CAJ | 학술논문

特发性肺纤维化（IPF）作为慢性复杂性疾病之一，发病率、致死率较高，是现代医学面临的治疗难题，中医药辨证论治，体现出一定特色和优势。近年来，络病理论指导慢性复杂性疾病的防治成为医学研究的热点和前沿，并取得一定的成效，本文以络病理论为基础，总结肺络的结构和功能，进而根据络病理论和肺络的结构、功能特点，结合特发性肺纤维化的临床表现，提出其急性发作期的根本病机为“肺热络瘀”，为进一步探究特发性肺纤维化急性发作期的辨证防治奠定理论基础。
특발성폐섬유화（IPF）작위만성복잡성질병지일，발병솔、치사솔교고，시현대의학면림적치료난제，중의약변증론치，체현출일정특색화우세。근년래，락병이론지도만성복잡성질병적방치성위의학연구적열점화전연，병취득일정적성효，본문이락병이론위기출，총결폐락적결구화공능，진이근거락병이론화폐락적결구、공능특점，결합특발성폐섬유화적림상표현，제출기급성발작기적근본병궤위“폐열락어”，위진일보탐구특발성폐섬유화급성발작기적변증방치전정이론기출。
Idiopathic pulmonary fibrosis(IPF), as one of the chronic and complex diseases, is with high incidence and mortality rate. It is also a difficult to treat disease in modern medicine. Traditional Chinese medicine (TCM) syndrome differentiation and treatment embodies characteristics and advantages. In recent years, the collateral disease theory guiding the prevention and treatment of the chronic and complex diseases has become a hot point and frontier in medical research, and achieved certain effects. This article is to summary the structures and functions of pulmonary collaterals based on the collateral disease theory. Combined with clinical manifestations of IPF, we put forward "Fei-Re Luo-Y u" as the fundamental role in the pathogenesis of IPF in its acute phase to lay the theoretical foundation to the further exploration of syndrome prevention and differentiation on IPF in its acute exacerbation.