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从积聚源流论原发性肝癌的证治

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原发性肝癌是威胁人民健康的重大疾病,目前防治形势较为严峻.具有五千年历史的中医药宝库中已积累了大量关于原发性肝癌的相关证治经验.通过对原发性肝癌的中医病名考究,笔者发现原发性肝癌与"积聚"更加贴合.从积聚的源流发展,总结历代文献对积聚的认识,整理归纳出积聚的辨治规律,其以三期分治为基本治则,扶正主以补气,祛邪不离化瘀,培补元气和消积破瘀为关键治法,这对原发性肝癌的证治具有重要的启迪作用,启示肝癌的中医临床治疗中尤应重视扶正化瘀、益气通络之法.
Discussion on syndrome and treatment of primary liver cancer from the perspective of accumulation origin
Primary liver cancer(PLC)has become a major disease threat to people's health,and the current prevention and treatment situation is grim.The treasury of traditional Chinese medicine(TCM)with a history of 5 000 years has accumulated a lot of experience on the syndrome and treatment of PLC.By examining the Chinese medical name of PLC,the author found that PLC is more closely aligned with the'accumulation'.From the origin and development of accumulation,we summarized the understanding of accumulation in the literature of the past generations,sorted out and summarized the rule of differentiation and treatment of accumulation.Taking the three phases of treatment as the basic rule of treatment,the main purpose of supporting the positive is to replenish qi,and the elimination of evil is not separated from the elimination of blood stasis.Generally,the key treatment methods are always to reinforce the primordia qi and eliminate blood stasis,which has an important enlightenment effect on the syndrome and treatment of PLC and inspire that in the clinical treatment of PLC in TCM,we should pay special attention to the methods of reinforcing health qi,removing blood stasis,and replenishing qi and dredging collaterals.

Primary liver cancer(PLC)AccumulationOrigin and developmentLiterature researchLaw of syndrome and treatment

李霞、刘超、冯全生

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成都中医药大学基础医学院,成都 611137

原发性肝癌 积聚 源流发展 文献研究 证治规律

国家自然科学基金项目中国博士后面上项目四川自然科学基金项目成都中医药大学基础医学院传承创新发展科研基金项目

820743992021M6937862021JDRC0173CCCXYB202204

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(7)
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