“主客交”理论在子宫颈癌前病变中的应用

Application of the Theory of"Interaction Between Host and Guest"in Precancerous Lesions of the Uterine Cervix

基于“主客交”理论结合现代医学研究,探讨子宫颈癌前病变的发病机制及中医药应用策略。子宫颈癌前病变的主要病因病机为肝脾肾之“主”失调,加之痰湿热毒之“客”邪内聚、蕴结,终成癥瘕,渐成痼疾,发为宫颈癌前病变并趋向恶性发展。治以“扶正达邪,分离主客”,在疏肝健脾固肾的同时厘清主客强弱,精准辨证。分阶段灵活选用清热、祛湿、解毒、理气、活血、化瘀等“通”法以祛邪通络。

Based on the theory of"interaction between host and guest"combined with modern medical research,the pathogenesis and the application strategies of traditional Chinese medicine for precancerous lesions of the uterine cervix were discussed.The main etiology and pathogenesis of cervical precancerous lesions are the disorder of the"host"of liver,spleen and kidney,combined with the"guest"of phlegm,dampness,heat and toxicity,which eventually becomes the obstruction and gradually becomes chronic disease,and develops into cervical precancerous lesions and tends to develop malignantly.The treatment is based on"supporting the positive and reaching the evil,separating the host and the guest",clarify the strength of the host and the guest while soothing the liver,strengthening the spleen,and strengthening the kidney,and accurately differentiate syndromes.Flexible using the"through"methods such as clearing heat,dispelling dampness,detoxifying,regulating Qi,promoting blood circulation,and resolving blood stasis in stages to eliminate evil and unblock collaterals.