基于三焦气化理论探析肺结节的治疗

Exploring the Treatment of Pulmonary Nodules Based on the Theory of Sanjiao Gasification

摘要: 肺结节是临床常见病，多发病。三焦气化理论是人体气血津液化生与布散规律的总纲，通调三焦可以作为肺结节治疗的核心着眼点。肺结节的基本病理特质为“痰”，三焦气道不通，水气留于肺脏，日久则夹瘀夹滞，遂成结节。肺结节的治疗首重调神，兼条达少阳气机；次化痰结，消除有形积滞；再调补善后，养护正气，防止结节复发。三焦气化通畅，痰饮不得留滞，正气充盈而无阻遏，则结节可消。三焦气化理论内涵丰富，可指导多个系统疾病的治疗，其临床价值有待进一步挖掘。

Abstract: Pulmonary nodules are common and frequent. The theory of Sanjiao Gasification is the general principle of the transformation and distribution of qi, blood and body fluid in the human body. The regulation of Sanjiao can be used as a central focus of the treatment of pulmonary nodules. The basic pathological characteristic of pulmonary nodules is “phlegm”. When the Sanjiao airway is im-passable, phlegm and blood stagnate in the lungs and nodules form. The treatment of lung nodules should focus on three points: First, make peace of mind and regulate the qi of Shaoyang; Second, reduce and expel phlegm to eliminate stagnation; Last, tonify and maintain the healthy qi to pre-vent recurrence of nodules. While the channels of Sanjiao are unobstructed, the phlegm can be dis-pelled normally. The healthy qi is sufficient and can flow smoothly, and then the nodules can be eliminated. The theory of Sanjiao Gasification has rich implications that can guide the treatment of many systemic diseases, and its clinical value needs to be further explored.