Treatment of Idiopathic Pulmonary Fibrosis Using the Method of Unblocking Collaterals with Acrid and Moistened Medicinals Based on Xuanfuhua Decoction （旋覆花汤）
10.13288/j.11-2166/r.2026.10.015
- VernacularTitle:从旋覆花汤探析辛润通络法治疗特发性肺纤维化
- Author:
Rui LI
1
;
Yiling FAN
1
;
Jinli KONG
2
;
Zhishen RUAN
1
;
Sheng CAO
2
;
Zi YANG
2
;
Qing MIAO
1
Author Information
1. Xiyuan Hospital， China Academy of Chinese Medical Sciences，Beijing，100091
2. Graduate School，Beijing University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
idiopathic pulmonary fibrosis;
Xuanfuhua Decoction （旋覆花汤）;
unblocking collaterals with acrid and moistened medicinals
- From:
Journal of Traditional Chinese Medicine
2026;67(10):1115-1119
- CountryChina
- Language:Chinese
-
Abstract:
Xuanfuhua Decoction （旋覆花汤） is considered as the theoretical prototype of the method of unbloc-king collaterals with acrid and moistened medicinals. Guided by the theories of "chronic disease entering the collaterals" and "collaterals performing their functions when there is free flow"， YE Gui further developed this approach into a systematic method. The core of this approach lies in dispersing and opening constraint with acrid medicinals， nourishing and harmonizing collaterals with moistened medicinals， eliminating pathogens and unblocking collaterals with insect medicinals. The disease course of idiopathic pulmonary fibrosis （IPF） is prolonged， with a complex of deficiency and excess， and chronic disease entering the collaterals. The core pathogenesis involves lung collaterals obstruction， fluid depletion with blood stasis， and chronic disease entering the collaterals. Treatment can be guided by the method of unblocking collaterals with acrid and moistened medicinals based on Xuanfuhua Decoction， following a strategy of "dispersing and unblocking， moistening and nourishing， penetrating and venting". Specifically， for lung collaterals obstruction， acrid medicinals can be used to disperse lung qi and open bi （痹）. In case of fluid depletion and blood stasis， moistened medicinals for nourishing lung collaterals are suggested to restore vitality. For chronic disease ente-ring collaterals， it is advised to search and eliminate collateral pathogens in order to dissipate masses.
