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经方在恶性肿瘤治疗中的应用

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[目的]基于《伤寒杂病论》六经辨证及经方使用特点,归纳恶性肿瘤治疗经验.[方法]通过对《伤寒杂病论》中"六经辨证"这一疾病分类方式进行分析,将恶性肿瘤起病、进退、转归的过程动态化.探讨中医药在恶性肿瘤防治中"未变先防,既病防变"的可能性.同时列举了临床常见的恶性肿瘤治疗不良反应的治疗策略,根据疾病临床特点和文献研究,整理归纳经方在恶性肿瘤治疗中的现代应用.[结果]六经辨证作为疾病发展过程中的一种定位方式,能提示恶性肿瘤发展过程中病情的深浅、正邪斗争的状态,为恶性肿瘤形成因机、病位转归和预后判断提供理论借鉴.经方具有临床普遍的适用性,加减法的规范性,以及抗肿瘤治疗中全程可参与性,体现了中医药在恶性肿瘤治疗中的潜在优势.经方在癌性发热、癌性疼痛、放射性炎症、神经损伤、消化道反应等方面有对症治疗的实用价值.[结论]经方的运用能有效改善恶性肿瘤患者的生存质量,具有全程、整体、灵活的特点,经方在恶性肿瘤治疗中的作用值得进一步探索.
The Application of Classic Formulas in the Treatment of Malignant Tumors
[Objective]To summarize the experience in treating malignant tumors based on the syndrome differentiation of the six meridians and the usage characteristics of classic formulas in the Treatise on Febrile and Miscellaneous Diseases.[Methods]Based on the analysis of the disease classification method of"six channels differentiation of syndromes"in Treatise on Febrile Diseases and Miscellaneous Diseases and the process of malignant tumor onset,advance and prognosis is dynamized and the possibility of traditional Chinese medicine in the prevention and treatment of malignant tumors by"preventing the disease before it changes"is explored.At the same time,the common clinical strategies for the treatment of malignant tumor adverse reactions are listed,the modern application of classic formulas in the treatment of malignant tumor according to the clinical characteristics of the disease and literature research is summarized.[Results]As a positioning method in the process of disease development,the differentiation of six meridians can indicate the depth of the disease and the state of the struggle between positive and evil Qi during the development of malignant tumors,providing theoretical reference for the formation mechanism,site of onset,and prognosis of malignant tumors.Classic formulas have the characteristics of clinical universality,standardization of addition and subtraction methods,and comprehensive participation in anti-tumor treatment,reflecting the potential advantages of traditional Chinese medicine in treating malignant tumors.Classical formulas have practical value in treating cancer fever,cancer pain,radiation inflammation,nerve damage,digestive tract reaction and so on.[Conclusion]The application of classic formulas can effectively improve the quality of life of patients with malignant tumors,with the characteristics of full process,overall,and flexibility.The role of classic formulas in the treatment of malignant tumors is worth further exploration.

Treatise on Febrile and Miscellaneous Diseasesclassic formulasyndrome differentiation of six meridiansclinical experiencemalignant tumorstreatment

姜彧、张恺、孙磊涛、沈敏鹤

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浙江中医药大学附属第三医院 杭州 310005

浙江中医药大学附属第一医院

伤寒杂病论 经方 六经辨证 临床经验 恶性肿瘤 治疗

浙江省自然科学基金中华中医药学会青年人才托举工程项目浙江省中医药科技计划浙江省名老中医专家传承工作室建设项目

LQ22H2700082021-QNRC2-B1320232R095GZS2020018

2024

10.16466/j.issn1005-5509.2024.01.005

浙江中医药大学学报
浙江中医药大学

浙江中医药大学学报

CSTPCD
影响因子：1.049
ISSN：1005-5509
年,卷(期)：2024.48(1)
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