刘峰 李妲 欧慧萍 范伏元

    〔摘要〕 范伏元教授基于络脉沟通内外、渗灌气血、联系脏腑的生理特点，从肺痹、肺积认识肺结节，以络脉不和为肺结节根本病机，从伏邪凝痰痹络、胃络不和痰瘀结为窠囊进行阐发，以“通络开痹，和荣散结”“和胃逐瘀，安神化浊”为核心治法，分别以疏风宣肺汤、加味温胆汤处方辨治，将宏观脏腑辨证调和诸脏与微观络脉辨证调和络脉营卫气血津液沟通渗灌相结合，临床疗效确切。

    〔关键词〕 肺结节；络脉不和；肺痹；肺积；窠囊；通络开痹；和胃逐瘀；范伏元

    〔中图分类号〕R256.19? ? ? ? ?〔文献标志码〕B? ? ? ? ? 〔文章编号〕doi：10.3969/j.issn.1674-070X.2024.01.010

    FAN Fuyuan's experience in treating pulmonary nodules based on

    the theory of "collateral disharmony"

    LIU Feng1， LI Da2， OU Huiping3*， FAN Fuyuan2*

    1. Hunan University of Chinese Medicine， Changsha， Hunan 410208， China; 2. The First Hospital of Hunan University of Chinese Medicine， Changsha， Hunan 410007， China; 3. Hunan Chinese Medical College， Zhuzhou， Hunan 412012， China

    〔Abstract〕 Collaterals can communicate interior with exterior and connect viscera， through which qi and blood permeate all parts of the body. Based on these physiological characteristics， Professor FAN Fuyuan understands pulmonary nodules from the perspectives of "lung impediment" and "lung accumulation". Collateral disharmony is considered as the fundamental pathogenesis of pulmonary nodules ......