贾英杰教授肺癌咳嗽辨治观

Experience of professor JIA Yingjie to treat lung cancer lung cancer coughing

贾英杰教授将肺癌咳嗽的基本病机概括为"气机阻滞,肺失宣降",认为有形实邪(肿块)或病理产物"痰、毒、瘀"于胸中积聚,壅遏肺气,气之壅塞不通,滞留不畅,则气机阻滞,肺气上逆成咳;又因肺居上焦,为五脏六腑之华盖,癌毒扰肺,肺脏失司,正气内虚,则肃降无力,肺气上逆,故而成咳。治疗当以"气阻"为重点,结合辨治节点,以动态辨治思维,针对可逆性因素"痰、毒、瘀、虚",将宽胸降气、涤痰散结作为主要治法,并注重祛邪与扶正相结合。

Professor JIA Yingjie believes that the basic pathogenesis of lung cancer coughing is ＂stagnation of qi activity, impaired diffusion and downbearing of the lung＂. Professor JIA also thinks that physical real evil（mass） or pathological product ＂phlegm, poison, blood stasis＂ in chests are accumulated, lung qi can not move on, stagnation of qi activity, lung qi inverse, cause on cough. Professor JIA Yingjie thinks that the basic pathogenesis of lung cancer coughing is qi obstructed, and the lung loss function which is dominating dispersion and ascent, purificication and descent. The pathogenesis of cough is qi in lung counter flow which was caused by qi obstructed, this failure for two reasons, one is the substantial pathogenic factor in the chest, the other is Phlegm or toxin or blood stasis in the chest.In addition, the pathogenesis of coughing is lack of lung qi. First, the lung is attacked by the cancer. Secondly, the lungs which loss function causes qi deficiency. In the end, coughing was caused by qi deficiency. The treatment method of lung cancer coughing is to relieve qi congestion. The idea of recognizing this disease is a syndrome differentiation. The main treatment to clear the chest qi, removing phlegm and blood stasis. At the same time, we must pay attention to eliminate pathogenic factors and the combination.