“上下交损当治其中”在恶性肿瘤治疗中的运用

Application of “Treatment of Simultaneous Upper and Lower Diseases Focusing on Spleen and Stomach” in Therapy of Malignant Tumors

[目的]探讨"上下交损当治其中"指导恶性肿瘤的具体治疗。[方法]通过系统梳理"上下交损当治其中"治则形成的历史源流,分析肿瘤患者在脏腑、肢体、关窍等部位形式多样的临床表现,结合典型病案,探析"治中"的具体治疗方法和饮食忌宜。[结果]恶性肿瘤患者在疾病终末期或者频繁接受现代医学治疗后,临床多表现为"上下交损"。根据历代医家顾护脾胃的传统治疗思想和叶天士"当治其中"的战略性治法,提出恶性肿瘤治疗扶正以补中为先,祛邪以伤脾为禁,提倡适时适度使用虫类药物攻邪,调摄以碍胃为忌等具体治疗和调护的方法。[结论]恶性肿瘤患者临床表现"上下交损",中医治疗以"治中"为要。

[Objective] Explore＂treatment of simultaneous upper and lower diseases focusing on spleen and stomach ＂in specific therapy of malignant tumors.[Methods]Through hackling origin of history,analyse clinical manifestations of cancer patients in viscera,limbs,guan orifices and so on.Combined with typical case,we explore concrete treatment method of ＂treatment focusing on spleen and stomach＂and diet taboo and suitable. [Results]Patients with malignant tumor mostly perform ＂simultaneous upper and lower diseases＂in end-stage of disease or accepting modern medical treament frequently.According to therapeutic thoughts of paying attention to the spleen and stomach of past dynasty medical practitioners and strategic treatment methods of＂treatment focusing on spleen and stomach＂of YE Tianshi,we proposed it should supplement the middle at first in therapy of cancer.Eliminating pathogenic factors and regulating should not damage the spleen and stomach.And we advocate using insect drug timely and appropriately to attack pathogenic qi.[Conclusions]TCM pays attention to regulating the function of the spleen and stomach in the whole treatment of cancer.