从三焦的形质与功能探讨恶性肿瘤淋巴道转移的病机

Exploring the Pathogenesis of Lymphatic Tract Metastasis in Malignant Tumors from the Form and Function of Triple Energizer

恶性肿瘤淋巴转移是肿瘤患者病情进展的重要因素,严重威胁患者生命健康。中医学对三焦的形质与功能有着深入的认识,认为三焦在形质上为“膜”性四通管道,通达机体周身布散精微,外排污浊;在功能上总司全身气机气化,化生营卫,抵御外邪。近代发现三焦的形质和功能与肿瘤淋巴道转移关系密切,三焦的病理形态是肿瘤转移通道,其气化功能异常是肿瘤转移关键。结合三焦理论,认为三焦气机畅通、三焦水道通利则痰饮瘀毒不得蓄积,营卫之气畅达周身,而邪难留存,由此提出“调气机”“利水道”为防治恶性肿瘤淋巴道转移的关键。“三焦形质功能”的异常是肿瘤淋巴道转移的核心,依据三焦理论及其相关的治则治法可以指导肿瘤的治疗,期待对中医临床治疗肿瘤有所裨益。

Lymphatic metastasis of malignant tumor is an important factor in the progression of tumor patients.The existing treatment effect is limited and the prognosis is poor,which seriously threatens the life and health of patients.Traditional Chinese medicine has an in-depth understanding of the shape,quality and function of triple energizer,and holds that triple energizer is a“membrane”four-way pipeline in shape and quality,which can reach the body with subtle distribution and discharge of dirt;in function,the general manager of the whole body is gasifi ed,chemically,and defends against external evils.Recently,it has been found that the shape,quality and function of triple energizer are closely related to tumor lymphatic metastasis.The pathological form of triple energizer is the pathway of tumor metastasis,and its abnormal gasifi cation function is the key to tumor metastasis.Combined with the triple energizer theory,it is considered that if the triple energizer qi machine is unobstructed and the triple energizer waterway is clear,the phlegm and blood stasis cannot be accumulated,the qi of Ying and Wei reaches the whole body,but the evil is diffi cult to remain,so it is put forward that“air regulator”and“Liquan channel”are the key to the prevention and treatment of lymphatic metastasis of malignant tumor.The abnormality of trifocal function is the core of tumor lymphatic metastasis.According to the triple energizer theory and its related treatment principles,it can guide the treatment of tumors,which is expected to be benefi cial to the clinical treatment of tumors in traditional Chinese medicine.