基于系统学理论探讨中医肺病诊治新思路
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摘要
系统学是钱学森提出的研究系统结构与功能一般规律的科学。以系统学为指导,结合《黄帝内经》与《伤寒论》的肺病诊治理论,将中医肺系统分为肺卫、肺络、肺脏三个子系统。肺卫在表,病变部位以皮毛、鼻为主,治疗肺卫病变当轻散风寒,方用桂枝麻黄各半汤;肺络是肺脏与肺卫连接的部分,病变部位在气管、支气管,肺络病变的主要治法为温肺化饮、清宣肺热、宣降肺气,分别采用小青龙汤、麻杏石甘汤、桂枝加厚朴杏子汤;肺脏是肺系统的核心部分,其病变部位最深,治可温肺补阳利水,方用真武汤。
Systematics is a science proposed by QIAN Xuesen to study the general laws of system structure and function. According to the systematics and the diagnosis and treatment theories of pulmonary diseases in The Inner Canon of Huangdi and Treatise on Febrile Diseases,the pulmonary system can be divided into three parts,namely lung defense,lung collaterals and lung viscus. The lung defense is on the surface,so diseases of this part mainly locate in skin,hair and nose,which should be treated with Guizhi Mahuang Geban Decoction to disperse wind and cold mildly. The lung collaterals is a part to connect lung defense with lung viscus and the diseases of this part locate in trachea and bronchus,which should be treated with Xiaoqinglong Decoction,Maxingshigan Decoction or Guizhi Jia Houpo Xingzi Decoction,aiming at warming lung and resolving phlegm,clearing and dispersing lung-heat,descending lung qi,respectively. The lung viscus is the core of pulmonary system and the disease location of this part is the deepest. The diseases of this part can be treated with Zhenwu Decoction to warming lung,benefiting yang and promoting urination.
Systematics is a science proposed by QIAN Xuesen to study the general laws of system structure and function. According to the systematics and the diagnosis and treatment theories of pulmonary diseases in The Inner Canon of Huangdi and Treatise on Febrile Diseases,the pulmonary system can be divided into three parts,namely lung defense,lung collaterals and lung viscus. The lung defense is on the surface,so diseases of this part mainly locate in skin,hair and nose,which should be treated with Guizhi Mahuang Geban Decoction to disperse wind and cold mildly. The lung collaterals is a part to connect lung defense with lung viscus and the diseases of this part locate in trachea and bronchus,which should be treated with Xiaoqinglong Decoction,Maxingshigan Decoction or Guizhi Jia Houpo Xingzi Decoction,aiming at warming lung and resolving phlegm,clearing and dispersing lung-heat,descending lung qi,respectively. The lung viscus is the core of pulmonary system and the disease location of this part is the deepest. The diseases of this part can be treated with Zhenwu Decoction to warming lung,benefiting yang and promoting urination.
引文
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[13]张波,李玲,卢芳国,等.麻杏石甘汤对流感病毒感染小鼠肺部炎症与神经氨酸酶活性影响的研究[J].中华中医药杂志,2013,28(4):1094-1099.
[14]殷银霞.桂枝加厚朴杏子汤治疗支气管哮喘46例临床观察[J].甘肃中医学院学报,2003,20(3):36-37.
[15]陈琴,安素,李盟麟,等.真武汤温阳化饮联合西医治疗慢性肺源性心脏病急性期的临床疗效[J].中华中医药杂志,2015,30(6):2138-2141.
[2]戴汝为.系统学与中医药创新发展[M].北京:科学出版社,2008:3.
[3]李庆升,徐树楠,周计春,等.《伤寒论》太阳病从肺论治探微[J].山东中医杂志,2002,21(10):583-584.
[4]任路,张海萍.中医藏象学说研究中的系统论方法[J].辽宁中医杂志,2006,33(5):550-551.
[5]师双斌,郑洪新.用系统论原理分析中医“肾藏精”理论[J].辽宁中医杂志,2012,39(3):428-430.
[6]韩耀军,王玉玺,王松岩.王玉玺教授运用桂枝麻黄各半汤治疗急性荨麻疹72例[J].辽宁中医药大学学报,2010,12(3):110.
[7]刘国清,莫志贤,余林中,等.麻黄汤的发汗作用与肾上腺素能受体的关系[J].陕西中医,2006,27(3):363-365.
[8]刘国清,王涛,余林中,等.麻黄汤的发汗作用与M受体的关系研究[J].中国药房,2006,17(16):1210-1211.
[9]李星,蒋鹏娜,王雪慧,等.小青龙汤联合西药治疗成人哮喘随机对照试验的Meta分析[J].中华中医药杂志,2016,31(9):3502-3508.
[10]吴奎,王彦,毕玉田,等.小青龙汤对哮喘小鼠气道变应性炎症作用的研究[J].重庆医学,2014,43(17):2145-2148.
[11]周秀英,梁刚,王德文.中西医结合治疗慢性支气管炎108例[J].新中医,2005,37(4):70-71.
[12]陈和.加味麻杏石甘汤治疗流行性感冒195例疗效观察[J].国际医药卫生导报,2006,12(11):80-82.
[13]张波,李玲,卢芳国,等.麻杏石甘汤对流感病毒感染小鼠肺部炎症与神经氨酸酶活性影响的研究[J].中华中医药杂志,2013,28(4):1094-1099.
[14]殷银霞.桂枝加厚朴杏子汤治疗支气管哮喘46例临床观察[J].甘肃中医学院学报,2003,20(3):36-37.
[15]陈琴,安素,李盟麟,等.真武汤温阳化饮联合西医治疗慢性肺源性心脏病急性期的临床疗效[J].中华中医药杂志,2015,30(6):2138-2141.