全国名中医贾英杰“黜浊培本”论治卵巢癌的经验撷英

National famous TCM practitioner JIA Yingjie's experience in treating ovarian cancer based on"removing turbidity and cultivating the root"

卵巢癌是病死率最高的妇科恶性肿瘤。全国名中医贾英杰认为卵巢癌是虚实夹杂、本虚标实之证,其病位在卵巢,与肝、脾、肾三脏密切相关,发病的基本病机为脾肾亏虚、冲任失调、癌浊内蕴、客于虚处。治疗当以“黜浊培本”为基本原则。强调疏利三焦,尤重下焦;固本培元,脾肾同调;条达枢机,疏运相合;因势利导,血水同调;中西合参,分型论治。总结贾英杰教授治疗卵巢癌的中医临证经验,并附验案1则加以阐明。

Ovarian cancer is a gynecological malignant tumor with the highest fatality rate.According to Professor JIA Yingjie,the national famous TCM practitioner,ovarian cancer is the combined pattern of root deficiency and excess manifestations.It is closely related to the liver,spleen,and kidney,with the ovary as its pathological location.The basic pathogenesis includes deficiency of the spleen and kidney,disharmony between the Chong and Ren Meridians,and internal accumulation of cancer turbidity invading the weakness.Therefore,the basic therapeutic principle should be"removing turbidity and cultivating the root",emphasizing on draining sanjiao,especially lower jiao,consolidating the root and cultivating the origin,regulating the spleen and kidney simultaneously,promoting the free flow of qi by smoothing the stagnant liver qi and activating the spleen qi,taking advantage of the situation to regulate blood and water together,and treating the disease based on pattern identification with integrated Chinese and western medicine.This article summarizes Professor JIA's clinical experience in treating ovarian cancer by TCM and attaches a medical record for better illustration.