中医药治疗肺结节的研究进展

Research Progress of TCM in the Treatment for Pulmonary Nodules

摘要: 由于影像学技术的不断发展及人们对自身健康程度认知的不断提高，低剂量CT的广泛使用使得肺结节在临床上检出率逐渐升高。随着肺结节的检出率不断增高以及其与肺癌早筛、早诊、早治的密切关联，如何治疗肺结节日益引起医学界的关注。肺结节是一种系统性的、不明原因的以非干酪样坏死性肉芽肿性病变为病理特征的疾病，其中恶性概率最高的为部分实性结节，其次为磨玻璃结节及实性结节。现代医学对该病缺乏早期干预手段，主要以跟踪回访、评估风险为主。近年来，中医对肺结节的认识及治疗取得了较大的发展，或可为本病的诊治特别是前期诊治提供新的思路。本文概述了肺结节的中医病名范畴，肺结节的病因病机、中医辨证论治、体质辩证及中医外治法等方面的研究进展，以期为肺结节的临床诊治提供一定的依据，更好地发挥中医药的优势减轻患者的痛苦及经济压力。

Abstract: Due to the continuous development of imaging technology and the continuous improvement of peo-ple’s cognition of their own health degree, the wide use of low-dose CT makes the clinical detection rate of pulmonary nodules gradually increase. With the increasing detection rate of pulmonary nodules and its close correlation with the early screening, early diagnosis and early treatment of lung cancer, it has increasingly attracted the attention of the medical community. Pulmonary nod-ules are a systemic, unexplained disease characterized by non-causable necrotic granulomatous le-sions, with the highest probability of malignancy being partial solid nodules, followed by ground glass nodules and solid nodules. Modern medicine lacks early intervention means for this disease, mainly to follow-up visits and risk assessment. In recent years, the understanding and treatment of pulmonary nodules in traditional Chinese medicine have made great progress, which may provide new ideas for the diagnosis and treatment of this disease, especially in the early stage. This paper summarizes the research progress in the category of TCM name, the etiology and pathogenesis of pulmonary nodules, the treatment of TCM syndrome differentiation, physical dialectics and external treatment of pulmonary nodules, in order to provide some basis for the clinical diagnosis and treatment of pulmonary nodules, and give better play to the advantages of traditional Chinese medicine to relieve the pain and economic pressure of patients.