[1]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):1113-1117.[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):1113-1117.[doi:DOI:10.3969/j.issn.1000-7369.2025.08.021]
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名中医韩明向基于“阳虚阴结”从温论治肺结节经验

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年8期
页码:
1113-1117
栏目:
名中医经验
出版日期:
2025-08-05

文章信息/Info

Title:
HAN Mingxiang’s experience in treating pulmonary nodules based on the theory of “Yang deficiency and Yin stagnation” from warming method
作者:
徐成子1纪文雯1韩明向2陈炜2何程3
(1.安徽中医药大学第一临床医学院,安徽 合肥 230031;2.安徽中医药大学第一附属医院,安徽 合肥 230031;3.安徽中医药大学第二附属医院,安徽 合肥 230061)
Author(s):
XU Chengzi1JI Wenwen1HAN Mingxiang2CHEN Wei2HE Cheng3
(1.The First Clinical Medical College of Anhui University of Traditional Chinese Medicine,Hefei 230031,China;2.The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230031,China;3.The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230061,China)
关键词:
肺结节肺积积聚阳虚阴结温法韩明向
Keywords:
Pulmonary nodulesPulmonary accumulationAccumulationYang deficiency and Yin stagnationWarming methodHAN Mingxiang
分类号:
R 734.2
DOI:
DOI:10.3969/j.issn.1000-7369.2025.08.021
文献标志码:
A
摘要:
基于“阳虚阴结”理论论述名中医韩明向治疗肺结节的临床经验。韩明向教授认为,肺结节病势进退,始终不离阴阳相互制化,强调“阳虚”为致病之本,“阴结”为起病之标。其始多因气机怫郁,阳气壅遏不伸,则气化无权,故病之演进以气郁为先,痰凝血瘀为渐,终化癌毒之变。因此治以“温”为要义,使阳气得行,令阴结得散。临证结合病症特点,运用温法拟经方加减施治,于临床屡获良效,附验案一则予以佐证。
Abstract:
Based on the theory of “Yang deficiency and Yin stagnation”,this paper discusses the clinical experience of renowned TCM doctor HAN Mingxiang in treating pulmonary nodules.Professor HAN Mingxiang posits that the progression and regression of pulmonary nodules are fundamentally governed by the dynamic balance between Yin and Yang.He emphasizes that “Yang deficiency” constitutes the root cause of the disease,while “Yin stagnation” represents its superficial manifestation.The pathogenesis typically originates from Qi stagnation,in which obstructed Yang Qi fails to promote physiological transformations,leading to impaired Qi dynamics.Over time,this evolves sequentially into phlegm coagulation,blood stasis,and ultimately cancerous toxin formation.Consequently,HAN Mingxiang prioritizes warming method in treatment to reactivate Yang Qi and dissolve pathological Yin stagnation.In clinical practice,he adapts classical formulas using warming method tailored to individual symptom patterns,achieving remarkable therapeutic outcomes.A representative case study is appended to validate this approach.

参考文献/References:

[1]王璐,洪群英.肺结节诊治中国专家共识(2018年版)解读[J].中国实用内科杂志,2019,39(5):440-442.
[2]王昭珏,赵静,王孟昭.孤立性肺结节恶性概率预测模型的研究进展及临床应用[J].中国肺癌杂志,2021,24(9):660-667.
[3]MAZZONE P J,LAM L.Evaluating the patient with a pulmonary nodule:A review[J].JAMA,2022,327(3):264-273.
[4]LI L,ZHAO Y,LI H.Assessment of anxiety and depression in patients with incidental pulmonary nodules and analysis of its related impact factors[J].Thorac Cancer,2020,11(6):1433-1442.
[5]于明薇,张怀锐,张兴涵,等.中医药临床优势病种探讨——肺结节[J].中国实验方剂学杂志,2024,30(6):238-245.
[6]张念志,朱慧志.韩明向内科临证精华[M].合肥:安徽科学技术出版社,2011:30-33.
[7]孟庆云.中医药的阴阳五行[J].中国中医基础医学杂志,2017,23(1):1-2.
[8]刘媛媛,齐慧娴,陈涤平.《黄帝内经》中脏腑理论与阴阳五行关系探究[J].陕西中医,2025,46(1):92-95.
[9]韩明向,李泽庚.肺气虚证浅探[J].安徽中医学院学报,1993,12(2):2-4.
[10]李玥,张馨月,何姝霖,等.肺结节临床症状及中医证候分布特征[J].中国中药杂志,2023,48(17):4782-4788.
[11]周晓青,周玉洁,王真.从“解郁消熵”论治肺结节[J].时珍国医国药,2024,35(9):2219-2221.
[12]马啸,王芬,梁雪,等.国医大师韩明向从“虚-痰-瘀”辨治慢性肺系疾病[J].中华中医药杂志,2024,39(12):6499-6503.
[13]张尤,陈炜.名中医韩明向基于“一本四证”论治肺癌经验[J].陕西中医,2023,44(12):1788-1791.
[14]巢元方.诸病源候论[M].沈阳:辽宁科学技术出版社,1977:17.
[15]杨勤军,童佳兵,王传博,等.基于肺气虚证四级分度理论探讨“以证统病”的肺病管理模式[J].中华中医药杂志,2022,37(9):5467-5470.
[16]陈玉,肖海娟,王惠玲,等.基于伏邪理论探讨恶性肿瘤发病机制[J].陕西中医,2022,43(12):1760-1762,1767.
[17]蔺明霞,王俊鹏,崔光彬,等.CT影像学特征联合血清肿瘤特异性标志物检测对肺癌的诊断价值[J].陕西医学杂志,2024,53(12):1673-1675,1684.
[18]蔡华珠,林丹红,纪立金.对《黄帝内经》中阳气与神关系的思考[J].中华中医药杂志,2019,34(8):3369-3372.
[19]丁健,王卉,林静,等.国医大师韩明向治疗肺结节的用药规律研究[J].湖南中医药大学学报,2024,44(4):689-695.
[20]吕明圣,王洪武,李磊,等.基于络病理论探讨多发性肺结节诊疗策略[J].北京中医药大学学报,2023,46(8):1166-1171.
[21]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,2024,45(8):1122-1126.
[22]朱恩惠,韩明向,陈炜.国医大师韩明向基于“内伤脾胃,百病由生”理论论治慢性咳嗽[J].湖南中医药大学学报,2024,44(8):1528-1533.
[23]陈炜,韩明向.韩明向教授运用温法治疗痰饮咳喘经验[J].新中医,2014,46(6):19-20.
[24]丁健,郭为振,童佳兵,等.韩明向临证运用泽漆经验[J].中医杂志,2025,66(4):340-343.
[25]吴春红,熊鸣峰,唐晓玲,等.白花蛇舌草半枝莲对药治疗常见肿瘤的思路探析[J].中国中医药现代远程教育,2022,20(12):199-202.
[26]陆王娟,周贤梅.中医体质在肺结节早期诊治中的应用探讨[J].陕西中医,2018,39(4):518-520.

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备注/Memo

备注/Memo:
国家中医药管理局青年岐黄学者人才支持项目[国中医药人教发(2020)7号];安徽省卫生健康科研项目[皖卫传(2023)515号];安徽省科技厅临床医学研究转化专项课题[皖科社秘(2023)310号];安徽省首届青年江淮名医人才培养项目[皖卫函(2022)392号];安徽省中医药高水平传承人才支持项目[皖卫传(2023)451号];安徽省教育厅高校科研重大项目[皖教秘科(2024)121号];安徽省中医药传承创新科研项目(2022CCWT02)
更新日期/Last Update: 2025-08-08