管窥“脾肾互赞”理论论治妇科肿瘤

Review of Gynecological Tumors with Theory of“Mutual Praise between Spleen and Kidney”

“脾肾互赞”理论源起《内经》,明代医家李中梓对此理论加以阐述及总结。妇科肿瘤在中医归属于癥瘕范畴,脾肾二脏关系密切,“脾肾互赞”则正强邪不可犯,若任一先伤,必损及另者,据此分析其形成机制,“脾伤卫外营内受损,中气津血生化失序”为妇科肿瘤形成前提,“肾阳失煦元气失化,阴寒气血痰湿凝聚”为妇科肿瘤发病根本,“脾肾互赞失用,阳伤气损往复”是妇科肿瘤进展恶化的“动力”。故在治疗中,肿瘤初期阶段:截瘤结受邪之处,安脾气肾阳互伤之势,断病根,防再形,复阳化气;肿瘤进展阶段:祛术后残余邪气毒根,护虚弱之脾肾阳气,减复形,锢转移,扶正培本;癌肿恶化转移阶段:充脾肾阳气薄弱之处,助脏腑机能之周转,扶阳气,保正气,延寿保质。故该文管窥“脾肾互赞”理论,为临床治疗妇科肿瘤提供新思路。

The theory of“mutual praise between the spleen and kidney”is originated from Neijing.LI Zhongzi,a doctor in the Ming Dynasty,elaborated and summarized this theory.Gynecological tumor in TCM belongs to Zhengjia,and is closely related to spleen and kidney.“Mutual praise between spleen and kidney”means that the evils cannot be committed when the healthy Qi is strong.If any one is injured first,it will damage the other.Based on this,the formation mechanism is analyzed.“Spleen injury,Weiqi damage outside,Yingqi damage inside and the biochemical disorder of Qi and fluid in the body”are the premise for the formation of gynecological tumors.“Kidney Yang falling to warm,vital Qi failing to transport,and coagulation of Yin cold,Qi,blood and phlegm”are the root of gynecological tumors.“No mutual praise between spleen and kidney and Yang injuring Qi repeatedly”is the“driving force”for the progression and deterioration of gynecological tumors.Therefore,the early stage treatment should cut off the tumor at the place where the tumor node is affected by evils,relieving the spleen Qi and kidney Yang,breaking the root of the disease,preventing the re-formation and restoring Yang to transform Qi.In the progression stage,the treatment should dispel the residual evil Qi and toxin after operation,protect the deficient Yang Qi of spleen and kidney,reduce the complex,prevent the metastasis,and strengthen the health Qi.In the stage of cancer deterioration and metastasis:the treatment should be filling the weak points of Yang Qi in spleen and kidney,helping the turnover of visceral functions,supporting Yang Qi,maintaining healthy Qi and prolonging life quality.Therefore,this article explored the theory of“mutual praise between spleen and kidney”,and provided a new idea for the clinical treatment of gynecological tumors.