摘要
刘清泉教授认为结节类疾病以“瘀结”为主,同时又与气郁、痰凝相累为病,其关键病机为久病化热成瘀。千金苇茎汤长于清热化瘀散结,可用于治疗上焦瘀热病证,通过化裁可用来治疗肺部结节、乳腺结节和甲状腺结节等。临证运用过程中,刘清泉教授精准判断疾病分期,采用千金苇茎汤合用柴胡疏肝散、二陈平胃散、大柴胡汤、六君子汤或阳和汤加减化裁,并谨慎选择方中薏苡仁和桃仁的剂量和配伍比例。
Professor LIU Qingquan believes that nodular diseases are primarily characterized by"static accumulation",and are further compounded by qi stagnation and phlegm coagulation.Their key pathogenesis lies in prolonged illness transforming into heat and subsequently generating blood stasis.Qianjin Weijing Decoction is effective in clearing heat,resolving stasis,and dispersing nodules for the treatment of Shangjiao stasis-heat syndrome.Through appropriate modifications,it can be used to treat pulmonary nodules,breast nodules,thyroid nodules,and other related conditions.In clinical practice,Professor LIU accurately determines the stage of the disease and employs Qianjin Weijing Decoction in combination with Chaihu Shugan Powder,Erchen Pingwei Powder,Dachaihu Decoction,Liujunzi Decoction,or Yanghe Decoction,with further modifications as needed.He also carefully selects the dosage and proportional compatibility of Coicis Semen and Persicae Semen within the formula.
作者
马先
薛淑祯
刘清泉
MA Xian;XUE Shuzhen;LIU Qingquan(Longhua Clinical College,Shanghai University of Traditional Chinese Medicine,Shanghai 200000,China;Department of Infectious Diseases,Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300380;Department of Critical Care Medicine,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010)
出处
《北京中医药》
2025年第10期1311-1314,共4页
Beijing Journal of Traditional Chinese Medicine
关键词
肺结节
乳腺结节
甲状腺结节
千金苇茎汤
刘清泉
名医经验
pulmonary nodules
breast nodules
thyroid nodules
Qianjin Weijing Decoction
LIU Qingquan
experience of famous doctors
