首都国医名师王沛基于固摄法辨证治疗卵巢癌之经验

Renowned TCM Practitioner in Beijing Professor Wang Pei's Experience in Treating Ovarian Cancer with Consolidating Therapy

文中总结王沛教授基于固摄法治疗卵巢癌之经验。王沛教授认为卵巢癌病因病机为下焦不通-癌毒内生而失固,肝郁肾虚-正气亏虚而耗散,癌毒生长发展而成卵巢癌。肝郁肾虚为卵巢癌之根本病机,外寒、湿热、瘀血、痰饮为卵巢癌形成主要病理因素,癌毒生而失固属卵巢癌发生发展之关键环节。基于“散”与“失固”理论,王沛教授提出了固摄法治疗卵巢癌,以固癌摄瘤防转移,配合攻毒祛邪除癌毒,兼滋肾疏肝固正气为根本原则。并善用虫药,兼顾护脾胃,临床疗效显著。文末附验案1则以佐证。

This article summarized Professor Wang Pei's experience in the treatment of ovarian cancer based on consolidating therapy.Professor Wang Pei believes that the etiology and pathogenesis of ovarian cancer stem from blockage in the lower energizer,leading to the internal generation of cancer toxin and loss of consolidation.Liver stagnation and kidney deficiency and healthy qi insufficiency result in production of cancer toxin,which develops to ovarian cancer.He identifies liver stagnation and kidney deficiency as the fundamental pathogenesis of ovarian cancer.The main pathological factors contributing to the formation of ovarian cancer include external cold,dampness-heat,blood stasis,and phlegm retention.The critical aspect of the development and progression of ovarian cancer is the loss of consolidation due to cancer toxin generation.Based on the theories of“dispersion”and“loss of consolidation”,Professor Wang Pei proposes the consolidating therapy for treating ovarian cancer.This approach aims to consolidate and stabilize the tumor to prevent metastasis,combined with methods to expel toxins and eliminate cancer poison.Additionally,the treatment involves nourishing the kidney,soothing the liver,and consolidating healthy qi as the fundamental principles.Professor Wang skillfully uses insect-based drugs and pays attention to protecting the spleen and stomach,resulting in significant clinical efficacy.An exemplary case is provided at the end of the article as evidence.