基于“阳化气，阴成形”理论探讨支气管扩张的病机与治疗思路

Based on the Theory of “Yang Transforming into Qi and Yin Forming Shape”, the Pathogenesis and Treatment of Bronchiectasis Were Discussed

摘要: 支气管扩张作为一种常见的慢性呼吸系统疾病，其复杂的病机机制和多样化的临床表现给治疗带来了挑战。中医“阳化气，阴成形”理论为理解该病的发生发展提供了独特视角。“阳化气”强调气机的运行和调节在维持机体功能中的核心作用，尤其在炎症反应和气道通畅性方面具有重要意义；而“阴成形”则聚焦于病变组织结构的形成及其对肺部功能的影响。本文结合现代医学对支气管扩张的病理生理认识，系统解析了“阳化气，阴成形”理论对病机阐释的科学内涵，进一步探讨了基于辨证施治的中医治疗原则，并融合现代治疗手段，提出综合防治策略。通过这一理论框架，为诸位医者治疗支气管扩张症提供相关思路。

Abstract: Bronchiectasis, as a common chronic respiratory disease, presents significant therapeutic challenges due to its complex pathogenetic mechanisms and diverse clinical manifestations. The Traditional Chinese Medicine (TCM) theory of “Yang transforming into Qi and Yin forming shape” offers a unique perspective for understanding the occurrence and progression of this condition. “Yang transforming into Qi” emphasizes the pivotal role of Qi movement and regulation in maintaining bodily functions, particularly with respect to inflammatory responses and airway patency; “Yin forming shape”, conversely, focuses on the formation of pathological tissue structures and their subsequent impact on pulmonary function. By integrating modern medical understanding of the pathophysiology of bronchiectasis, this article systematically elucidates the scientific connotations of the “Yang transforming into Qi and Yin forming shape” theory in explaining disease pathogenesis. Furthermore, it explores TCM treatment principles based on syndrome differentiation and proposes comprehensive prevention and treatment strategies that integrate modern therapeutic modalities. Through this theoretical framework, relevant insights are provided for clinicians in the management of bronchiectasis.