华结核和呼吸杂志, 2021, 44(3): 170-205.

    Chronic Obstructive Pulmonary Disease Group of Respiratory Branch of Chinese Medical Association. Guidelines for the diagnosis and management of chronic obstructive pulmonary disease (revised version 2021)[J]. Chin J Tuberc Respir Dis, 2021, 44(3): 170-205.
    [4] 崔英海, 胡镜清, 李丁蕾, 等. 基于"痰瘀互结"理论论治慢性阻塞性肺疾病[J]. 世界中医药, 2021, 16(21): 3111-3115, 3121. doi: 10.3969/j.issn.1673-7202.2021.21.001

    CUI Y H, HU J Q, LI D L, et al. Treatment of chronic obstructive pulmonary disease based on the theory of phlegm and blood stasis syndrome[J]. World Chin Med, 2021, 16(21): 3111-3115, 3121. doi: 10.3969/j.issn.1673-7202.2021.21.001
    [5] 许叔微. 普济本事方[M]. 北京: 中国中医药出版社, 2007: 46.

    XU S W. Experiential formulas for universal relief[M]. Beijing: China Press of Traditional Chinese Medicine, 2007: 46.
    [6] 朱震亨. 局方发挥[M]. 北京: 人民卫生出版社, 1956: 13.

    ZHU Z H. Elaboration on formulas from the imperial pharmacy[M]. Beijing: People's Medical Publishing House, 1956: 13.
    [7] 喻嘉言. 寓意草[M]. 上海: 上海科学技术出版社, 1959.

    YU J Y. Allegorical grass[M]. Shanghai: Shanghai Scientific & Technical Publishers, 1959.
    [8] 李用粹. 证治汇补[M]. 太原: 山西科学技术出版社, 2011: 216.

    LI Y C. Compilation and supplement of diagnosis and treatment[M]. Taiyuan: Shanxi Scientific & Technical Publishers, 2011: 216.
    [9] 龚年金, 兰智慧, 朱伟, 等. 国医大师洪广祥辨治慢性阻塞性肺疾病稳定期经验探析[J]. 中华中医药杂志, 2018, 33(3): 951-954.

    GONG N J, LAN Z H, ZHU W, et al. Analysis on traditional Chinese medicine master HONG Guangxiang's experience in treatment of chronic obstructive pulmonary disease in stable phase[J]. China J Tradit Chin Med Pharm, 2018, 33(3): 951-954.
    [10] 郑佳昆, 晏军, 孟玉凤, 等. 武维屏从肝论治慢性阻塞性肺疾病经验探析[J]. 中华中医药杂志, 2021, 36(5): 2753-2755.

    ZHENG J K, YAN J, MENG Y F, et al. Experience of WU Wei-ping in treating chronic obstructive pulmoriary disease from liver[J]. China J Tradit Chin Med Pharm, 2021, 36(5): 2753-2755.
    [11] 梁炳辉, 詹伟杰, 王敬民. 从内生宿邪论治慢性阻塞性肺疾病辨析[J]. 中国中医急症, 2021, 30(7): 1226-1228. doi: 10.3969/j.issn.1004-745X.2021.07.025

    LIANG B H, ZHAN W J, WANG J M. Differentiation and analysis of chronic obstructive pulmonary disease treated from endogenous pathogenic factors[J]. J Emerg Tradit Chin Med, 2021, 30(7): 1226-1228. doi: 10.3969/j.issn.1004-745X.2021.07.025
    [12] 朱丹溪. 丹溪心法[M]. 北京: 中国中医药出版社, 2008: 286.

    ZHU D X. Teachings of Zhu Danxi[M]. Beijing: China Press of Traditional Chinese Medicine, 2008: 286.
    [13] 张璐. 张氏医通[M]. 北京: 中国中医药出版社, 1995: 225.

    ZHANG L. Comprehensive medicine according to Master Zhang[M]. Beijing: China Press of Traditional Chinese Medicine, 1995: 225.
    [14] 郭蓉娟, 王椿野, 赵振武, 等. 痰瘀致病的新认识[J]. 环球中医药, 2013, 6(2): 114-116.

    GUO R J, WANG C Y, ZHAO Z W, et al. New understanding of phlegm and blood stasis causing disease[J]. Glob Tradit Chin Med, 2013, 6(2): 114-116.
    [15] 黄帝内经灵枢[M]. 北京: 人民卫生出版社, 2013: 320.

    The yellow emperor's inner classic: The spiritual pivot[M]. Beijing: People's Medical Publishing House, 2013: 320.
    [16] 邓雅尹. COPD急性加重期中医证型与气道反应性的关系[D]. 北京: 北京中医药大学, 2010.

    DENG Y Y. Relationship between TCM syndrome types and airway responsiveness in acute exacerbation of COPD[D]. Beijing: Beijing University of Chinese Medicine, 2010.
    [17] 黄帝内经素问[M]. 北京: 人民卫生出版社, 2005.

