从肝肺肾三脏一体辨治自发性气胸

Differential Treatment of Spontaneous Pneumothorax Based on the Integration of Liver, Lung and Kidney Zang-Organs

摘要: 自发性气胸(spontaneous pneumothorax, SP)是呼吸系统常见急症，其起病骤然、转变迅速，且反复发作，基于肝肺肾三脏一体观，认为肝、肺、肾三脏主要通过“气、水、络”互相联系，共同影响气胸的发生发展，治疗上针对不同阶段病情特点，可分别采取疏肝理气、宣肺通络，开肺降气、宽胸利水，金水相生、纳气养络等治法，并据病情随证化裁，标本兼顾，以期改善气胸患者生存质量，为临床治疗提供新思路。

Abstract: Spontaneous pneumothorax (SP) is a common respiratory emergency characterized by sudden onset, rapid progression, and recurrent episodes. Based on the integrated theory of the liver, lung, and kidney as a triad, these organs are interconnected primarily through “qi, fluids, and collaterals”, collectively influencing the development of pneumothorax. Treatment should address the specific characteristics of different disease stages, employing methods such as soothing the liver and regulating qi, promoting lung function and unblocking collaterals, opening the lungs to descend qi, broadening the chest to promote fluid metabolism, and harmonizing metal and water to nourish the collaterals. Treatments are modified according to individual symptoms, addressing both the root and branch of the condition to improve patients’ quality of life and offer new clinical perspectives.