从三焦“阳虚痰凝”论治恶性淋巴瘤

Diff erentiating and treating malignant lymphoma based on the theory of"yang defi ciency and phlegm coagulation"in sanjiao

恶性淋巴瘤发病机制复杂,是临床防治中的难题。本文基于“阳虚痰凝”理论,依据三焦与淋巴组织在位置及生理功能上的相关性,以阳虚导致三焦疏泄失常,凝痰成核为主要病机,提出防治恶性淋巴瘤应重视机体阴阳的动态变化情况,在疾病初起之时以温阳化气行水为主,进展期重视祛瘀排毒消积,后期则主扶阳益阴培本,进而达到恢复三焦正常疏泄功能、化痰消瘤的最终目的,为探求更高效安全的中西医结合治疗方案提供新的思路。

The pathogenesis of malignant lymphoma is complex and the disease is a diffi cult problem in its clinical prevention and treatment.This article is based on the theory of"yang defi ciency and phlegm coagulation"and on the correlation between sanjiao and lymphoid tissue in terms of their locations and physiological functions,taking the yang deficiency leading to the conveyance and dispersion dysfunction in sanjiao and the nucleation of coagulated phlegm as its main pathogenesis.It is proposed that the prevention and treatment of malignant lymphoma should pay attention to the dynamic changes of yin and yang in the body,mainly warming yang to transform qi and promote the water circulation at the beginning of the disease,paying attention to removing blood stasis and expelling toxins at its advanced stage,and strengthening yang and benefi ting yin at its later stage,so as to achieve the ultimate goal of restoring the normal conveyance and dispersion function of sanjiao,resolving phlegm and eliminating tumors.The study is expected to providing a new idea for exploring its more effi cient and safer treatment programs of integrated traditional Chinese and western medicine.