1.北京中医药大学东方医院 北京 100078
2.北京中医药大学
3.北京中医药大学东直门医院
杨天舒,女,在读博士生
# 张永生,男,博士,主任医师,教授,硕士生导师,主要研究方向:中医药防治呼吸系统疾病,E-mail: zhyshengcm@163.com
纸质出版日期:2023-10-30,
网络出版日期:2023-08-21,
收稿日期:2023-06-19,
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杨天舒, 张永生, 柴欣楼, 等. 基于“形神一体观”探讨肺结节并发肺外结节病机及治疗[J]. 北京中医药大学学报, 2023,46(10):1345-1349.
YANG Tianshu, ZHANG Yongsheng, CHAI Xinlou, et al. Discussion of the pathogenesis and treatment of pulmonary nodules complicated by extrapulmonary nodules based on "holism of physique and spirit"[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(10):1345-1349.
杨天舒, 张永生, 柴欣楼, 等. 基于“形神一体观”探讨肺结节并发肺外结节病机及治疗[J]. 北京中医药大学学报, 2023,46(10):1345-1349. DOI: 10.3969/j.issn.1006-2157.2023.10.003.
YANG Tianshu, ZHANG Yongsheng, CHAI Xinlou, et al. Discussion of the pathogenesis and treatment of pulmonary nodules complicated by extrapulmonary nodules based on "holism of physique and spirit"[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(10):1345-1349. DOI: 10.3969/j.issn.1006-2157.2023.10.003.
临床发现,肺结节患者常并发甲状腺结节、乳腺结节等肺外结节,此类患者常伴有焦虑、抑郁等不良情绪及睡眠障碍。本文基于“形神一体观”探讨焦虑、抑郁等五志失调影响气机运行及脏腑功能与肺结节并发肺外结节的关系。五脏藏五神、化五志,五志失调导致人体气机逆乱,湿、痰、瘀聚集而化生结节;五志失调日久损伤脏腑气血、耗伤五脏真元,湿、痰、瘀结聚久而化毒成癌。肺结节并发肺外结节是五志失调及机体内环境失调在人体局部的反映,为形神共病,亦是湿、痰、瘀聚集的靶点。治疗应形神同调、气血同治,以补虚散结、解毒抑癌为主;配合精神疏导、调畅情志,以达到形神安和,则疾病可愈。
Patients with pulmonary nodules are often found to have multiple extrapulmonary nodules
such as thyroid nodules and breast nodules
which are often accompanied by anxiety
depression
and other mental disorders and sleep disorders. Based on "holism of physique and spirit"
this article discusses the relationship between disorders of five emotions
such as anxiety and depression that affect the qi movement and the function of zangfu
and the complication of pulmonary nodules with extrapulmonary nodules. The five zang-organs store the five spirits and transform the five emotions. Disorders of five emotions lead to the body’s qi counterflow
resulting in the accumulation of dampness
phlegm
stasis
which transform into the nodules; disorders of five emotions for a long time damage to the zangfu’s qi and blood
depletion of the five zang-organs of the real energy
then dampness
phlegm
stasis accumulate and transform into toxins
which leads to carcinoma. Pulmonary nodules complicated by extrapulmonary nodules are the result of emotional disorders and imbalance of the body’s internal environment in the localized areas of the physique
which is a disease of both physique and spirit and the target of gathering of dampness
phlegm and blood stasis. Treatment should be based on the method of regulating physique and spirit together
treating qi and blood together
replenishing the deficiency and dissipating the nodules
detoxifying and suppressing the cancer
together with the method of spiritual guidance and regulating the emotions and feelings
in order to achieve the state of harmony of physique and spirit
disease can be cured.
形神一体观肺结节五志失调焦虑抑郁形神同调
holism of physique and spiritpulmonary nodulesdisorders of five emotionsanxietydepressionregulating physique and spirit together
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