Discussion on the Treatment of Pulmonary nodules by Professor Zhou Dayong
周大勇教授论治肺结节思路探析

摘要

肺结节是当前社会的常见病多发病，中医多属于“肺积”范畴。周大勇教授认为，本病的病位主要在肺，与肝、脾密切相关。主要病因不外乎虚实两端，实与气机郁滞、痰浊内阻等邪盛相关，虚则以脾气虚、阳气虚等正虚为主。基本病机为正气不固，痰气交阻。临床治疗上主张治肺不忘理肝，祛湿重在理脾，怪病不离化痰，祛邪不离温阳，固本培元贯穿始终。针对肺结节相对于西医采取被动的随访影像复查，中医提倡早期进行干预，安内攘外，可以有效延缓肺结节的进展，甚至逆转肺结节的发展。

Abstract

Pulmonary nodules are common diseases frequently occurring in the current society, and most of them belong to the category of "pulmonary accumulation" in Traditional Chinese medicine. Professor Zhou Dayong believes that the location of the disease is mainly in the lung, closely related to liver and spleen. The main cause is nothing more than the deficiency and the fact. The latter is related to the stagnation of qi and the internal obstruction of phlegm, while the deficiency is mainly positive deficiency such as qi deficiency and Yang qi deficiency. The basic pathogenesis is that positive qi is not solid and spittoon qi is blocked. In clinical treatment, it is advocated that treating lung without forgetting liver, removing dampness focuses on spleen, strange diseases without resolving phlegm, removing pathogens without warming Yang, and strengthening the root and peiyuan throughout. Compared with western medicine, passive follow-up imaging review of pulmonary nodules is adopted. Chinese medicine advocates early intervention and internal and external security, which can effectively delay the progression of pulmonary nodules and even reverse the development of pulmonary nodules