首页|从"瘀毒郁"论胃癌术后调治思路

从"瘀毒郁"论胃癌术后调治思路

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胃癌是我国最常见的癌症之一,归属于中医的噎膈、胃脘痛、反胃、伏梁、癥瘕、积聚等范畴.胃癌术后患者的调治策略并未形成统一共识,基于胃癌的"瘀""毒""郁"病因病机理论源流,结合现代胃癌术后疾病特点,张光霁教授创新性提出"瘀毒郁"互结关键病机,以化瘀解毒、行气开郁、扶正固本为主,辅以传统中医理论指导下的养生理念,灵活制定个性化治疗方案.在改善胃癌术后患者胃肠道症状、睡眠问题、提高生活质量等方面获得了较好疗效,特整理说明以期对胃癌术后患者的调治提供借鉴.
Discussion on the idea of postoperative treatment of gastric cancer from'stasis-toxin-stagnation'
Gastric cancer is one of the most common cancers in China,which belongs to the category of'choking diaphragm,epigastric pain,regurgitation,heart amassment,zhengjia amassment and accumulation'in traditional Chinese medicine.There is no consensus on the treatment strategy of postoperative patients with gastric cancer.Based on the theoretical origin of the etiology and pathogenesis of'stasis','toxin'and'stagnation'of gastric cancer,combined with the characteristics of modern postoperative gastric cancer,professor ZHANG Guangji innovatively proposes the key pathogenesis of'stasis-toxin-stagnation',which is mainly based on removing blood stasis and detoxification,promoting qi and relieving stagnation,and strengthening the body resistance,supplemented by the concept of health preservation under the guidance of traditional Chinese medicine theory,and flexibly formulates personalized treatment plans.It has achieved good curative effect in improving gastrointestinal symptoms,sleep problems and quality of life of patients with gastric cancer after operation.This paper aims to provide reference for the treatment of patients with gastric cancer after operation.

StasisToxinStagnationPostoperative gastric cancerSyndrome differentiationThought

聂云梦、张光霁

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浙江中医药大学基础医学院,杭州 310053

浙江省中医"瘀毒"证重点实验室,杭州 310053

中医"治未病"智慧健康浙江省工程研究中心,杭州 310053

胃癌术后 辨证 思路

国家重点研发计划国家自然科学基金项目国家自然科学基金项目

2019YFC17087008187445582030119

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(8)