    The yellow emperor's inner classic: Basic questions[M]. Beijing: People's Medical Publishing House, 2005.
    [18] 叶天士. 临证指南医案[M]. 北京: 中国中医药出版社, 2008: 215.

    YE T S. Case records as a guide to clinical practice[M]. Beijing: China Press of Traditional Chinese Medicine, 2008: 215.
    [19] 王佳佳, 谢洋, 李建生. 慢性阻塞性肺疾病合并症研究[J]. 世界科学技术-中医药现代化, 2014, 16(12): 2692-2699.

    WANG J J, XIE Y, LI J S. Study on complications of chronic obstructive pulmonary disease[J]. World Sci Technol Mod Tradit Chin Med Mater Med, 2014, 16(12): 2692-2699.
    [20] 牟鈃雨, 徐娇, 张林, 等. 慢性阻塞性肺疾病合并焦虑抑郁的危险因素及发病机制研究进展[J]. 华西医学, 2023, 9(4): 591-596.

    MU X Y, XU J, ZHANG L, et al. Research progress on risk factors and pathogenesis of chronic obstructive pulmonary disease complicated with anxiety or depression[J]. West China Med J, 2023, 9(4): 591-596.
    [21] 田发念, 杨毅. 杨毅从"元气"论治慢性阻塞性肺疾病稳定期经验[J]. 湖北中医杂志, 2018, 40(6): 20-22.

    TIAN F N, YANG Y. Experience of Yang yi in treating stable chronic obstructive pulmonary disease from promordial qi[J]. Hubei J Tradit Chin Med, 2018, 40(6): 20-22.
    [22] 吴蕾, 郑俐慈, 陈远彬, 等. 基于宗气、元气理论探讨慢性阻塞性肺疾病的病机与辨治[J]. 中医杂志, 2023, 9(14): 1440-1443.

    WU L, ZHENG L C, CHEN Y B, et al. Discussion on the Pathogenesis, Differentiation and Treatment of Chronic Obstructive Pulmonary Disease based on the Pectoral Qi and Original Qi Theory[J]. J Tradit Chin Med, 2023, 9(14): 1440-1443.
    [23] 萧京. 轩岐救正论[M]. 北京: 线装书局, 2011: 102.

    XIAO J. Treatise on correcting mistakes by Xuanyuan and Qibo[M]. Beijing: Thread-Binding Books Publishing House, 2011: 102.
    [24] 孙一奎. 医旨绪余[M]. 南京: 江苏科学技术出版社, 1983: 36.

    SUN Y K. Remnants of medical decree[M]. Nanjing: Phoenix Science Press, 1983: 36.
    [25] 张岩, 宋桂华, 郭彦荣, 等. 赵坤教授"破窠囊, 补肾阳" 理论在儿童难治性哮喘治疗中应用[J]. 天津中医药, 2021, 38(12): 1509-1512.

    ZHANG Y, SONG G H, GUO Y R, et al. Application of Professor ZHAO Kun's theory of "breaking Kenang and replenishing the kidney Yang" in the treatment of children's refractory asthma[J]. Tianjin J Tradit Chin Med, 2021, 38(12): 1509-1512.
    [26] 陈修园. 时方妙用[M]. 福州: 福建科学技术出版社, 2007: 48.

    CHEN X Y. Ingenious uses of post-classical formulas[M]. Fuzhou: Fujian Science and Technology Press, 2007: 48.
    [27] 黄宫绣. 本草求真[M]. 北京: 人民卫生出版社, 1987: 119.

    HUANG G X. Seeking accuracy in the materia medica[M]. Beijing: People's Medical Publishing House, 1987: 119.
    [28] 黄丽娜, 高峰. 从"使邪有出路"论利水渗湿药在慢性阻塞性肺疾病治疗中的应用[J]. 中医杂志, 2021, 62(13): 1179-1181.

    HUANG L N, GAO F. Discussion on the application of diuretic and dampness-permeable drugs in the treatment of chronic obstructive pulmonary disease from the perspective of "making evil have a way out"[J]. China J Chin Mater Med, 2021, 62(13): 1179-1181.
    [29] 赵献可. 医贯[M]. 北京: 中国中医药出版社, 2009: 88.

    ZHAO X K. Key link of medicine[M]. Beijing: China Press of Traditional Chinese Medicine, 2009: 88.
    [30] 李东垣. 脾胃论[M]. 北京: 人民卫生出版社, 2005: 4.

    LI D Y. Treatise on the spleen and stomach[M]. Beijing: People's Medical Publishing House, 2005: 4.
  • 加载中
计量
  • 文章访问数:  78
  • HTML全文浏览量:  6
  • PDF下载量:  15
  • 被引次数: 0
出版历程
  • 收稿日期:  2023-10-30
  • 网络出版日期:  2024-02-26
  • 发布日期:  2024-02-10

目录

    /

    返回文章
    返回