[1]闵小凤,郭新荣,杨晓蕊,等.陕西郭氏针灸流派郭新荣论治肺结节经验[J].陕西中医,2025,46(8):1096-1099.[doi:DOI:10.3969/j.issn.1000-7369.2025.08.017]
 MIN Xiaofeng,GUO Xinrong,YANG Xiaorui,et al.GUO Xinrong’s clinical expertise in treating pulmonary nodule from Shaanxi Guo’s School of acupuncture and moxibustion[J].,2025,46(8):1096-1099.[doi:DOI:10.3969/j.issn.1000-7369.2025.08.017]
点击复制

陕西郭氏针灸流派郭新荣论治肺结节经验

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年8期
页码:
1096-1099
栏目:
长安医学
出版日期:
2025-08-05

文章信息/Info

Title:
GUO Xinrong’s clinical expertise in treating pulmonary nodule from Shaanxi Guo’s School of acupuncture and moxibustion
作者:
闵小凤1郭新荣2杨晓蕊1王润方1
(1.陕西中医药大学研究生院,陕西 咸阳 712046;2.陕西中医药大学针灸推拿学院,陕西 咸阳 712046)
Author(s):
MIN Xiaofeng1GUO Xinrong2YANG Xiaorui1WANG Runfang1
(1.Graduate School,Shaanxi University of Chinese Medicine,Xianyang 712046,China;2.School of Acupuncture and Tuina,Shaanxi University of Chinese Medicine,Xianyang 712046,China)
关键词:
肺结节针药结合名医经验陕西郭氏针灸学术流派疏通调补郭新荣
Keywords:
Pulmonary noduleCombining acupuncture and medicineMedical experienceShaanxi Guo’s School of acupuncture and moxibustionDredgingunblockingadjusting and supplementingGUO Xinrong
分类号:
R 734.2
DOI:
DOI:10.3969/j.issn.1000-7369.2025.08.017
文献标志码:
A
摘要:
随着低剂量螺旋CT的广泛应用,肺结节的检出率不断升高。随访周期长,早期干预手段不足成为肺结节治疗难点。郭诚杰教授创立了“以肝为枢,疏通调补”学术思想,在乳腺结节的治疗上贡献突出。经多年传承创新,流派传承人郭新荣将此思想用于肺结节治疗,认为肺结节的发生以肝气郁滞、络脉痹阻为核心,脾胃失调、运化失司为关键,正气亏虚为根本,秉承针药结合,多法并举的治疗方法,针刺选穴时以甲、乙两组穴交替使用,施以雀啄刺和分层多向刺,中药予自拟清肺散结汤协定方,加之日常的调理养护,并附病案1例,为临床治疗肺结节提供参考。
Abstract:
With the widespread application of low-dose spiral CT,the detection rate of pulmonary nodule is increasing.The long follow-up period and insufficient early intervention methods have become difficult in the treatment of pulmonary nodules.Professor GUO Chengjie founded the academic idea of “taking the liver as the center,dredging,unblocking,adjusting and supplementing”,and made outstanding contributions to the treatment of breast nodules.After years of inheritance and innovation,GUO Xinrong,an inheritor of this academic school,has applied this concept to the treatment of pulmonary nodules.He believes that the occurrence of pulmonary nodules mainly lies in the stagnation of liver qi and the obstruction of collateral vessels as the core,the imbalance of the spleen and stomach and the dysfunction of transportation and transformation as the key,and the deficiency of healthy qi as the root cause.Adhering to the treatment methods that combine acupuncture with medicine and employ multiple approaches simultaneously,when selecting acupoints for acupuncture,group A and group B acupoints are used alternately,with the application of sparrow-pecking needling and multi-directional needling at different layers.In terms of traditional Chinese medicine,a self-made standardized recipe named Qingfei Sanjie decoction is used.Coupled with daily conditioning and maintenance,and accompanied by a case record,it provides a reference for the clinical treatment of pulmonary nodules.

