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基于"守经隧"探讨胃癌术后复发转移辨治

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基于"守经隧"阐述经络系统在胃癌术后复发转移中的作用,并提出温经络之阳气以固本,除经络之瘀闭以清源的防治思路.在具体的辨证施治过程中,重视手术及寒凉药物对中焦阳气的影响,提出补中焦之阳气以温阳充脉防传舍(转移);通达病络以除瘀闭,攻伐癌毒以清源流,并给癌毒以出路,防止其蓄积致癌;同时可适当加入引经药,引药循经达脏腑;实现宏观辨证与微观辨证、脏腑辨证与经络辨证有机结合,也是对固本清源治法的进一步延伸,冀望对胃癌术后防治复发转移的辨证提供借鉴.
Treatment of Postoperative Recurrence and Metastasis of Gastric Cancer Based on the Theory of"Controlling Channels and Collaterals"
Based on the theory of"controlling channels and collaterals",this paper expounds the role of channels and collaterals system in the recurrence and metastasis of gastric cancer after surgery,and puts forward the prevention and treatment idea of warming the yang qi of channels and collaterals to consolidate the essence,and removing the stasis and blockage of channels and collaterals to clear the source.In the process of pattern differentiation and treatment,attention should be paid to the influence of surgery and cold medicinals on the yang qi of middle jiao.The yang qi of middle jiao should be supplemented to warm yang and strengthen vessels to prevent chuanshe(metastasis);the chan-nels and collaterals with pathogens should be opened to remove its stasis and blockage,and the cancer toxin should be attacked to clear the source and flow,and also the cancer toxin should be given a way out to prevent its accumulation and carcinogenesis;At the same time,envoy medicinals should be given to guide the effects of other herbs to specific channels,so as to induce the medicinals to reach the internal organs through the meridians;to achieve the organic combination of macroscopic differentiation and microscopic differentiation,and the organic combination of zang-fu pattern differentiation and channel pattern differentiation,and it is also a further extension of the treatment method of consolidating the root and clearing up the source,in the hope that it can provide reference for the pattern differentia-tion and treatment of recurrence and metastasis of gastric cancer after surgery.

gastric cancerrecurrencemetastasischannel pattern differentiationcontrolling channels and collaterals

匡子禹、王佳曦、李杰

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中国中医科学院广安门医院,北京市西城区北线阁5号,100053

北京中医药大学

胃癌 复发 转移 经络辨证 守经隧

国家自然科学基金北京市重大疑难疾病中西医协同攻关项目中国中医科学院科技创新工程重大攻关项目

820744022023BJSZDYNJBXTGG-013CI2021A01802

2024

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子:1.464
ISSN:1001-1668
年,卷(期):2024.65(15)
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