从一气周流理论探析结直肠癌的病机与治疗

Exploration of the Disease Mechanism and Treatment of Colorectal Cancer Based on the"One Qi Circulation"

基于黄元御一气周流理论,认为结直肠癌的核心病机为己土素虚,戊土右降不足,糟粕积聚于庚金,浊邪不得排出,日久形成湿热瘀毒等病理产物,聚于肠中,酿生癌毒,最终形成结直肠癌。治疗应以恢复中气斡旋为本,以黄芽汤为治疗基础方;以复气机升降之轮为基,以下气汤升降同调。并根据阴阳偏衰,偏于脾肾阳虚治以天魂汤,助木火生长之政;偏于肝肾阴虚治以地魄汤,复金水收藏之功。诸药共同促使一气运行周畅,以期为结直肠癌的中医药治疗提供思路。

Based on the theory of"one qi circulation"founded by HUANG Yuanyu,the core disease mechanism of colorectal cancer is the innate spleen deficiency and stomach qi failing to bear downward,which leads to the turbidity assemble in large intestine,forming the carcinoma toxin,and ultimately transforms into colorectal cancer.The treatment should base on recovering the circulation of qi,Huangya Decoction(黄芽汤)as the basic formula,the circulation of qi ascending and descending as the base,adjusting ascending and descending together with Xiaqi Decoction(下气汤),and differentiating the syndrome on yin-yang excess-deficiency;for spleen-kidney yang deficiency syndrome,treated with Tianhun Decoction(天魂汤)to supplement liver,kidney and assist yang;for liver-kidney yin deficiency syndrome,treated wtih Dipo Decoction(地魄汤)to supplement lung,kidney,and assist yang.They jointly prompt one qi circulation to provide the thoughts for the treatment of colorectal cancer by traditional Chinese medicine.