[1]张召杨,孙增涛 △,刘南飞,等.肺脾相关理论及临床应用研究*[J].陕西中医,2020,(11):1623-1626,1631.[doi:DOI:10.3969/j.issn.1000-7369.2020.11.028]
　ZHANG Zhaoyang,SUN Zengtao,LIU Nanfei,et al.Theory and clinical application of lung and spleen[J].,2020,(11):1623-1626,1631.[doi:DOI:10.3969/j.issn.1000-7369.2020.11.028]
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肺脾相关理论及临床应用研究*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2020年11期
页码:
1623-1626,1631
栏目:
学术探讨
出版日期:
2020-11-05

文章信息/Info

Title:
Theory and clinical application of lung and spleen
作者:
张召杨1; 孙增涛1 △; 刘南飞1; 王 霖1 ; 郭思佳2
1.天津中医药大学(天津 301617); 2.天津中医药大学第二附属医院呼吸科(天津300250)
Author(s):
ZHANG Zhaoyang; SUN Zengtao; LIU Nanfei; et al.
Tianjin University of Traditional Chinese Medicine(Tianjin 301617)
关键词:
肺脾相关理论;  脾;  肺;  培土生金;  肺脾同治
Keywords:
The lung spleen kidney related theories;  Spleen;  Lung;  Cultivating earth and generating gold;  Simultaneous treatment of lung and spleen
分类号:
R226
DOI:
DOI:10.3969/j.issn.1000-7369.2020.11.028
文献标志码:
A
摘要:
肺与脾生理病理关系紧密。生理上,脾与肺在五行中母子相生,它们共同维持机体气机升降出入,输布全身津液,它们经脉相联; 病理上,脾与肺相互影响。病机上,饮食不节、痰湿内生、内外合邪、脾胃不和均影响到肺或脾,进而肺脾均病。临床上常见肺脾症状相兼出现的疾病,并且相互影响加重病情,西医对此没有很好的治疗方法。中医根据肺脾相关理论,治疗上采用肺脾同调的治疗原则,理肺时不忘补脾,补脾时还须理肺。经典名方四君子汤、补中益气汤、玉屏风散、麦门冬汤、参苓白术散、升降散均采用了肺脾同调的组方原则,疗效甚佳。本文将从中医肺脾相关理论出发为治疗肺脾相兼疾病提供新思路。
Abstract:
There is a close relationship between lung and spleen.Physiologically,the spleen and lung are born to each other in the five elements.Together,they maintain the ascending and descending of the body Qi and transport body fluid.Their meridians are connected.Pathologically,spleen and lung interact with each other.On the pathogenesis,improper diet,phlegm dampness endogenous,internal and external evil,spleen and stomach disharmony all affect the lung or spleen,and then both lung and spleen are ill.Clinical common lung and spleen symptoms of the disease,and mutual influence aggravate the disease,western medicine has no good treatment for this.According to the correlation theory of lung and spleen,the principle of treating both lung and spleen is adopted in traditional Chinese medicine treatment.Do not forget to replenish the spleen when regulating the lung,but also the lung when replenishing the spleen.Ancient classic prescriptions such as Sijunzi decoction,Buzhong Yiqi decoction,Yupingfeng powder,Maimendong decoction,Shenling Baizhu powder and Shengjiang powder all adopt the principle of concordance of lung and spleen,and the curative effect is very good.This article will start from the theory of lung and spleen of traditional Chinese medicine to provide new ideas for the treatment of lung and spleen diseases.

参考文献/References:

