黄松柏基于消法治疗肺结节经验介绍
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R249

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2019年医疗卫生健康事业发展专项基金(传承发展中医药事业)(粤中医办函〔2019〕5号);黄松柏广东省名中医传承工作室建设项目


Introduction of HUANG Songbai's Experience in Treating Lung Nodules with the Resolving Method
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    摘要:

    介绍黄松柏基于消法治疗肺结节的临床经验。针对未达手术指征的肺结节,现代医学缺乏有效干 预手段。黄松柏认为,肺结节的核心病机为“痰瘀热毒互结”,其动态演变可归纳为三期:初期痰瘀阻络,中 期热毒腐络,后期毒损正虚,与肿瘤的炎-癌转化机制相似,故基于“消法”理论提出化痰散结-清热解毒-扶 正抑癌三位一体的复合疗法治疗肺结节,强调“截毒防变”,通过清热解毒药阻断热毒向癌毒转化,并依据结 节分期调整用药策略,以消瘰丸为底方化痰散结,兼顾清热解毒、扶正抑癌治法,形成攻补兼施的动态治则。

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    Abstract:This article introduces HUANG Songbai's clinical experience in treating lung nodules with the resolving method. Modern medicine lacks effective interventions for lung nodules that do not yet meet surgical criteria. HUANG Songbai proposes that the core pathogenesis of lung nodules lies in the blending of phlegm,blood stasis,heat,and toxin with each other. Their dynamic progression can be categorized into three stages. At the early stage, the pathogenesis is characterized by phlegm and blood stasis obstructing collaterals;at the middle stage,that of heat and toxin stagnating collaterals;and at the late stage that of toxin-induced deficiency of healthy qi. This evolution parallels the inflammation-cancer transition mechanism in oncology. Based on the resolving method,HUANG advocates a trinity therapeutic approach for lung nodules:dissolving phlegm and dissipating masses,clearing heat and detoxifying,and supporting healthy qi to inhibit cancer. The emphasis is placed on cutting off the toxin to prevent deterioration once it occurs,using heat-clearing and detoxifying herbs to block the transformation of heat-toxin into cancer-toxin. Treatment strategies are dynamically adjusted according to the nodule stage,with modified Xiaoluo Wan for dissolving phlegm and dissipating masses. This approach synergistically integrates clearing heat and detoxifying,and supporting healthy qi to inhibit cancer,stressing the dynamic therapeutic principle of simultaneous application of purging and nourishing.

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黄海杨,陈垚,付婷婷,杜玉,指导:黄松柏.黄松柏基于消法治疗肺结节经验介绍[J].新中医,2025,57(16):205-209

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  • 在线发布日期: 2025-08-26
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