【作者】 陈云；

【导师】 张伟；

【作者基本信息】 山东中医药大学 ， 中西医结合临床， 2011， 博士

【摘要】 本文深入研究肺络理论,探讨肺络的实质,总结肺系络脉的生理特点及病理变化,肺络病的病因、病机、临床表现、治疗原则及治疗方药,分析肺络理论与难治性肺系疾病的相关性,从对因治疗及对络治疗两方面总结肺系疾病用药规律。建立肺络理论体系,为肺络相关性疾病的治疗提供新的思路和理论依据。本研究立足研究中医学的传统方法,在大量检索古今文献的基础上,运用文献研究方法,对中医学“肺络”理论进行了系统梳理与研究,总结肺络的生理功能和病理变化,系统研究并建立“肺络病”的理论体系。运用内容分析法结合现代医学研究将肺络理论与难治性肺系疾病的相关性进行深入探讨,结合临床表现总结肺络相关性疾病的中医用药规律。研究证实肺络的生物学本质,肺之络脉系统应包括肺血液循环、淋巴循环、气体交换系统及间质免疫系统,系调节气机与气化的重要场所,承载着肺之体、用的主要生物学内涵。各种难治性呼吸系统疾病如肺纤维化、慢阻肺、支气管扩张、肺癌、哮喘及过敏性鼻炎等疾病都属于肺络病范畴。这将有助于在中医整体辨治的基础上兼顾局部和微观辨治,有利于临床提高疗效。更多还原

【Abstract】 This paper has researched the theory of lung collaterals deeply, Summarize the physiological characters and pathological changes of lung collaterals, discuss the reguar etiology and pathogenesis, clinical manifestations, treatment principle and common herbs of diseases of lung collaterals , prove that many difficult diseases of respiratory system belong to diseases of lung collaterals; make“dredgeing collaterals therapy”as the principle of diseases of lung collaterals, summarize the rules of treatment with herbs for lung’s diseases.This study based on traditional methods of research onTCM, searched a large number of ancient and modern documents, applied the research methods of literature, systematicly summarized the physiological functionaries and pathological changes of lung collaterals, set up the theory system of diseases of lung collaterals. Using method of content analysis combined with modern medical research to discuss the relativity of difficulty diseases of respiratory system with theory of lung collaterals .summarized the treatment principles with herbs on the diseases of lung collaterals.The study find that the essence of lung collaterals is that lung collaterals include the blood circulation system, lymph circulation system, gas exchange system and interstitial immune system of lung. The difficulty diseases of respiratory system such as Pulmonary Fibrosis, COPD, Bronchiectasia, Lung Cancer, Asthma and Allergic Rhinitis belong to diseases of lung collaterals. The discovery will help to give round consideration to both the overall differentiation and the locality or microcosmic differentiation, thereby it can help to enhance the clinical effectiveness.更多还原