首页|张红基于气机升降理论论治原发性支气管肺癌经验撷要

张红基于气机升降理论论治原发性支气管肺癌经验撷要

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原发性支气管肺癌(简称肺癌)是目前严重威胁人类生命的恶性肿瘤之一,在中国乃至世界范围都有高发病率、高病死率的特点.目前临床肺癌的病因和发病机制尚未明确,可能与空气污染、吸烟、遗传等因素相关.根据本病发病的临床特点,中医学将肺癌归属于"息贲""肺积"范畴.张红教授基于气机升降理论,认为中焦为脏腑气机升降之枢纽;肝肺为全身气机调畅的主要环节;肺肾为全身气机升降出入的原动力,并结合患者临床表现,指出肺积病位主要在肺,与肝、脾、肾等脏腑气机密切相关,其基本病机为中焦聚湿生痰、肝肺升降失司、肾阳气化虚衰,探其本源为脏腑气机升降失调,升降出入无序、协调关系被破坏的气机紊乱状态,最终导致邪气聚集无消散之路,结于肺脏久成癌毒.张红教授在临床上通过治疗上遵循脏腑气机升降的规律,调畅肺、脾、肝之气机,补脾、肾先后天之元气,重视调畅各脏之间的气机,使之升降平衡才能分清泌浊,维持各脏腑正常的生理功能.因此调理气机升降使气滞得行、津停得运、血瘀得散,以达到恢复机体气机升降,延缓癌症进展、延长患者生存期的目的.
ZHANG Hong's experience in treating lung cancer based on the theory of Qi movement lifting
Primary bronchopulmonary cancer(referred to as lung cancer)is one of the malignant tumors that seriously threaten human life,and has the characteristics of high incidence and mortality in China and even in the world.At present,the etiology and pathogenesis of clinical lung cancer are not clear,and may be related to air pollution,smoking,genetics and other factors.According to the clinical characteristics of the disease,TCM classifies lung cancer into the category of Xiben(息贲)and lung accumulation.Based on the theory of Qi(气)movernent lifting,Professor ZHANG Hong believes that middle Jiao(中焦)is the hub of viscera Qi movement lifting.The liver and lungs are the main links in the smooth regulation of the whole body's Qi.The lungs and kidneys are the driving force behind the lifting and exiting of the whole body's Qi.Combined with the clinical manifestations of the patient,it is pointed out that the pulmonary accumulation is mainly in the lungs,which is closely related to the liver,spleen,kidney and other visceral organs,and its basic pathogenesis is the accumulation of dampness and phlegm in the middle Jiao,the loss of the rise and fall of the liver and lungs,and the deficiency of kidney Yang(阳)Qi.The origin of the Qi is disordered,the rise and fall of the viscera Qi is disordered,and the coordination relationship is disrupted,which eventually leads to the accumulation of evil Qi without a way to dissipate,and it becomes a cancer poison in the lungs for a long time.Professor ZHANG Hong follows the law of the rise and fall of the viscera Qi through clinical treatment,regulates the Qi of the lungs,spleen and liver,replenishes the vitality of the spleen and kidney,and attaches importance to regulating the Qi between the viscera,so that it can be balanced in order to distinguish the turbidity and maintain the normal physiological function of each viscera.Therefore,it is necessary to regulate the lifting of the Qi movement so that the Qi stagnation can be carried out,the Jin(津)can be stopped,and the blood stasis can be dispersed,so as to achieve the purpose of restoring and lifting the Qi,delaying the progression of cancer,and prolonging the survival of patients.

Primary bronchopulmonary cancerQi movement liftingSyndrome differentiation and treatment

傅俊宏、黄淋、张红

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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

原发性支气管肺癌 气机升降 辨证论治

湖南省自然科学基金湖南省中医药管理局指导课题

2020JJ4485C2023001

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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