摘要：基于“五脏一体观”理论全新构建了肺结节的中医辨证体系。肺结节病位在肺，根结于五脏，以五脏津气滞涩、痰瘀内生、痹阻于肺为核心病机。其中五脏津气布散失司为病理基础，水湿生痰、留滞于肺为中间环节，痰凝成瘀、胶结为块为肺结节发病的症结关键。治疗上以“通调五脏”为基本原则，既畅达津气运行之路，截断痰瘀产生之源，又清除体内之已有痰浊、瘀血等病理产物，使肺结节逐渐消散。临证谨守病机，分型治疗，可获良效。痰饮壅肺证，治以涤痰化饮、宣肺调中，方以清金化痰散结汤或二陈平胃散结汤；肝郁痰湿证，治以疏肝健脾、行气化浊，方以逍遥化痰汤；脾虚痰结证，治以升阳健脾、消痰化浊，方以升阳化湿散结汤；心阳痹阻证，治以温通心阳、化瘀安神，方以通阳化瘀散结汤；肾阳虚痹证，治以温肾固本、通络散结，方以保元通络散结汤。

    关键词：肺结节；肺积；五脏一体观；辨治体系

    中图分类号：R256.1"" 文献标志码：A"" 文章编号：1007-2349(2025)01-0014-05

    Construction of TCM Syndrome Differentiation System for Pulmonary Nodulesunder the Perspective of “Five-Organs Unity”

    【Abstract】Based on the theory of the “Five-Organs Unity”， a novel TCM syndrome differentiation system for pulmonary nodules has been developed. Pulmonary nodules are primarily located in the lungs but have their root in the five organs. The core pathogenesis is characterized by stagnation and obstruction of fluids and qi in the five organs， leading to the internal generation of phlegm and blood stasis， which then block the lungs. The pathological foundation lies in the dysfunction of the five organs in dispersing fluids and qi. The intermediate process involves phlegm formation from dampness ......