1.南京中医药大学附属盐城市中医院 盐城 224000
2.南京中医药大学第一临床医学院
3.江苏省中医药防治肿瘤协同创新中心
张夏玲,女,硕士,住院医师
# 程海波,男,博士,主任医师,教授,博士生导师,主要研究方向:中医药防治肿瘤,E-mail:haibocheng@njucm.edu.cn
纸质出版日期:2023-05-30,
网络出版日期:2023-04-12,
收稿日期:2022-11-09,
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张夏玲, 程海波, 李柳. 基于癌毒病机理论辨治卵巢癌[J]. 北京中医药大学学报, 2023,46(5):736-740.
ZHANG Xialing, CHENG Haibo, LI Liu. Differentiation and treatment of ovarian cancer based on the pathogenesis theory of cancer toxin[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(5):736-740.
张夏玲, 程海波, 李柳. 基于癌毒病机理论辨治卵巢癌[J]. 北京中医药大学学报, 2023,46(5):736-740. DOI: 10.3969/j.issn.1006-2157.2023.05.022.
ZHANG Xialing, CHENG Haibo, LI Liu. Differentiation and treatment of ovarian cancer based on the pathogenesis theory of cancer toxin[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(5):736-740. DOI: 10.3969/j.issn.1006-2157.2023.05.022.
癌毒病机理论是在传承国医大师周仲瑛“癌毒”学说的基础上创建的癌毒病机辨治体系,其以癌毒为中心,阐述了肿瘤发生发展的病机演变规律,为肿瘤的辨证论治提供了重要指导。癌毒病机理论认为,卵巢癌的病位在胞宫、冲任,与肝、肾密切相关。其主要病理因素为虚、瘀、湿、毒,其中,以瘀为主,而夹毒。其核心病机为肝肾两虚,湿浊瘀毒。病机演变过程始于肝肾两虚,继而精、气、血亏虚,脉道失养,因虚致瘀,阻滞气机,津液失布,湿浊内生,湿瘀互结,癌毒内生,癌毒损正,又加重肝肾两虚。临床治疗上,当以抗癌解毒为核心,祛瘀消癥为关键,利湿化浊为要点,培补肝肾为根本。以癌毒病机理论为依据,结合临床实践,探讨卵巢癌的病理因素、核心病机、病机演变规律及治则治法,以期为卵巢癌的辨证论治提供新思路,从而进一步提高中医药治疗卵巢癌的临床疗效。
The pathogenesis theory of cancer toxin is a system for differentiating and treating cancer toxin established by our team on the basis of the academic thought of cancer toxin proposed by Zhou Zhongying
a master of traditional Chinese medicine. It elaborates the pathogenesis and evolution rule of tumor occurrence and development with cancer toxin as the center
and provides important guidance for clinical tumor differentiation and treatment. According to the pathogenesis theory of cancer toxin
ovarian cancer is located in the uterus and thoroughfare and controlling vessels
and closely related to the liver and kidney. The pathological factors mainly include deficiency
blood stasis
dampness and toxin
among which blood stasis is the focus with toxin contained. The core pathogenesis is deficiency of both liver and kidney and dampness
blood stasis
cancer toxin. The pathogenesis begins with deficiency of the liver and kidney. Then
because of the development of essence
qi and blood deficiency
blood vessels lack nutrition
leading to qi stagnation and blood stasis. As the disease progresses
the body fluid distribution is changed and endogenous dampness combines with blood stasis
which induces the formation of cancer toxin. At last
cancer toxin damages vital qi and aggravates the liver and kidney deficiency. Treatment should focus on the core principle of anti-cancer and detoxification. Removing blood stasis and dispersing dampness are key objective
with nourishment of the liver and kidney as the basis. Based on the pathogenesis theory of cancer toxin and clinical practice
this article explores the pathological factors
core pathogenesis
pathogenesis evolution rules
therapeutic principles and methods of ovarian cancer. This article is mainly aimed at providing new ideas for syndrome differentiation and treatment of ovarian cancer and to further improve the clinical efficacy of ovarian cancer treatment with traditional Chinese medicine.
癌毒病机理论卵巢癌治则治法辨治体系
pathogenesis theory of cancer toxinovarian cancertherapeutic principles and methodssyndrome differentiation and treatment system
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