基于“虚气留滞”探讨肺结节术后的病机与辨治

中图分类号：R256.1 文献标志码：A 文章编号：1007-3213（2025）06-1510-05

DOI：10.13359/j.cnki. gzxbtcm.2025.06.031

Exploration on the Pathogenesis and Treatment of Postoperative Pulmonary Nodules from the Perspective of Deficient Qi Resulting into Retention of Pathogens

WU Jinpeng， XU Weifang

[Shenzhen Hospital（Futian District）ofGuangzhou UniversityofChinese Medicine，Shenzhen5180o0 Guangdong，China]

Abstract：Thisstudy explored the pathogenesis and treatment of postoperative pulmonary nodules from the perspective of deficient qi resulting into retention of pathogens，thus to expand the approach to its diagnosis and treatment. Itis believed that deficient qi resulting into retention of pathogens contributes to the key pathogenesis of pulmonary nodules.As the root cause of the disease，deficient qi usually involves the deficiency of the lung and spleen.Andas the incidental manifestations，retentionof pathogens refers to theaccumulation of pathological products such as stagnated qi ，phlegm Σ- stasis，and turbid toxins in the lung collaterals. The pathogenesis of postoperative pulmonary nodules is characterized by the collapse of pectoral qi ，aggravated deficient qi ，and the lingering presence of the relieved qi stagnation，phlegm-stasis，and turbid toxins.Based on the pathogenesis of deficient qi resulting into retention of pathogens，the treatment principles for postoperative pulmonary nodules should focus on tonifying deficiency and lifting collapse，and relieving qi stagnation and unblocking obstruction. Tonifying deficiency needsto prioritize strengtheningthe spleen and nourishing the lung to go first，lifting collapse aims at elevating the pectoral qi ，relieving qi stagnation focuses on regulating qi and harmonizing the liver，and unblocking obstruction mainly involves resolving phlegm-stasis and eliminating turbid toxins.The pathogenesis of deficient qi resulting into retention of pathogens aligns with the pathological features and syndrome evolution of postoperative pulmonary nodules，and willprovide dynamic and systematic guidance for its clinical diagnosis and treatment.

Keywords：postoperative pulmonary nodules；deficient qi resulting into retention of pathogens；lung-spleen deficiency；qi stagnation；phlegm-stasis；turbid toxins；tonifying deficiencyand lifting collpse；relieving qi stagnation and unblocking obstruction； theoretical exploration

肺结节是指直径 ⩽3cm 的局灶性、类圆形或不规则形的肺部病灶。（剩余6510字）