参考文献/References:

[1]张晓菊.《肺结节诊治中国专家共识(2018版)》解读[J].中华实用诊断与治疗杂志,2019,33(1):1-3.
[2]邱艳,任菁菁.肿瘤标志物与肺CT对肺结节良恶性的鉴别价值研究[J].保健医学研究与实践,2023,20(6):72-75.
[3]卢治兰,王欢,何修勇,等.双能量CT在良恶性肺结节鉴别诊断中的应用价值[J].陕西医学杂志,2021,50(3):305-307,311.
[4]周清华,范亚光,王颖,等.中国肺部结节分类、诊断与治疗指南(2016年版)[J].中国肺癌杂志,2016,19(12):793-798.
[5]MAZZONE P J,LAM L.Evaluating the patient with a pulmonary nodule:A review[J].JAMA,2022,327(3):264-273.
[6]乔玉,奚肇庆.肺结节的中医认识浅析[J].中国民间疗法,2022,30(22):7-10.
[7]赵卓婷,郭新荣,王卫刚,等.陕西郭氏针灸学术流派探析[J].陕西中医,2022,43(9):1266-1268.
[8]李媛,刘殿娜,代岳雯,等.从温阳法论治肺结节经验[J].北京中医药,2022,41(5):494-497.
[9]吴俊翰,庄伟涛,许海杰,等.肺结节患者焦虑、抑郁情绪及其影响因素的横断面研究[J].中国胸心血管外科临床杂志,2023,30(3):357-363.
[10]吴琴,范伏元,王伟.范伏元教授治疗肺磨玻璃结节经验[J].亚太传统医药,2021,17(3):113-116.
[11]王英,何荣平,朱建平,等.“肝为主体,脾肾为侧翼,疏调人体气机”论治肺结节经验[J].环球中医药,2023,16(1):135-137.
[12]庞博,李奕,花宝金,等.论肺结节中医病机与防治策略[J].北京中医药,2021,40(12):1340-1343.
[13]张晓梅,姜良铎,肖培新.肺结节病因病机探讨[J].环球中医药,2019,12(3):435-437.
[14]席鹏飞,李海.肺为华盖的外感致病特点探析[J].内蒙古中医药,2022,41(6):133-135.
[15]王黎,王卫刚,郭新荣,等.国医大师郭诚杰基于气街理论运用甲乙配穴法治疗乳腺增生之经验[J].江苏中医药,2024,56(12):6-9.
[16]姜硕,黄彬,樊凌,等.电针四关穴对抑郁大鼠海马星形胶质细胞形态的影响[J].中华中医药杂志,2015,30(1):216-218.
[17]武欢,林威,张照庆,等.电针丰隆穴对高脂血症大鼠血液流变学的影响[J].时珍国医国药,2016,27(9):2292-2293.
[18]胡柏平,范学辉.电针足三里穴对运动应激性溃疡大鼠几种脑肠肽含量的影响[J].中国体育科技,2008,50(2):133-135,143.
[19]杨洋,任路.百会穴治疗抑郁症之探析[J].辽宁中医杂志,2023,50(3):181-183.
[20]秦晓勇,詹曦菁,韩景田,等.针刺曲池穴对小鼠红细胞免疫功能影响的实验研究[J].现代中西医结合杂志,2000,9(4):283-284.
[21]张培,苟筱雯,于晓彤,等.态靶辨证在痰火凝结型甲状腺结节中的应用——消瘰丸加夏枯草、莪术、三七[J].辽宁中医杂志,2023,50(3):59-62.
[22]李丹,汪鸣霄,周洵.基于网络药理学探讨加减消瘰丸治疗肺结节病的作用机制[J].贵州科学,2024,42(6):27-32.
[23]秦天,吴文玉,蓝婉宁,等.基于“四位一体”理论分析桂枝茯苓丸治疗肺结节机制[J].陕西中医,2024,45(4):520-522.
[24]何颖,乐军,胡昌华,等.猫爪草提取物对临床分离结核分枝杆菌蛋白质组表达的影响[J].微生物学报,2005,53(6):79-83.
[25]梁梓琛,余常辉,梁世秀,等.桔梗素D通过下调成纤维细胞TRPC6表达改善小鼠肺纤维化[J].南方医科大学学报,2024,44(1):60-69.
[26]王恒,于淼,李伟楠,等.半夏化学成分及抗肿瘤作用机制研究进展[J].中医药导报,2021,27(8):49-52.

