从气血理论简析大肠癌的中医药治疗

Traditional Chinese Medicine Treatment of Colorectal Cancer Based on the Qi-Blood Theory

基于气血理论分析,大肠癌是以气血失和为发病基础,以气滞、血瘀、水湿为重要病理因素的虚实夹杂的慢性疾病。大肠癌治疗需攻补兼施,气血失和以补虚为主,气滞、血瘀、水湿则以祛邪为主,具体针对气血虚型、气滞型、血瘀型、水湿型患者应分别治以补益气血、行气通滞、逐瘀散结、祛湿化瘀,可分别选用八珍汤、四逆散和厚朴三物汤、大黄牡丹汤和温经汤、薏苡附子败酱散加减治疗。临证结合扶正祛邪理论、辨病与辨证相结合及癌毒致癌的特异性,配伍相应抗肿瘤中药以增强抗癌功效,可提高大肠癌中医药治疗的临床疗效。

According to qi-blood theory,colorectal cancer is a chronic disease with intermingled deficiency and excess,based on the disharmony of qi and blood and with qi stagnation,blood stasis,and water dampness as important pathological factors. The treatment needs both reinforcement and elimination. Therefore,for patients with disharmony of qi and blood,the treatment should be tonifying deficiency,and for patients with qi stagnation,blood stasis,and water dampness,they should be treated with eliminating pathogen. Specifically,patients with deficiency of qi and blood,stagnation of qi,blood stasis,and water dampness should be treated with tonifying qi and blood,promoting qi circulation to remove stagnation,dispersing stasis and resolving masses and eliminating dampness and absorbing clots.The representative prescriptions were Bazhen Decoction( 八珍汤),Sini Powder( 四逆散) and Houpo Sanwu Decoction( 厚朴三物汤),Dahuang Mudan Decoction( 大黄牡丹汤) and Wenjing Decoction( 温经汤),and modified Yiyi Fuzi Baijiang Powder( 薏苡附子败酱散). Combined with the theory of strengthening healthy qi and eliminating pathogens,the combination of disease differentiation and syndrome differentiation,and the specificity of carcinogenesis caused by cancer toxin,the compatibility of anti-tumor Chinese medicine was used to enhance the anti-cancer effect,and improve the clinical curative effect of TCM treatment of colorectal cancer.