首页|基于"焦络理论"探讨晚期肺癌的治疗思路

基于"焦络理论"探讨晚期肺癌的治疗思路

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晚期肺癌的证型多为瘀阻肺络证、痰热壅肺证、肺脾气虚证、气阴两虚证,其中气阴两虚证患者多见于Ⅲb期和Ⅳ期;而焦络理论认为"三焦不通、肾水不足、玄络闭塞"是百病之源.刘华教授认为三焦-络脉-玄府这一通路与肺癌发生、癌毒传舍等关系密切,故以"焦络理论"为指导,分析晚期肺癌的病因病机,认为邪毒犯肺,其性偏"湿"贯穿肺癌发病及转移的始末,肺络痹阻,肾虚痰凝是病机关键,故提出补肾化痰、通络解毒这一治则,主张攻补兼施,肺肾同治.文章对 1例晚期肺癌患者的诊治进行分析,予以化痰抗癌与益气养阴相结合,共同作用于肺肾,使邪祛正安,共同作用于肺肾二脏.并在二诊、三诊中进行随症加减全方以益气养阴、止咳化痰为主,又肺肾同源,兼顾补肾,攻补兼施,达到治病目的.文章为后续研究提供参考,以期共同探讨治疗晚期肺癌的治疗前景.
Thinking on the treatment of advanced lung cancer based on the theory of triple burner and meridian
The syndrome types of advanced lung cancer are mostly stasis obstruction of lung network pattern,phlegm heat and lung pattern,lung and spleen Qi(气)deficiency pattern,and Qi and Yin(阴)deficiency pattern,among which the patients with Qi and Yin deficiency pattern are more common in stage Ⅲb and IV.Professor LIU Hua believes that the Sanjiao(三焦)-Luomai(络脉)-Xuanfu(玄府)pathway is closely related to the occurrence of lung cancer and the transmission of cancer toxins,so he analyzes the etiology and pathogenesis of advanced lung cancer under the guidance of the Jiaoluo(焦络)theory,and believes that the evil poison invades the lungs,and its dampness runs through the beginning and end of the onset and metastasis of lung cancer,and the pulmonary paralysis and renal deficiency and phlegm coagulation are the key to the pathogenesis.In this paper,the diagnosis and treatment of a patient with advanced lung cancer were analyzed,and the combination of phlegm dissolving and anti-cancer and nourishing Qi and nourishing Yin acted on the lungs and kidneys,so that the evil could be eliminated and the positive and safe were eliminated,and the two organs of the lungs and kidneys were jointly applied.In the second and third diagnoses,the whole prescription is mainly based on invigorating Qi and nourishing Yin,relieving cough and reducing phlegm,and the lungs and kidneys are homologous,taking into account the tonic of the kidney,attacking and supplementing,so as to achieve the purpose of curing the disease.This article provides a reference for follow-up research,in order to jointly explore the treatment prospects for the treatment of advanced lung cancer.

The Jiaoluo theoryAdvanced lung cancerExperience of famous doctorsTreatment

周颖、孙铜林、路洁、梁馨丹、刘华

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湖南中医药大学,湖南 长沙,410208

湖南中医药大学第一附属医院,湖南 长沙,410007

焦络理论 晚期肺癌 名医经验 治疗

创新平台与人才计划——临床医学研究中心(基地)2021年度湖南中医药大学科研基金与联合基金项目2021年度长沙市自然科学基金项目

2021SK40232021XJJJO47kq2202454

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(1)
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