通讯作者: 何飞, 1759780462@qq.com

DOI：10.12201/bmr.202407.00002

Application of preserving stomach qi in differentiating and treating non-tuberculous Mycobacterium lung disease in traditional Chinese medicine

• 摘要：根据张仲景 “保胃气”思想，“察胃气”以观察疾病发生发展进程及顺逆证，“保胃气”行培土生金之治法及调畅中焦气机这两方面，探讨胃气在非结核分枝杆菌肺病中的重要性，以及保胃气在辨证论治中的关键作用，并附验案一则以佐证。胃气的盛衰与正气的强弱和疾病的发生、发展及预后有着密切关系，并同样贯穿于非结核分枝杆菌肺病的诊治中。通过舌脉对胃气盛衰的观察，并且运用“保胃气”思想从防损与增益两方面以“培土生金、斡旋中焦”为主旨的具体治疗对非结核分枝杆菌肺病的辨治可达到更好的疗效，值得在临床中推广。

  关键词： 非结核分枝杆菌肺病; 保胃气; 培土生金; 斡旋中焦

   

  Abstract: Objective Based on the idea of protecting stomach qi, this paper discusses the application of this idea in the treatment of nontuberculous mycobacterial lung disease in traditional Chinese medicine from the two aspects of checking stomach qi and taking care of stomach qi. Methods According to Zhang Zhongjings idea of preserving stomach qi, observing stomach qi in order to observe the progression of disease and the reverse syndrome, the treatment of stomach qi by cultivating soil and producing gold and regulating the middle jiao qi, the importance of stomach qi in non-tuberculous mycobacterium lung disease and the key role of stomach qi preservation in syndrome differentiation and treatment were discussed. Through discussion and summary, this paper sums up the thought of Baowei Qi in the diagnosis and treatment of non-tuberculous mycobacterium lung disease, and attached a case to support it. Results The rise and fall of gastric qi is closely related to the strength of righteous qi and the occurrence, development and prognosis of the disease, and also runs through the diagnosis and treatment of nontuberculous mycobacterial lung disease. Through the observation of the fluctuation of gastric qi by the tongue and pulse, and the use of the idea of preserving gastric qi from the aspects of loss prevention and gain, the specific treatment with the main purpose of cultivating the soil and producing gold and mediating the middle focus can achieve better curative effects on the differentiation and treatment of non-tuberculous mycobacterial lung disease. Conclusion The application of the idea of preserving stomach qi can improve the survival status of patients with non-tuberculous mycobacterial lung disease and prevent acute exacerbation of the disease, which is an economical and effective prevention and treatment method, which is worthy of promotion in clinical practice.

  Key words: Non-tuberculous mycobacterium lung disease; Protect stomach qi; Cultivate earth to produce gold; Mediating the qi of central Jiao

  提交时间：2024-07-03

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2024-06-21	bmr.202407.00002V1	下载

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