基于“痰挟瘀血,遂成窠囊”从痰瘀论治肺癌脑转移

Treatment of lung cancer brain metastasis from phlegm and blood stasis based on the theory of“phlegm combined with blood stasis becoming kenang”

《丹溪心法》首次基于痰瘀致病理论提出“痰挟瘀血,遂成窠囊”这一见解。痰瘀互结,阻滞脑络是肺癌脑转移的基本病机,其根柢在于正气内虚,气机不畅。文章基于“痰挟瘀血,遂成窠囊”这一理论释义阐新,以“痰瘀”为出发点探讨肺癌脑转移辨治法则,并提出“扶正调气,升清降浊治其本,化痰祛瘀,通络解毒清其源”的论治思路,结合临床验案实例分析,证-法-方-药环环相扣,浅析肺癌脑转移的疏调之法,以飨同道。

Based on the theory that phlegm and blood stasis cause the disease,the viewpoint of“phlegm combined with blood stasis becoming kenang”was first proposed in Danxi Xinfa.The basic pathogenesis of brain metastasis in lung cancer is the interlocking of phlegm and blood stasis,and the root cause of the disease lies in the internal deficiency and disorder of qi.In this paper,based on the theoretical interpretation of“phlegm combined with blood stasis becoming kenang”,we take“phlegm and blood stasis”as the starting point to discuss the identification and treatment of brain metastasis from lung cancer,and propose the principle of“fuzheng tiaoqi and expeling pathogenic factors from the source to treat its roots,dissipating phlegm,removing blood stasis,dredging collaterals and detoxication to clear its source”.A clinical case was shared,by combining the syndrome,method,prescription and medicine closely to analyze the treatment of brain metastasis from lung cancer.