培土生金法治疗高龄慢性阻塞性肺疾病的机制与临床研究进展

Mechanism and Clinical Research Progress of the “Soil Cultivation and Metal Generation” Method in Treating Chronic Obstructive Pulmonary Disease in the Elderly

摘要: 慢性阻塞性肺疾病(COPD)作为一种常见的呼吸系统疾病，在高龄人群中具有高患病率、高致残率及死亡率，严重危害老年健康。中医认为其核心病机在于“虚、痰、瘀”，且与肺、脾二脏关系尤为密切。培土生金法源于中医五行相生理论与脏腑相关学说，以“虚则补其母”为核心治则，通过健脾益气、运化水谷、输布精微以滋养肺气，调和脏腑功能，已成为治疗高龄COPD的重要中医治法。本文旨在系统梳理培土生金法治疗高龄COPD的中医理论基础、现代作用机制及临床研究进展，以期为该治法的深入研究和临床精准应用提供参考。

Abstract: Chronic obstructive pulmonary disease (COPD), a common respiratory disorder, exhibits high prevalence, disability, and mortality rates among the elderly, posing significant threats to their health. Traditional Chinese medicine (TCM) attributes its core pathogenesis to “deficiency, phlegm, and stasis”, with particular emphasis on the close relationship between the lungs and spleen. The “fostering earth to generate metal” method, derived from TCM’s five-element generating theory and organ correlation principles, follows the core treatment principle of “supplementing the mother when deficiency occurs”. By strengthening the spleen and qi, promoting the transformation and transportation of food and fluids, and distributing refined nutrients to nourish lung qi while harmonizing organ functions, this approach has become a vital TCM therapy for treating elderly COPD patients. This article aims to systematically review the theoretical foundation, modern mechanisms, and clinical research progress of the “fostering earth to generate metal” method in treating elderly COPD, providing references for further research and precise clinical application of this therapeutic approach.