[1] 国家卫生和计划生育委员会.2013中国卫生和计划生育统计年鉴[M].北京:中国协和医科大学出版社,2013:213-214.
[2] 李建生,张海龙,王海峰,等.慢性阻塞性肺疾病证候演变特点临床调查[J].中医杂志,2017,58(9):772-776.
[3] 李 钊,宋冬荣,陶 娟,等.抗反流药物治疗对支气管哮喘伴胃食管反流患者哮喘症状影响的荟萃分析[J].当代医学,2014,20(3):142-143.
[4] 毛峪泉,吴 蕾,林 琳.“培土生金”治法的历史源流及其发展初探[J].中医杂志,2016,57(10):815-818.
[5] 何梦瑶.医碥[M].北京:中国中医药出版社,2009:15.
[6] 赵东凯,王 檀.应用清宣止咳汤治疗慢性咳嗽(脾经伏火型)70例临床观察[J].中国医学工程,2011,19(9):147-151.
[7] 孙一奎.赤水玄珠[M].北京:中医古籍出版社,2002:2.
[8] 马洪明,高兴慧,田金洲.从肺胃相关角度探析胃食管反流性咳嗽[J].世界中西医结合杂志,2015,10(10):1346-1348.
[9] 陈 晨,郑敏宇.邵长荣健脾燥湿法治疗慢性阻塞性肺病经验[J].浙江中医药大学学报,2013,37(7):854-855.
[10] 寻 玉.“胃不和则卧不安”源流探析[J].河北中医,2007,29(12):1112-1113.
[11] 李 娟,刘映霞,张俊绮.补中益气汤治疗小儿反复呼吸道感染临床研究[J].长春中医药大学学报,2010,26(4):503-504.
[12] 谢 磊,朱振刚,尹新中.补中益气汤治疗慢性阻塞性肺疾病验案[J].长春中医药大学学报,2011,27(3):472.
[13] 高 原,陈 奇,王 莹,等.补中益气汤对A549荷瘤裸鼠移植瘤survivin mRNA及蛋白表达的影响[J].中华中医药杂志,2017,32(2):708-712.
[14] 刘笑彤,胡晓天,周诩栋,等.补中益气汤对化疗性大鼠消化道不良反应的防治效果及机制探讨[J].中国中医基础医学杂志,2019,25(11):1537-1540.
[15] 邹建华,肖战说,汪受传.论《脾胃论》肺之脾胃虚论在小儿慢性咳嗽中的应用[J].中华中医药杂志,2019,34(9):4096-4098.
[16] 吕小燕,冯五金,苏娟萍.从胃泌素-17探讨升阳益胃汤防治萎缩性胃炎的作用机制[J].中药药理与临床,2019,35(2):141-144.
[17] 陈 聪,王 琦,苏泽琦,等.玉屏风颗粒调理气虚体质反复感冒患者临床观察[J].中国实验方剂学杂志,2018,24(5):182-187.
[18] 沙尚清,尹 梅,张 波,等.玉屏风散联合舒利迭对慢性阻塞性肺疾病稳定期患者的临床疗效[J].中成药,2018,40(6):1270-1273.
[19] 彭志华.玉屏风散合香砂六君子汤加减治疗脾胃虚弱型泄泻临床观察[J].实用中医药杂志,2017,33(7):760-761.
[20] 申萌萌,南亚楠,唐 磊,等.麦门冬汤对肺纤维化大鼠肺功能及内质网应激作用的影响[J].北京中医药大学学报,2019,42(1):37-43.
[21] 张保国,刘庆芳.经方麦门冬汤现代研究与临床运用[J].中成药,2011,3(4):671-674.
[22] 唐华羽,李玉芝,李长德,等.四君子汤总多糖对小鼠肠道菌群及免疫功能的影响[J].陕西中医,2016,37(12):1688-1691.
[23] 朱素有,廖为民,许忠波,等.四君子汤加味联合热敏灸对慢性阻塞性肺疾病稳定期肺脾气虚型患者血清及呼出冷凝液中IL-17,IL-22,IL-1α,Cys-C的影响[J].中国实验方剂学杂志,2020,26(10):57-62.
[24] 罗杨敏,孙维旭,王银菊,等.六君子汤联合西药治疗慢性肺炎疗效及对患者肺功能的影响[J].陕西中医,2018,39(11):1540-1543.
[25] 孙志欣,陈 莉,李 锐,等.参苓白术散对老年社区获得性肺炎肺脾气虚证患者血清炎症因子及免疫功能的影响[J].中国实验方剂学杂志,2017,23(21):161-165.
[26] 欧阳学认,许 华.参苓白术散对幼龄哮喘大鼠气道炎症的抑制作用[J].中药新药与临床药理,2019,30(7):812-815.
[27] 王 梅,于 漫,王 淳,等.参苓白术散治疗功能性消化不良的Meta分析[J].中国卫生统计,2014,31(6):939-942.
[28] 张锡纯.医学衷中参西录[M].太原:山西科学技术出版社,2009:82,307.
[29] 赵连梅,孙佳玮,颜 晰,等.中药升陷汤抑制肺癌A549细胞增殖和侵袭转移作用研究[J].中华中医药杂志,2011,26(9):2147-2150.
[30] 郝伟欣,董振华.升陷汤加味治疗结缔组织病合并肺间质纤维化体会[J].中华中医药杂志,2008,23(8):707-709.
[31] 董月奎,魏荣友.史载祥运用升陷汤治疗杂病经验[J].中医杂志,2009,50(4):298-299.
[32] 王凤娟.儿童肺炎支原体感染合并消化系统损害危险因素及临床特征分析[J].陕西医学杂志,2017,46(4):519-520.
[33] 陆芳芳,郝传铮.从脾胃辨治肺癌临证体会[J].吉林中医药,2013,33(8):768-770.

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备注/Memo

备注/Memo:
*国家自然科学基金资助项目(81874444,81874398)；天津市高等学校“创新团队培养计划”项目(TD13-5051)；重大疑难疾病中西医临床协作试点项目
更新日期/Last Update: 2020-11-09