Research Progress on Idiopathic Pulmonary Fibrosis from the Perspective of Xuanfu Theory in Traditional Chinese Medicine

本论文主要着眼于中医玄府理论的研究及其对特发性肺纤维化辨治过程中的独特作用，根据历代医家对玄府理论的分析研究，总结玄府的病理及生理特点，进一步认识玄府理论与特发性肺纤维化的内在联系，归纳总结出其发病机理主要为玄府闭塞，气血不通，根据主要的发病机理及生理特点将特发性肺纤维化的主要治疗要点概括为五法：即开通玄府，主要包括清热开玄、化痰开玄、理气开玄、开玄纳气、开玄扶正，除五法外基于气血津液之间的关系，标本兼治，在治疗过程中配以活血化瘀法，以丰富特发性肺纤维化的治疗策略，促进中医玄府理论之发展。This paper mainly focuses on the research of the theory of Xuanfu in traditional Chinese medicine and its unique role in the diagnosis and treatment of idiopathic pulmonary fibrosis. Based on the analysis and research of Xuanfu theory by medical practitioners throughout history, the pathological and physiological characteristics of Xuanfu are summarized, and the intrinsic connection between Xuanfu theory and idiopathic pulmonary fibrosis is further understood. The pathogenesis of Xuanfu is mainly characterized by Xuanfu obstruction and obstruction of qi and blood. According to the main pathogenesis and physiological characteristics, the main treatment points of idiopathic pulmonary fibrosis are summarized into five methods: opening Xuanfu, which mainly includes clearing heat and opening xuan, resolving phlegm and opening xuan, regulating qi and opening xuan, opening xuan to absorb qi, and opening xuan to support the body. In addition to the five methods, based on the relationship between qi, blood, body fluids, and the symptoms are treated simultaneously. The combination of promoting blood circulation and removing blood stasis in traditional Chinese medicine enriches the treatment strategies for idiopathic pulmonary fibrosis and promotes the development of the Xuanfu theory.