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.
关键词
胃癌/复发/转移/经络辨证/守经隧
Key words
gastric cancer/recurrence/metastasis/channel pattern differentiation/controlling channels and collaterals
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