相似文献/References:

[1]秦 天,吴文玉,蓝婉宁,等.基于“四位一体”理论分析桂枝茯苓丸治疗肺结节机制[J].陕西中医,2024,(4):520.[doi:DOI:10.3969/j.issn.1000-7369.2024.04.019]
[2]杨恬恬,钟越彤,龙顺钦,等.名中医吴万垠基于“辨病-辨证-辨症”思想治疗老年性肺结节经验[J].陕西中医,2024,(8):1122.[doi:DOI:10.3969/j.issn.1000-7369.2024.08.025]
 YANG Tiantian,ZHONG Yuetong,LONG Shunqin,et al.Wu Wanyin's experience academic experience in treating pulmonary lung nodules based on the theory of “identifying disease-identifying evidence-identifying symptoms”[J].,2024,(8):1122.[doi:DOI:10.3969/j.issn.1000-7369.2024.08.025]
[3]陈晓扬,彭桂英,李 杰,等.基于“木生金杀”理论浅谈肺小结节的治疗[J].陕西中医,2024,(12):1674.[doi:DOI:10.3969/j.issn.1000-7369.2024.12.019]
[4]张驰,苏同生,万兆新.名中医苏同生从“冲脉”论治子宫内膜异位症性不孕经验[J].陕西中医,2025,46(6):822.[doi:DOI:10.3969/j.issn.1000-7369.2025.06.021]
 ZHANG Chi,SU Tongsheng,WAN Zhaoxin.Experience of famous traditional Chinese medicine doctor SU Tongsheng in treating infertility caused by endometriosis from perspective of “chong meridian”[J].,2025,46(8):822.[doi:DOI:10.3969/j.issn.1000-7369.2025.06.021]
[5]徐嘉宁,马战平,宣妍,等.基于长安五行气化“气-痰-结”论治肺结节[J].陕西中医,2025,46(7):943.[doi:DOI:10.3969/j.issn.1000-7369.2025.07.016]
 XU Jianing,MA Zhanping,XUAN Yan,et al.Based on five elements Qi transformation “Qi-Tan-Jie” theory of Chang’an medicine in treatment of pulmonary nodules[J].,2025,46(8):943.[doi:DOI:10.3969/j.issn.1000-7369.2025.07.016]
[6]徐成子,纪文雯,韩明向,等.名中医韩明向基于“阳虚阴结”从温论治肺结节经验[J].陕西中医,2025,46(8):1113.[doi:DOI:10.3969/j.issn.1000-7369.2025.08.021]
 XU Chengzi,JI Wenwen,HAN Mingxiang,et al.HAN Mingxiang’s experience in treating pulmonary nodules based on the theory of “Yang deficiency and Yin stagnation” from warming method[J].,2025,46(8):1113.[doi:DOI:10.3969/j.issn.1000-7369.2025.08.021]
[7]宋田,王瑞辉,殷克敬,等.名中医殷克敬基于“三焦扶阳”理论论治肺结节经验[J].陕西中医,2026,(4):535.[doi:DOI:10.3969/j.issn.1000-7369.2026.04.020]
[8]王小悦,郭新荣,吴佳莉,等.郭新荣基于“三才-三焦”理论针药结合治疗郁证经验[J].陕西中医,2026,(5):657.[doi:DOI:10.3969/j.issn.1000-7369.2026.05.014]
 WANG Xiaoyue,GUO Xinrong,WU Jiali,et al.GUO Xinrong’s experience in treating depression syndrome with integrated acupuncture and herbal medicine based on Three Talents-Three burners theory[J].,2026,(8):657.[doi:DOI:10.3969/j.issn.1000-7369.2026.05.014]
[9]马庆锦,郑紧紧,田紫妍,等.名中医张庆萍通督调神针法治疗儿童抽动障碍经验[J].陕西中医,2026,(5):666.[doi:DOI:10.3969/j.issn.1000-7369.2026.05.016]
 MA Qingjin,ZHENG Jinjin,TIAN Ziyan,et al.Famous traditional Chinese medicine doctor ZHANG Qingping’s experience in treating childhood tic disorders with Tongdu Tiaoshen acupuncture method[J].,2026,(8):666.[doi:DOI:10.3969/j.issn.1000-7369.2026.05.016]

备注/Memo

备注/Memo:
国家自然科学基金资助面上项目(81473782);陕西省自然科学基金资助项目(2020JM-586);陕西省中医药管理局学术流派传承项目-陕西郭氏针灸学术流派传承工作室建设项目[陕中医药发(2018)40号]
更新日期/Last Update: 2025-08-08