Differentiation and treatment of idiopathic pulmonary fibrosis from lung and spleen based on the theory of "spleen is the envoy" in Huangdi Neijing
10.3760/cma.j.cn115398-20230819-00176
- VernacularTitle:基于《黄帝内经》“脾为之使”理论从肺脾辨治特发性肺纤维化
- Author:
Xiangli DENG
1
;
Mei SHAO
;
Mei YANG
;
Mei WU
;
Lijuan CHEN
Author Information
1. 云南中医药大学第一临床医学院2021级硕士研究生，昆明 650051
- Keywords:
Idiopathic pulmonary fibrosis;
Pulmonary flaccidity;
Pulmonary arthralgia;
Spleen is the envoy;
Lung and spleen
- From:
International Journal of Traditional Chinese Medicine
2024;46(7):821-825
- CountryChina
- Language:Chinese
-
Abstract:
Idiopathic pulmonary fibrosis (IPF) is a chronic debilitating lung disease with unknown etiology, complex syndromes and prolonged illness, which is difficult to cure. Based on the theory of "spleen is the envoy" in Huang Di Nei Jing, this article explained the TCM meaning of "spleen is the envoy" and the relationship between spleen and other four organs, especially the relationship between spleen and lung. It is believed that the onset of IPF is due to deficiency of lung and spleen qi, loss of solid defense and evil invasion of the nutritive and defensive levels; qi deficiency and depression lead to heat damage to yin, while long-term blood damage to collaterals involves yang. The pathological process shows the changes from qi entering blood and from meridian to collateral, which eventually leads to the imbalance of qi and blood, yin and yang, the stagnation of phlegm and blood stasis, the obstruction of lung collateral, the mixture of excess and deficiency, and the lingering is difficult to heal. In the treatment, the "spleen is the envoy" is the center, the lung and spleen are treated together, the qi of lung and spleen is strengthened, the yin of lung and stomach is nourished, and finally the root is protected. The treatment is based on syndrome differentiation, modified with syndromes, and the methods of promoting blood circulation, resolving phlegm, warming yang and dredging collaterals are supplemented in time, which provides a new idea for enriching the differentiation and treatment of IPF in TCM.
