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国医大师韩明向运用固本培元思想治疗特发性肺纤维化经验探析
栾军1, 章朱峰1, 陈炜2, 韩明向2
1.无锡市第二中医医院呼吸科, 无锡 214121;2.安徽中医药大学第一附属医院呼吸科, 合肥 230031
摘要:
新安医学源远流长,国医大师韩明向教授是新安医学的代表性人物。文章论述了韩教授立足于固本培元学术思想,诊治特发性肺纤维化的经验。韩教授认为感寒为疾病发作重要因素,气虚是发病主要基础,阴虚为内在病理改变,痰瘀贯穿病程始终,共同构成特发性肺纤维化的病因、病机要点,以扶阳益阴、扶正祛邪、化痰祛瘀贯穿治疗全程。韩教授治疗特发性肺纤维化疗效确切,值得临床推广借鉴。
关键词:  新安医学  固本培元  特发性肺纤维化  名医经验  韩明向
DOI:10.11656/j.issn.1673-9043.2026.04.01
分类号:R563
基金项目:国家自然科学基金青年基金项目(81704060);国家中医药管理局青年岐黄学者人才支持项目(国中医药人教发[2020]7号文);国家中医药管理局“十四五”中医药高水平重点学科中医老年病学项目(国中医药人教函[2023]85号);2022年安徽省中医药传承创新项目(2022CCWT02);安徽省临床医学研究转化专项项目(202304295107020106);安徽省中医药高水平传承人才支持项目(皖卫传[2023]451号);深圳市医疗卫生三名工程项目(SZZYSM202311009);安徽省中医药传承创新科研项目(皖中医药函〔2025〕31号);第六批全国中医临床优秀人才研修项目(国中医药人教函〔2025〕256号);无锡市中医药科技发展专项立项项目(ZYYb202407)。
Traditional Chinese Medicine Master HAN Mingxiang’s experience in treating idiopathic pulmonary fibrosis by applying the thought of consolidating the foundation and cultivating the vitality
LUAN Jun1, ZHANG Zhufeng1, CHEN Wei2, HAN Mingxiang2
1.Department of Respiratory Medicine, Wuxi Second Traditional Chinese Medicine Hospital, Wuxi 214121, China;2.Department of Respiratory Medicine, The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei 230031, China
Abstract:
The Xin’an Medicine boasts a profound historical legacy. Professor HAN Mingxiang,a National Master of Traditional Chinese Medicine,stands as a distinguished representative of this tradition. The paper elucidates Professor Han’s clinical experience in diagnosing and treating idiopathic pulmonary fibrosis(IPF),grounded in his core academic principle of “consolidating the foundation and cultivating the vitality”(Guben Peiyuan). Professor Han identifies the key etiopathogenesis of IPF as:exposure to cold:a critical precipitating factor;qi deficiency:the primary constitutional basis;yin deficiency:the intrinsic pathological manifestation;and phlegm and blood stasis:pathological elements persisting throughout disease progression. His therapeutic approach integrates fortifying yang and nourishing yin,supporting healthy qi and eliminating pathogenic factors,and resolving phlegm and dispelling stasis throughout IPF treatment. Professor Han’s protocol demonstrates definite clinical efficacy and warrants broader clinical application.
Key words:  Xin’an Medicine  consolidating the foundation and cultivating the vitality  idiopathic pulmonary fibrosis  famous doctor experience  HAN Mingxiang
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