谢纬基于五运六气运用乌梅丸加减治疗肺结节经验介绍

Introduction to XIE Wei's Experience in Treating Pulmonary Nodules with Modified Wumei Wan Based on the Five Circuits and Six Qi Theory

摘要:

介绍谢纬基于五运六气学说运用乌梅丸加减治疗肺结节的临床经验。谢纬教授认为，岁运、客气变化与肺存在密切的关系，可从辨时-辨人-辨病三个维度辨治肺结节；临证常见寒热错杂、寒湿偏盛、火热偏盛等证型；乌梅丸组方刚柔相济，既能清上又能温下，既可扶正又可祛邪，契合病机，以其为基础方，结合司天、在泉之气及患者体质，随证或合方、或化裁加减治疗。

Abstract:

Abstract： This article introduces Professor XIE Wei's clinical experience in treating pulmonary nodules with modified Wumei Wan based on the theory of five circuits and six qi. Professor XIE believes that there is a close relationship between the changes in yearly circuit and guest qi and the lungs. Pulmonary nodules can be differentiated and treated from three dimensions： differentiating the time， differentiating the individual， and differentiating the disease. Common clinical syndromes include cold-heat complex， cold-damp predominance， and fire-heat predominance. Wumei Wan，with its formula combining aggressiveness and gentleness，can both clear the upper and warm the lower，and can both support healthy qi and eliminate pathogenic factors，aligning well with the pathogenesis of pulmonary nodules. Based on this formula，modifications or combinations with other formulas are made according to the circuit qi of the first half of a year and the circuit qi of the second half of a year，as well as the patient's constitution， with adjustments tailored to the specific syndrome.