沈红梅采用二陈汤合《千金》苇茎汤辨治肺结节经验
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(昆明医科大学第三附属医院/云南省肿瘤医院/北京大学肿瘤医院云南医院中西医结合科,云南 昆明 650118)

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周映伽(1983-),女,副主任医师,E-mail: zhouyingjia1105@163.com

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基金项目: 国家中医药管理局第七批全国老中医药专家学术经验继承工作项目(国中医药人教函号〔2022〕76号);云南省名老中医药专家传承工作室建设项目(广东省名中医林丽珠教授);云南省重大疑难疾病中西医临床协作试点项目(肺癌);云南省教育厅科学研究基金项目(2024J0354);昆明医科大学教研教改课题(2022-JY-Y-134)


Shen Hongmei‘s Experience in Treating Pulmonary Nodules with the Combination of Erchen Tang and Qianjin Weijing Decoction
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(The Third Affiliated Hospital of Kunming Medical University/Yunnan Cancer Hospital/Peking University Cancer Hospital Yunnan, Integrated Traditional Chinese and Western Medicine Department, Kunming 650118, China)

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    摘要:

    虽然中医古籍并无肺结节相关记载,然而临床发病率居高不下,引起患者恐慌,担忧结节恶变。沈红梅教授通过多年诊治肺结节的经验,基于临床实践,认为肺结节核心病机为痰热蕴肺、瘀浊壅塞,运用二陈汤合《千金》苇茎汤为主方,通过二者的协同作用,既能够通利肺气,化瘀散结,又能够改善患者的脾胃功能,增强正气,从而达到标本兼治的效果。二方合用,临床疗效确切,兼顾肺脾,在清热化痰除湿的同时,不忘活血化瘀散结,古方今用,凸显智慧。

    Abstract:

    Although there is no relevant record of pulmonary nodules in ancient Chinese medicine books, the clinical incidence rate remains high, causing patients to panic and worry about the malignant transformation of nodules. Professor Shen Hongmei, based on years of experience in diagnosing and treating pulmonary nodules and clinical practice, believes that the core pathogenesis of pulmonary nodules is the accumulation of phlegm heat in the lungs and the obstruction of blood stasis and turbidity. Using the combination of Erchen Tang and Qianjin Weijing Decoction as the main formula, through the synergistic effect of the two, can not only promote lung Qi, remove blood stasis and disperse nodules, but also improve the spleen and stomach function of patients, enhance positive Qi, and achieve the effect of treating both symptoms and root cause. The combination of the two methods has a definite clinical therapeutic effect, taking into account both the lungs and spleen. While clearing heat, resolving phlegm, and removing dampness, it does not forget to promote blood circulation, remove blood stasis, and disperse nodules. The ancient and modern methods are used to highlight wisdom.

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  • 收稿日期:2024-10-19
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  • 在线发布日期: 2025-11-26
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