中医肿瘤学杂志2024,Vol.6Issue(1) :78-83.DOI:10.19811/j.cnki.ISSN2096-6628.2024.01.012

腹膜恶性肿瘤从三焦癌毒辨治的理论依据与临床应用

Theoretical Basis and Clinical Application on Differentiation and Treatment of Peritoneal Malignant Tumor from the Perspective of Tri-jiao Cancerous Toxin

殷晓聆 石齐 杜美璐 侯风刚
中医肿瘤学杂志2024,Vol.6Issue(1) :78-83.DOI:10.19811/j.cnki.ISSN2096-6628.2024.01.012

腹膜恶性肿瘤从三焦癌毒辨治的理论依据与临床应用

Theoretical Basis and Clinical Application on Differentiation and Treatment of Peritoneal Malignant Tumor from the Perspective of Tri-jiao Cancerous Toxin

殷晓聆 1石齐 1杜美璐 1侯风刚1
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作者信息

  • 1. 上海中医药大学附属市中医医院,上海 200071
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摘要

腹膜恶性肿瘤包括原发性腹膜癌和继发性腹膜恶性肿瘤,既往对其认识较少,随着外科肿瘤减灭术和腹腔热灌注化疗的兴起,腹膜恶性肿瘤的理念逐渐被接受,相关研究日益增多.结合历代古籍和临床经验,针对腹膜恶性肿瘤的特点,本文提出三焦为其病位,正虚癌毒为其病因,癌毒内结、三焦运化不畅为其病机;从三焦癌毒立法进行辨证论治,其治则为以攻毒为第一要素,以三焦为本,调达整体,并列举临床验案以资参考.

Abstract

Peritoneal malignant tumors include primary and secondary peritoneal malignancies,which have been known limitedly in the past.However,with the emergence of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy,the concept of peritoneal malignant tumors has gradually gained acceptance,leading to an increase in related research.Drawing from traditional Chinese medicine classical literature and clinical experience,this article proposes that the Tri-jiao is the pathological location,deficiency and cancerous toxin are the etiologies,and the internal accumulation of cancerous toxin as well as the obstruction of Tri-jiao's transportation function are the pathogeneses in view of the characteristics of peritoneal malignant tumors.Syndrome differentiation and treatment is based on Tri-jiao cancerous toxin,focusing on attacking poison as the primary element and Tri-jiao as a basic to achieve overall harmony.Clinical effective cases are presented for reference.

关键词

腹膜恶性肿瘤/三焦/癌毒/辨证论治

Key words

peritoneal malignant tumor/Tri-jiao/cancerous toxin/syndrome differentiation and treatment

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基金项目

国家自然科学基金(82174188)

全国中医临床优秀人才项目(R221127N)

上海市中医医院未来计划项目(WLJH2021ZY-MZY024)

出版年

2024
中医肿瘤学杂志

中医肿瘤学杂志

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