花宝金调气解毒治疗肺结节思想探析
亓润智１ 赵雨薇２ 栾美琪３ 刘瑞１ 张兴１ 郑红刚１ 花宝金1
（１中国医院肿瘤科，北京，１０００５３；２北京中医药大学，北京，１０００２９；３黑龙江中医药大学药学院，哈尔滨，１５００４０）
肺结节是一种影像学诊断，现代医学仍以影像学评估、定期随访为主，缺乏行之有效的早期干预手段。中医药在“治未病”思想的指导下，运用辨证论治与整体观的理论与方法，在肺结节的治疗方面具有独特优势，在临床应用越来越广泛。花宝金教授擅用经方，通过多年的临床实践总结形成“调气解毒”预防与治疗肿瘤的主要思想；同时认为肺结节的基本病机与正气亏虚，气机升降失调，津液代谢失常，痰瘀阻滞肺络密切相关，结合多年临床经验，逐渐将调气解毒思想运用于肺结节的临床治疗，主要包括“健脾益气、培土生金”“宣降肺气、通利水道”“解郁行气、调畅情志”“调气为本，兼顾化痰祛瘀解毒”４个基本法则，灵活运用经方，辨证施治，临床取得良好疗效。本文将花宝金教授运用经方治疗肺结节的临床经验进行总结，并对“调气解毒”思想在肺结节治疗中的应用进行探讨。
肺结节；思想探讨；中医药；调气解毒；窠囊；气机升降；经方；＠花宝金
ProfessorHuaBaojin′sThoughtinTreatingPulmonaryNodulesbyRegulatingQiandRemovingToxin
QIRunzhi1,ZHAOYuwei2,LUANMeiqi3,LIURui1,ZHANGXing1,ZHENGHonggang1,HUABaoJin1
(1DepartmentofOncology,Guang′anmenHospital,ChinaAcademyofChineseMedicalSciences,Beijing,China;2BeijingUniversityofChineseMedicine,Beijing,China;3SchoolofPharmacy,HeilongjiangUniversityofChineseMedicine,Harbin,China)
Abstract
Pulmonarynoduleisusuallydiagnosedbyimaging,andthereisstilllackofeffectiveearlyinterventionmeansinwesternmedicineexceptimagingevaluationandregularfollow-up.Undertheguidanceofpreventingdiseasebeforeitsonset,syndromedifferentiationandtreatmentandholistictheory,traditionalChinesemedicine(TCM)hasuniqueadvantagesinthepreventionandtreatmentofpulmonarynodulesandhasbeenwidelyusedinclinic.ProfessorHuaBaojin,whoisgoodatusingclassicalprescriptions,formedtheideaofpreventingandtreatingtumorbyregulatingqiandremovingtoxinbasedonmanyyearsclinicalpractice.Hethoughtthebasicpathogenesisofpulmonarynoduleswascloselyrelatedtoinsufficienthealthyqi,disorderofqimovement,abnormalbodyfluidmetabolism,andphlegmandstasisblockinglungmeridian.Withrichclinicalexperience,professorHuagraduallyappliedthemethodofregulatingqiandremovingtoxintothepreventionofpulmonarynodules,whichmainlyincludedfourbasicprinciples:invigoratingspleen,replenishingqi,bankingupearthandgeneratingmetal;ventilatinganddescendinglungqianddredgingwaterpassage;resolvingdepression,movingqiandregulatingmentalstate;regulatingqi