首页|扶阳消阴辨治癌病探要

扶阳消阴辨治癌病探要

扫码查看
恶性肿瘤是临床上的难治性疾病,目前多从气阴两虚、痰瘀癌毒内结辨治,而从阳虚阴盛、寒湿凝聚论治较少。本团队在传承国医大师周仲瑛"癌毒"理论基础上,结合扶阳理论,并通过临床实践,认为癌病所成是以阳虚为本,寒湿、痰浊凝结化毒为标,关键病机可概括为阳虚阴结。基于此,本团队提出从扶阳消阴辨治癌病。扶阳消阴法以人为本,以和为贵,立足整体,重在调和,时时扶阳,适时消阴。具体辨治策略为癌病初期贵抓先机,温通、消阴有次;癌肿既成,权衡虚实,补消调和有度;癌病术后,扶正固本,法以调补脾肾,培补先后二天;治分脏腑,注重气机升降,顺应脏腑生理、表里和生克制化关系。不同于单纯的见癌抗癌和见毒解毒,扶阳消阴是审证求因求机,从整体上宏观调节阴阳,动态把握用药,治有次第,可明显改善患者生活质量,提高远期生存率,为临床辨治恶性肿瘤提供参考。
Exploring the differentiation and treatment of cancer by promoting yang and eliminating yin
Malignancies are a difficult to treat disease in clinical practice.At present,there are many cases of differentiation and treatment based on qi and yin deficiency,the coagulation of phlegm,blood stasis and cancer toxin,there are few theories on the treatment of yang deficiency and yin excessiveness,as well as the coagulation of cold and dampness.On the basis of inheriting the cancer toxin theory of Chinese medicine master ZHOU Zhongying,combined with the theory of promoting yang and our own practice,we believe that malignancy is caused by yang deficiency as the foundation,cold dampness,phlegm-turbidity stagnation and toxin transformation as the manifestation,and the key pathogenesis can be summarized as yang deficiency and yin binding.Based on this,it is proposed to differentiate and treat malignancies from promoting yang and eliminating yin.The method of promoting yang and eliminating yin is people-oriented,with harmony as the value,based on the whole,with a focus on adjusting harmony,constantly promoting yang and timely eliminating yin.The specific differentiation and treatment strategies are as follows:in the early stages of malignancy,it is important to seize the opportunity to warm and dredge,or eliminate yin;malignancy is already present,balancing deficiency and excess,supplementing,eliminating,and harmonizing appropriately;after malignancy surgery,it is important to strengthen the foundation and regulate the spleen and kidney,and strengthen both congenital and acquired constitution;treating the zang-fu organs accordingly,elevating and lowering,and conforming to the physiology of the organs.Unlike simple malignancy treatment and detoxification,promoting yang and eliminating yin is a method of examining symptoms and identifying etiology and pathogenesis.It involves macroscopic regulation of yin and yang,dynamic management of medication,and orderly treatment,which can significantly improve the quality of life of patients and increase long-term survival rates.Exploring the theory and strategy of promoting yang and eliminating yin in the differentiation and treatment of malignancy can provide new ideas and references for the clinical differentiation and treatment of malignancies.

malignancypromoting yang and eliminating yinyang deficiencyharmonizationcancer toxin

张林落、苏奔、谢允超、郭立中

展开 >

江苏护理职业学院 淮安 223000

南京中医药大学第一临床医学院

上海中医药大学附属龙华医院

癌病 扶阳消阴 阳虚 调和 癌毒

江苏省社会发展重点研发计划

BE2019723

2024

北京中医药大学学报
北京中医药大学

北京中医药大学学报

CSTPCD北大核心
影响因子:1.568
ISSN:1006-2157
年,卷(期):2024.47(5)