The Strategy of TCM Differentiation and Treatment of Pulmonary Nodules Based on the Theory of “Attacking It According to Its Combination”

随着现代技术的不断精进，肺结节检出率愈来愈高。然其病因复杂，现代医学治疗手段单一，本文从中医药方面为肺结节临床治疗提供思路。“随其所得而攻之”理论出自《金匮要略》，本文通过对“随其所得而攻之”理论的解析与探究，提出肺结节是由无形之邪(外感六淫、内伤七情)和有形之邪(瘀血、痰浊、食积、水饮)共同引起的疾病。因此，在治疗上提出可以通过下法、泄法、夺法、消法、温法、寒法与和以平之针对以上致病因素来治疗。With the continuous improvement of modern technology, the detection rate of pulmonary nodules is getting higher and higher. However, its etiology is complex and modern medical treatment is single. This paper provides ideas for clinical treatment of pulmonary nodules from the aspect of traditional Chinese medicine. The theory of “attacking it according to its combination” comes from synopsis of the golden chamber. Through the analysis and exploration of the theory of “attacking it according to its combination”, this paper puts forward that pulmonary nodules are diseases caused by intangible evils (six exogenous evils and seven internal injuries) and tangible evils (blood stasis, phlegm, food retention and water drinking). Therefore, it is suggested that the above pathogenic factors can be treated by purgation, catharsis, seizure, elimination, warming, cold and peace.