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吴勉华论治肠癌经验探析

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吴勉华教授发挥国医大师周仲瑛"癌毒"病机理论,认为肠癌致病之因为癌毒,结合肠腑"实而不能满"的脏腑特性,肠癌脾胃气虚和癌毒内生贯穿病理始终,肠癌多伴"气滞、湿毒、热毒、瘀毒"等病理因素,导致肠腑通降失司,"湿、热、瘀、毒"等复合病理因素胶结,形成有形之瘤体。吴教授主张动态辨期治疗,早期以健运脾胃、消积化滞为主,中后期强调温补脾胃、化湿和胃、消癌解毒、化瘀攻积,时时需解郁安神。吴教授临证强调剥离复杂病机,分清轻重缓急,用药法遵节次矩矱,强调配伍组合。本文总结吴教授辨治肠癌经验,并附验案一则,为治疗肠癌提供新思路。
Exploration on Wu Mianhua's Experience in the Treatment of Colorectal Cancer
Professor Wu Mianhua exerted the theory of"cancer and toxicity"of the national TCM master Zhou Zhongying and believed that the cause of colorectal cancer is cancer and toxicity.Combined with the colorectal characteristics of the colorectal organs which are"solid but not full",the spleen and stomach qi deficiency and the growth of cancer and toxicity in colorectal cancer run through the pathology.Therefore,colorectal cancer is associated with pathological factors such as"qi stagnation,dampness,heat,stasis and toxicity",which eventually lead to the failure of colorectal bowel circulation and lowering,and the combination of"dampness,heat,stasis and toxicity",forming a tumor.In terms of treatment,Prof.Wu advocates dynamic treatment,with the early stage focusing on strengthening the spleen and stomach,eliminating stagnation,and the middle and late stage emphasizing warming the spleen and stomach,resolving dampness and stomach,eliminating cancer and toxicity,resolving stasis and attacking stagnation,and relieving depression and tranquilizing the mind at all times.In his clinical practice,Prof.Wu emphasizes stripping away the complex disease mechanism,distinguishing the priorities,following the rules of the section and emphasizing the combination of medicines.This article summarized Prof.Wu's experience in the diagnosis and treatment of colorectal cancer,and provided a new approach for the treatment of colorectal cancer with one case study.

colorectal cancercancer toxicity pathogenesisspleen and stomach qi deficiencyWu Mianhua

祝金标、吴艳、吴勉华

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南京中医药大学附属医院,江苏 南京 210004

南京中医药大学,江苏 南京 210023

大肠癌 癌毒病机 脾胃气虚 吴勉华

国家中医药管理局中医药传承与创新"百千万"人才工程(岐黄工程)岐黄学者(2018年)江苏省中医药管理局第四批省名老中医药专家传承工作室建设项目(2021年)

2024

中国中医药图书情报杂志
中国中医科学院中医药信息研究所

中国中医药图书情报杂志

影响因子:0.556
ISSN:2095-5707
年,卷(期):2024.48(1)
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