摘要
侯教授认为,结直肠癌的病因病机是正气亏虚和湿浊瘀毒的互结,并提出“虚—浊—瘀—毒”论,认为其病机关键是湿浊瘀血所处的阶段状态。临证时注重调理肠腑与肝脾肾三脏的气血阴阳关系,以扶正祛邪为治疗原则,根据患者脏腑病机的不同,选用经典名方补中益气汤、金匮肾气丸、一贯煎等补虚扶正,激活自身抗癌因素,推动痰浊瘀毒病理产物的消除。在治疗浊瘀毒邪时不落窠臼,根据湿浊与瘀血状态,以扶阳利水、行水上源、通畅腑气法化浊祛湿;以活血行血、破血散血、增水行舟法助运血行;再施以风药生发清阳、破除伏毒。
Professor Hou Aihua believes that the etiology and pathogenesis of colorectal cancer are the combination of deficiency of vital qi and dampness,turbidity,stasis,and toxin.Professor Hou proposes the theory of"deficiency,turbidity,stasis and toxin",and believes that the key to its pathogenesis is the stage state of dampness,turbidity,and blood stasis.During clinical practice,attention should be paid to regulating the relationship of qi,blood,yin and yang between the intestines,liver,spleen,and kidney;And based on the principle of strengthening vital qi to eliminate pathogenic factor,according to the different pathogenesis of zang fu viscera of patient,classic formulas such as Buzhong Yiqi Decoction,Jingui Shenqi Pill,and Yiguan Decoction are selected to treat deficiency syndrome with tonifying method and strengthening vital qi,activate their own anti-cancer factors,and promote the elimination of pathological products such as phlegm,turbidity,stasis,and toxin.When treating turbidity,stasis,and toxin pattern,treatment should not be confined to conventional methods.But based on the state of dampness,turbidity,and blood stasis,the methods of strengthening Yang for diuresis,and promoting the original source of fluid movement in the body,and regulating and smoothing the Qi flow in the zang fu viscera should be used to resolve turbidity and remove dampness;The use of methods such as promoting blood circulation,blood-breaking and blood dissemination,and promoting saliva production to moisten the intestines for defecation can help with blood circulation;The use of wind medicine again enhances yang qi in the body,which transports nutrients to the heart and lungs through the spleen,and transforms into qi and blood to nourish the whole body,and eliminates hiding evil.
作者
祖玥
肖颖媚
戴玲玲
ZU Yue;XIAO Yingmei;DAI Lingling(The First Clinical Medical College of Shandong University of Traditional Chinese Medicine,Jinan 250355,China;The Fourth Department of Oncology,Yantai Traditional Chinese Medicine Hospital,Yantai 264000,China)
出处
《长春中医药大学学报》
2024年第12期1325-1329,共5页
Journal of Changchun University of Chinese Medicine
基金
国家中医药管理局科技司共建科技项目(GZY-KJS-SD-2023-017)
山东省中医药科技项目(2020M132)。
关键词
结直肠癌
侯爱画
浊瘀
癌毒
colorectal cancer
Hou Aihua
turbidity and stasis
carcinogenic toxicity