Clinical approaches to non-tuberculous mycobacterial pulmonary disease based on the "<italic style="font-style: italic">Ke'nang</italic> theory"

CHEN Chuanlian; CHEN Shuyi; YIN Liangsheng

doi:10.16025/j.1674-1307.2025.04.028

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Clinical approaches to non-tuberculous mycobacterial pulmonary disease based on the "Ke'nang theory"

更新时间：2025-06-10

- Clinical approaches to non-tuberculous mycobacterial pulmonary disease based on the "Ke'nang theory"
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 4, Pages: 520-523(2025)
- 作者机构：
  
  1.浙江中医药大学第二临床医学院，杭州 310053
  2.浙江省中西医结合医院结核科，杭州 310003
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.04.028
  CLC：
- Received：13 July 2024，
  
  Published：25 April 2025
- 稿件说明：
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陈传链，陈书逸，尹良胜.基于“窠囊理论”探讨非结核分枝杆菌肺病临证思路［J］.北京中医药，2025，44（4）：520-523.

CHEN Chuanlian,CHEN Shuyi,YIN Liangsheng.Clinical approaches to non-tuberculous mycobacterial pulmonary disease based on the "Ke'nang theory"[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(04):520-523.
陈传链，陈书逸，尹良胜.基于“窠囊理论”探讨非结核分枝杆菌肺病临证思路［J］.北京中医药，2025，44（4）：520-523. DOI： 10.16025/j.1674-1307.2025.04.028.

CHEN Chuanlian,CHEN Shuyi,YIN Liangsheng.Clinical approaches to non-tuberculous mycobacterial pulmonary disease based on the "Ke'nang theory"[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(04):520-523. DOI： 10.16025/j.1674-1307.2025.04.028.

摘要

“窠囊理论”于明清时期形成了较为完善的体系。窠囊病位主在肺，“窠囊理论”与非结核分枝杆菌肺病在病因病机病位、病变形态、疾病预后等方面有高度重合性，非结核分枝杆菌肺病根源于正气虚弱，发展于火盛浊逆，成窠成痨于痰瘀血互结。立足于湿、热、痰、瘀、虚等病机要点，以喻嘉言“静以驭气”“严以驭脾”为基本治则，以升降气机，恢复脾肺功能；调理湿热痰瘀，稳定痨虫窠囊；固元培本，巩固人体正气等为治疗大法。为中医治疗非结核分枝杆菌肺病提供了新思路、新方法。

Abstract

The "

Ke'nang

theory" was formed as a relatively complete system during the

Ming

and

Qing

dynasties. The primary disease location of

Ke'nang

is in the lungs， with

as the root cause of the disease. The "

Ke'nang

theory" shares a high degree of overlap with non-tuberculous mycobacterial pulmonary disease in terms of etiology， pathogenesis， disease location， pathological changes， and prognosis. Non-tuberculous mycobacterial pulmonary disease originates from weakened healthy

and develops due to the exuberant fire and turbidity reversal， leading to the formation of tuberculosis-like lesions from the mutual entanglement of phlegm， blood stasis， and stagnation. Focusing on key pathogenic factors such as dampness， heat， phlegm， stasis， and deficiency， and following the basic treatment principles of "calming to control

" and "strictly regulating the spleen" as proposed by YU Jiayan， the treatment aims to ascend and descend

， restore spleen and lung functions， adjust dampness， heat， phle

gm， and stasis， stabilize

Ke'nang

lesions caused by tuberculosis parasites， consolidate and bank up origin， and strengthen the body's healthy

. This provides a new perspective and approach for the treatment of non-tuberculous mycobacterial pulmonary disease in traditional Chinese medicine.

关键词

Keywords

references

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⁰

Clinical approaches to non-tuberculous mycobacterial pulmonary disease based on the "Ke'nang theory"

DOI：10.16025/j.1674-1307.2025.04.028

摘要

Abstract

关键词

Keywords

references