首页|基于"三焦气化"探析原发性肝癌的中医动态病机观

基于"三焦气化"探析原发性肝癌的中医动态病机观

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三焦气化理论指体内精血津液在上、中、下三焦输布代谢的气机变化,上焦气化与肺的宣发肃降功能有关,中焦气化与脾胃的水谷运化有关,下焦气化与肝肾的疏泄封藏有关.本文基于三焦气化探析原发性肝癌的"气郁-邪实-癌毒炽盛-阴阳离决"病机动态,认为癌毒既是人体脏腑阴阳失衡的病理产物,又是进一步损伤机体功能的致病因素.在癌毒的最初阶段重视三焦分治,兼以清毒排毒,行气化痰散滞活血;随着病情进展,需要顾护中焦,上下兼顾,益气扶正与攻邪逐邪相结合;到了疾病的终末期,应予平调阴阳,延迟寿命,防止阴阳离散.以期基于三焦气化辨治肝癌的思维诊疗方式,将病位-病性-病势的多重思路整合,从而更加有益于临床应用发挥.
Exploring the dynamic pathogenesis of primary liver cancer in traditional Chinese medicine based on the"triple energizer gasification"theory
The theory of triple energizer gasification refers to the changes in the qi activities of distribution and metabolism of essence,blood,body fluids in the upper energizer,middle energizer,and lower energizer of the body.The gasification of the upper energizer is related to the lung's function of diffusion,purification and descending,and the gasification of the middle energizer is related to the water and grain transportation,transformation and receiving of the spleen and stomach,while the gasification of the lower energizer is related to the conveyance and dispersion of the liver,and the storage of the kidney.This article analyzes the pathogenesis dynamics of primary liver cancer based on the theory of triple energizer gasification,which is characterized by"qi stagnation-excess of pathogens-exuberance of cancer toxin-divorce of yin and yang".It is believed that cancer toxin is not only a pathological product owing to the imbalance of yin and yang in the human organs,but also a pathogenic factor that further damages the body's function.In the initial stage of cancer toxin,emphasis should be placed on the treatment of the triple energizers separately,combined with detoxification,promoting qi movement,resolving phlegm,dispersing stagnation,and promoting blood circulation.With the progression of the disease,it is necessary to take care of the middle energizer,coordinating the upper energizer and the middle energizer,and combine benefiting qi and strengthening body resistance with attacking and expelling pathogens.In the final stage of the disease,it is necessary to balance yin and yang,prolong lifespan,and prevent the dispersion of yin and yang.The thinking of differentiation and treatment of liver cancer based on the triple energizer gasification integrates the multiple ideas of disease location,disease nature,and disease situation,more beneficial for its clinical application.

triple energizer gasificationprimary liver cancercancer toxinpathogenesis view

宁天宇、刘松江

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黑龙江中医药大学,哈尔滨 150040

黑龙江中医药大学附属第一医院,哈尔滨 150040

三焦气化 原发性肝癌 癌毒 病机观

黑龙江省中医药管理局省级名中医专家传承工作室建设项目黑龙江省省属本科高校中央支持地方高校改革发展资金项目黑龙江省教育科学规划重点课题

2020GSP072020GSP07

2024

吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
年,卷(期):2024.44(2)
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