[1]董春杨,李文昊,王茂凯,等.名中医姜德友基于“肺为气血之脏”辨治支气管扩张经验[J].陕西中医,2025,46(8):1118-1122.[doi:DOI:10.3969/j.issn.1000-7369.2025.08.022]
 DONG Chunyang,LI Wenhao,WANG Maokai,et al.JIANG Deyou’s experience in treating bronchiectasis based on the theory that “lung is the organ of Qi and blood”[J].,2025,46(8):1118-1122.[doi:DOI:10.3969/j.issn.1000-7369.2025.08.022]
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名中医姜德友基于“肺为气血之脏”辨治支气管扩张经验

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年8期
页码:
1118-1122
栏目:
名中医经验
出版日期:
2025-08-05

文章信息/Info

Title:
JIANG Deyou’s experience in treating bronchiectasis based on the theory that “lung is the organ of Qi and blood”
作者:
董春杨李文昊王茂凯段国涛姜德友
(黑龙江中医药大学,黑龙江 哈尔滨 150006)
Author(s):
DONG ChunyangLI WenhaoWANG MaokaiDUAN GuotaoJIANG Deyou
(Heilongjiang University of Chinese Medicine,Harbin 150006,China)
关键词:
支气管扩张姜德友肺为气血之脏调气和血法气血失调
Keywords:
BronchiectasisJIANG DeyouLung is the organ of Qi and bloodMethod of regulating Qi and bloodQi and blood disorders
分类号:
R 249
DOI:
DOI:10.3969/j.issn.1000-7369.2025.08.022
文献标志码:
A
摘要:
总结姜德友教授基于“肺为气血之脏”运用“调气和血法”辨治支气管扩张的经验。姜德友教授基于“肺为气血之脏”提出“气血失调”是支气管扩张的根本病机,并将支气管扩张病程进展分为肺虚邪侵、瘀阻肺络、气血衰竭三期,治疗分别以补血益气、活血行气、培元安血为法,选方用药以调气和血为主,兼以扶正、祛邪、化瘀、清热,按期施法,灵活侧重治疗,其临证治法、立方选药革故鼎新,效如桴鼓,常遵循整体观念循证治疗,推陈创新,提高疗效。
Abstract:
Summary of professor JIANG Deyou’s experience in diagnosing and treating bronchiectasis based on the principle that “lung is the organ of Qi and blood” and the application of the “regulating Qi and harmonizing blood method”.Professor JIANG Deyou proposed that “imbalance of Qi and blood” is the fundamental pathogenesis of bronchiectasis,and divided the progression of the disease into three stages:lung deficiency with invasion by pathogenic factors,stasis obstructing the lung meridians,and depletion of Qi and blood.Treatment focuses on tonifying blood and Qi,promoting blood circulation and Qi flow,and nourishing the essence and stabilizing the blood.The selection of formulas and medications primarily focuses on regulating Qi and harmonizing blood,while also incorporating methods to strengthen the body,expel pathogens,resolve stasis,and clear heat.Treatment is administered according to the stage of the disease,with flexible emphasis on specific aspects.His clinical treatment methods,formula formulation,and medication selection are innovative and effective,often following an evidence-based approach rooted in holistic principles,while also incorporating new ideas to enhance therapeutic efficacy.

参考文献/References:

