Volume 40 Issue 2
Feb.  2024
Turn off MathJax
Article Contents
Article Navigation >  Journal of Nanjing University of traditional Chinese Medicine  > 2024  >  40(2): 124-128
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
shu

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

doi: 10.14148/j.issn.1672-0482.2024.0124

  • Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China

  • Received Date: 2023-10-30
    Available Online: 2024-02-26
    Abstract
  • This paper expounds the connotation and origin of the Kenang theory, as well as its correlation with chronic obstructive pulmonary disease (COPD), and focuses on the pathogenesis and treatment of COPD based on the Kenang theory. The Kenang theory emphasizes the importance of the pathological products of phlegm and stasis, and holds that the deficiency of primordial qi and the disorder of qi activity can lead to the intermingling of phlegm and blood, which is highly similar to the etiology and pathogenesis of COPD. The treatment should be guided by the Kenang theory, eliminating phlegm and promoting blood circulation, and its basic treatment principles is to treat phlegm and blood stasis together. Meanwhile, the regulation of qi activity should be paid attention to help eliminate phlegm and promote blood circulation, and the spleen and kidney should be strengthened to nourish primordial qi and consolidate the root, providing new ideas for the clinical treatment of COPD.

     

    • FullText(HTML)
  • loading
    • References(30)
  • [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.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索
    Get Citation
    PDF
    XML

    Article Metrics

    Article views (80) PDF downloads(16) Cited by()
    Proportional views
    Related

    Copyright © Journal of Nanjing University of traditional Chinese Medicine

    Sponsored by：Nanjing University of traditional Chinese MedicineAddress：No.138 xianlin Avenue, Qixia District, Nanjing cityChina Pos：210023

    Tel：025-85811935Email：xb@njucm.edu.cn

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return