论“扶正解毒”与“解毒复正”辨治恶性肿瘤异同

鲁佳敏; 孙磊涛; 傅钰涵; 阮善明; 沈敏鹤

doi:10.3969/j.issn.1006-2157.2023.03.020

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论“扶正解毒”与“解毒复正”辨治恶性肿瘤异同

临床研究 | 更新时间：2023-04-07

- 论“扶正解毒”与“解毒复正”辨治恶性肿瘤异同
- Similarities and differences of "strengthening vital qi and removing toxicity" and "removing toxicity and recuperating vital qi" in the treatment of malignant tumors
- 北京中医药大学学报 2023年46卷第3期页码：421-426
- 作者机构：
  
  浙江中医药大学附属第一医院/浙江省中医院　杭州　310003
- 作者简介：
  
  鲁佳敏，男，在读硕士生
  #沈敏鹤，男，教授，主任医师，博士生导师，主要研究方向：中医药防治恶性肿瘤，E-mail：shenminhe@zcmu.edu.cn
- 基金信息：
  
  中国博士后科学基金资助项目(2021M702928);浙江省自然科学基金项目(LQ22H270008;LY22H290003);浙江省中医药科学研究基金项目(2022ZZ013;2022ZB122);浙江省名老中医专家传承工作室建设项目(GZS2020018);中华中医药学会青年人才托举工程(2021-QNRC2-B13)
- DOI：10.3969/j.issn.1006-2157.2023.03.020
  中图分类号： R273
- 纸质出版日期：2023-03-30，
  
  网络出版日期：2023-01-05，
  
  收稿日期：2022-07-23，
- 稿件说明：
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鲁佳敏, 孙磊涛, 傅钰涵, 等. 论“扶正解毒”与“解毒复正”辨治恶性肿瘤异同[J]. 北京中医药大学学报, 2023,46(3):421-426.

LU Jiamin, SUN Leitao, FU Yuhan, et al. Similarities and differences of "strengthening vital qi and removing toxicity" and "removing toxicity and recuperating vital qi" in the treatment of malignant tumors[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(3):421-426.
鲁佳敏, 孙磊涛, 傅钰涵, 等. 论“扶正解毒”与“解毒复正”辨治恶性肿瘤异同[J]. 北京中医药大学学报, 2023,46(3):421-426. DOI： 10.3969/j.issn.1006-2157.2023.03.020.

LU Jiamin, SUN Leitao, FU Yuhan, et al. Similarities and differences of "strengthening vital qi and removing toxicity" and "removing toxicity and recuperating vital qi" in the treatment of malignant tumors[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(3):421-426. DOI： 10.3969/j.issn.1006-2157.2023.03.020.

摘要

回溯历代中医典籍对“扶正解毒”与“解毒复正”理论内涵的分析，探讨“扶正解毒”与“解毒复正”辨治恶性肿瘤异同。“扶正解毒”和“解毒复正”皆以肿瘤生长转归的两大基础“正”与“毒”为依据。“扶正解毒”强调扶正以纠偏，偏去能匡正，正足则毒散，以“扶正”为第一要务，具体方法包括温阳养阴、理气开郁、补益脾肾等。“解毒复正”注重解毒以祛邪，邪去则正复，正足则复常，其关键在“解毒”，攻除实邪、寻因解毒、以毒攻毒等手段皆为此类。通过临床应用举例，体现两法的可行性与疗效肯定性，为临床肿瘤治疗提供新思路，具有重要的指导意义。

Abstract

By consulting the ancient Chinese medicine classics and analyzing the theoretical connotation of "strengthening vital qi and removing toxicity" and "removing toxicity and recuperating vital qi"

this paper explores the similarities and differences between "strengthening vital qi and removing toxicity" and "removing toxicity and recuperating vital qi" in the treatment of malignant tumors. "Strengthening vital qi and removing toxicity" and "removing toxicity and recuperating vital qi" are both based on "vital qi" and "toxin"

which are the two bases of tumor growth and prognosis. "Strengthening vital qi and removing toxicity" emphasizes strengthening vital qi

correcting deviation

and dispersing toxin

and takes "strengthening vital qi" as the priority. The specific method include nourishing yin and warming yang

regulating qi and dispersing depression

and invigorating the spleen and kidney. "Removing toxicity and recuperating vital qi" pays attention to removing toxicity

eliminating pathogens

and recuperating health

with the key objective being "removing toxicity" . The specific method include attacking excessive pathogens

finding the cause and removing toxicity

and using toxic medicines to enhance the effects on tumors. Through the application of clinical events

this paper demonstrates the feasibility and efficacy of the two methods

providing new ideas for clinical tumor treatment

which is of great guiding significance.

关键词

恶性肿瘤扶正解毒解毒复正正气癌毒

Keywords

malignant tumorstrengthening vital qi and removing toxicityremoving toxicity and recuperating vital qivital qicancerous toxicity

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