[1]魏永梅,马俊彦,李阳,等.纤维支气管镜肺泡灌洗治疗支气管扩张合并肺部感染临床疗效Meta分析[J].陕西医学杂志,2021,50(7):893-898.
[2]刘艳彬,晏军.基于“血水同病”辨治支气管扩张症[J].河北中医,2023,45(12):2086-2089.
[3]郭海珍,赵玉珂,李晓凤,等.基于气化论探析“天人相应”理论的自然科学内涵[J].陕西中医,2024,45(12):1662-1665,1669.
[4]苏洪佳,陈国忠,谢君艳.“血”与“五脏”关系阐析[J].江苏中医药,2018,50(3):31-33.
[5]黄丽娜,张伟.从“肺为血脏”论瘀在支气管哮喘中的意义[J].辽宁中医杂志,2020,47(2):74-75.
[6]王雅芸,张伟.基于“肺为血脏”探讨络脉在系统性硬化症合并间质性肺病中的作用[J].世界中医药,2022,17(15):2207-2211.
[7]杨诗媛,包玉,李浦光,等.从“肺生血”探讨血小板活化与肺间质纤维化发病机制[J].现代中西医结合杂志,2025,34(6):823-827.
[8]刘萍,霍青.基于“肺主肃降”从肺论治不寐[J].江苏中医药,2018,50(9):5-8.
[9]王斌,周传龙,贾兆星,等.基于络病理论探析林咸明运用经方“方-病-人”诊疗思维论治间质性肺疾病[J].浙江中医杂志,2023,58(8):570-571.
[10]张艳霞,史利卿,杨效华,等.补气活血通络方干预肺纤维化大鼠PI3K/AKT信号通路研究[J].北京中医药大学学报,2018,41(11):905-909,917.
[11]蒋艳.75例维吾尔族汉族支气管扩张患儿病因与预后分析[D].乌鲁木齐:新疆医科大学,2012.
[12]田梅,臧国栋,张伟,等.基于“肺为血脏”探讨肺血虚与肺间质纤维化 [J].吉林中医药,2022,42(7):762-764.
[13]王明莉,毛灵,訾素娜,等.清热中药对支气管扩张症稳定期患者临床症状及生活质量的影响——一项50例单病例随机对照研究[J].中医杂志,2023,64(6):600-608.
[14]潘鹏燕.支气管扩张症稳定期患者中医体质与BSI评分及相关指标的研究[D].福州:福建中医药大学,2022.
[15]胡晓飞,陈洁,马飞,等.慢性阻塞性肺疾病患者合并支气管扩张的临床特征及相关因素分析[J].浙江医学,2024,46(17):1868-1871.
[16]王维.薛汉荣教授辨治支气管扩张的临床经验研究[D].南昌:江西中医药大学,2019.
[17]杨彤,付玲,刘勇,等.罗玲主任中医师运用病证结合思想论治支气管扩张症[J].中国中医急症,2023,32(8):1464-1467.
[18]吴鹏,刘城鑫,张妙芬,等.刘小虹教授治疗支气管扩张症临证撷英[J].中国中医急症,2020,29(11):2035-2037,2053.
[19]石霞,苗青,王冰.基于“火与元气不两立”探析稳定期支气管扩张症的病机与辨治[J].中医杂志,2022,63(21):2029-2032.
[20]李涛,李媛,陈钰,等.人参及其复方制剂防治肺病的研究进展[J].中草药,2021,52(17):5339-5349.
[21]崔勇,李世明,金燕,等.人参皂苷Rh2通过VEGF/MMP-9信号通路抑制哮喘小鼠气道重塑的实验研究[J].中华中医药学刊,2017,35(8):1932-1935.
[22]王安安,王哲睿,黄伟玲,等.基于伏邪理论探讨支气管扩张症辨治思路[J].中国中医药信息杂志,2024,31(2):173-176.
[23]茆春阳,杜燕,雷伟伟,等.基于“燥伤肺络”理论探析肺纤维化[J].陕西中医,2025,46(4):522-526.
[24]邓怡,刘旻.风药在肺系疾病中的应用[J].亚太传统医药,2018,14(7):120-121.
[25]郭丽娅,房克英,王玉光.王玉光教授以阴阳、虚实、脏腑为纲辨证治疗支气管扩张症的经验[J].世界中西医结合杂志,2025,20(3):503-507.

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备注/Memo

备注/Memo:
国家中医药管理局龙江医学流派传承工作室建设项目(LPGZS2012-14);国家中医药管理局姜德友全国名老中医药专家传承工作室建设项目(ZHY12-Z095);黑龙江省自然科学基金资助项目(PL2024H211);黑龙江省中医药管理局科研项目(ZYW2024-062);黑龙江省省属本科高校中央支持地方高校改革发展资金资助项目(2020GSP06)
更新日期/Last Update: 2025-08-08