Construction of a Three-dimensional Syndrome Differentiation System for Pulmonary Nodules under the Perspective of Qi， Blood and Fluids
10.13288/j.11-2166/r.2024.02.005
- VernacularTitle:气血津液视域下肺结节立体化辨证体系的构建
- Author:
Longfei ZHANG
1
;
Hengzhou LAI
1
;
Xi FU
1
;
Fang LI
1
;
Xueke LI
1
;
Chuan ZHENG
2
;
Fengming YOU
1
;
Yifeng REN
1
Author Information
1. Hospital of Chengdu University of Traditional Chinese Medicine， Chengdu， 610075
2. Cancer Research Institute， Chengdu University of Traditional Chinese Medicine
- Publication Type:Journal Article
- Keywords:
pulmonary nodules;
qi， blood and fluids;
syndrome differentiation system;
time;
space
- From:
Journal of Traditional Chinese Medicine
2024;65(2):144-148
- CountryChina
- Language:Chinese
-
Abstract:
Based on the theory of qi， blood and fluids， and taking into account of the pathogenesis evolution process from constraint to phlegm， stasis and then mass in pulmonary nodules， an attempt has been made to construct a three-dimensional differentiation system for pulmonary nodules from the dimensions of time and space. The temporal progression of the early， middle， and late stages of pulmonary nodules reflects the pathological changes from constraint to phlegm and then stasis in the metabolism disorders of qi， blood and fluid. The spatial structures such as size， density， and morphology of pulmonary nodules reflect the pathological states of the duration， severity， and primary and secondary conditions of qi， blood and fluid metabolism disorders. Based on the temporal progression， the therapeutic principles have been proposed， which are dispelling pathogenic factors and promoting the use of beneficial factors to interrupt the growth momentum in the early stage， removing turbidity and dispersing phlegm to reduce the degree of nodules in the middle stage， and dispersing nodulation and eliminating abnormalities in the late stage. Based on the spatial structures， the suggested therapeutic methods are using wind herbs， employing multiple approaches to treat phlegm， and promoting blood circulation to resolve stasis， so as to provide theoretical reference for the systematic diagnosis and treatment of pulmonary nodules in traditional Chinese medicine.
