|
| 基于李东垣阴火理论辨治非结核分枝杆菌肺病 |
| Treatment of nontuberculous mycobacteria pulmonary disease based on Li Dongyuan's theory of yin fire |
| 投稿时间：2025-12-07 修订日期：2026-03-31 |
| DOI： |
| 中文关键词: “阴火”理论 非结核分枝杆菌肺病 分期论治 临证医案 |
| 英文关键词:"yin fire" theory nontuberculous mycobacteria pulmonary disease staged treatment clinical case |
| 基金项目:浙江省中医药科学研究(No.2025ZL450)第三批杭州市市级临床重点专科项目(杭卫办便函[2025]15号)国家中医优势专科感染科建设项目(国中医药医政函[2024]90号) |
|
| 摘要点击次数: 8 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的：本文基于李东垣“阴火理论”，探讨非结核分枝杆菌肺病（nontuberculous mycobacteria pulmonary disease, NTM-PD）的中医病因病机与辨治思路。方法：通过围绕“阴火理论”，结合古籍文献和临床实践，分析NTM-PD中脾胃气虚、阴火上冲、气血两伤的病机演变规律。结果：总结以健脾益胃为核心的治疗方法，同时随证治标，后期注重气血双补的治疗准则，并附验案一则佐证。结论：此医案以李东垣“阴火理论”为依据，为NTM-PD的中医辨治提供了新依据，突出了以调护中气为核心的诊疗思路，对于改善患者临床症状具有指导意义。 |
| 英文摘要: |
| [Objective]: Based on Li Dongyuan's "Yin Fire Theory", this article explores the Traditional Chinese Medicine (TCM) etiology, pathogenesis, and treatment principles for nontuberculous mycobacteria pulmonary disease (NTM-PD). [Methods]: Centered on the "Yin Fire Theory" and integrating classical medical literature with clinical practice, the study analyzes the pathogenesis progression in NTM-PD, characterized by spleen-stomach qi deficiency, uprising of yin fire, and consequent impairment of both qi and blood. [Results]: A treatment approach was summarized, which focuses on fortifying the spleen and stomach as the core therapeutic principle. This is supplemented by tailored interventions for acute symptoms and emphasizes the dual supplementation of qi and blood in the later stages, supported by a relevant case study. [Conclusion]: Guided by Li Dongyuan's "Yin Fire Theory", this case provides a new rationale for the TCM diagnosis and treatment of NTM-PD. It highlights a therapeutic strategy centered on nurturing and regulating the middle-jiao qi, offering guiding significance for improving patients' clinical symptoms. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
