从伏邪理论探讨慢性肺血栓栓塞症病机及治疗

[中图分类号］R249 [文献标志码]A [文章编号]0256-7415（2026）05-0226-05

DOl：10.13457/j.cnki.jncm.2026.05.035

Exploration on Pathogenesis and Treatment of Chronic Thromboembolic Pulmonary Disease from Theory of Latent Pathogens

TANRenxiang，XIAO Huizhen，CHEN Renshan

AffliaedGuangzhouHospitalofIntegratedTraditionalChineseandWesteMedicine，GuangzhouUniversityofChineseMedicine， Guangzhou Guangdong 5108OO，China

Abstract：Chronic thromboembolic pulmonary disease （CTEPD） is a long-term complication of acute pulmonary thromboembolism，in which persistent thrombosis easily leads to pulmonaryvascularremodelingand hemodynamic abnormalities.Thisarticleexplores the pathogenesis and treatment of CTEPD from the theory of latent pathogens.It posits thatlungqideficiencyconstitutes its interal foundation，whilelatent static bloodandretainedphlegm-fluidare its main pathological products and key pathogenic factors.Based onthe pathogenesis characteristics oflatent pathogens， treatmentintegrates multiple therapeutic approaches，includingfortifying healthyqi，invigorating bloodandresolving stasis，promotingqiflowto disperse stasis，warming yang to transform fluid retention，anddrying dampnessto dispel phlegm，aiming to provide new insights for the treatment of CTEPD.

Keywords：Chronic thromboembolic pulmonary disease；Latent pathogens；Static blood；Phlegm-fluid

慢性肺血栓栓塞症（CTEPD）是指发生急性肺血栓栓塞症后未及时治疗，或反复发作，或抗凝治疗3个月后，血栓未完全溶解仍堵塞肺动脉的一种临床病理综合征。（剩余7543字）