基于浊毒理论探讨升降散治疗胃癌的思路

Discussion on the treatment of gastric cancer with Shengjiang Powder based on turbid toxin theory

中医药具有多靶点、多途径、多环节的特点,在改善胃癌的症状、延长生存期等方面突显治疗优势。文章从浊毒立论,梳理胃癌发生发展的机理,探析升降散方义及其所主病机,阐述升降散治疗胃癌的理论基础以及临床应用体会。认为浊毒内蕴、气机失常是胃癌发生发展的基本病机,贯穿于胃癌的全过程,临床治疗应重视化浊解毒,调理气机。升降散全方共奏宣上导下、升清降浊之功效,可祛除浊毒,通畅气机,从而达到治疗胃癌的效果。

Traditional Chinese medicine has multiple pathways,target points and elements,highlighting its advantages in improving the symptoms of gastric cancer and prolonging the survival time.Based on the theory of turbid toxin theory,this article explores the theory of Shengjiang Powder and its pathogenesis,expounds the theoretical basis and clinical application experience of the treatment of gastric cancer with Shengjiang Powder.It is believed that turbid poison connotation and qi machine disorderare are the key to the pathogenesis of gastric cancer,which runs through the whole process of gastric cancer.In clinical treatment,attention should be paid to removing turbidity and detoxifying and regulating qi movement.The whole prescription plays the effect of promoting up and guiding down,promoting qing and reducing turbidity,removing turbidity and poison,regulating qi movement,so as to achieve the therapeutic effect.