中国中医科学院广安门医院 北京 100053
李奕,男,在读硕士生
# 庞博,男,博士,主任医师,博士生导师,主要研究方向:中医药肿瘤防治与名老中医经验传承方法学,E-mail: drpangbo@gmail.com
纸质出版日期:2023-06-30,
网络出版日期:2023-05-26,
收稿日期:2022-11-26:,
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李奕, 庞博, 花宝金, 等. 基于中医“窍”理论的肿瘤证治思路探析[J]. 北京中医药大学学报, 2023,46(6):874-878.
LI Yi, PANG Bo, HUA Baojin, et al. Analysis of tumor treatment ideas based on the "orifice" theory of traditional Chinese medicine[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(6):874-878.
李奕, 庞博, 花宝金, 等. 基于中医“窍”理论的肿瘤证治思路探析[J]. 北京中医药大学学报, 2023,46(6):874-878. DOI: 10.3969/j.issn.1006-2157.2023.06.021.
LI Yi, PANG Bo, HUA Baojin, et al. Analysis of tumor treatment ideas based on the "orifice" theory of traditional Chinese medicine[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(6):874-878. DOI: 10.3969/j.issn.1006-2157.2023.06.021.
中医“窍”理论最早可追溯至《黄帝内经》,“窍”常指自然界或人体内的孔穴、孔道。本文基于中医“窍”理论的概念考证,试将其引入肿瘤证治研究,通过发散内外整体观、上下整体观、动静整体观等思维,认为孔窍是内外环境沟通的门户,机窍是气机升降出入的通道,神窍是形气协调驱动的本源,提出以“孔窍不通-机窍不利-神窍不用”为框架的肿瘤发生学体系。并据“窍”病变部位、肿瘤演进阶段、邪正虚实变化之不同,灵活采取宣孔窍、利机窍、调神窍的肿瘤治疗方法,以期为开展基于中医“窍”理论的恶性肿瘤辨证施治提供新的研究思路与视角。
The theory of "orifice" in traditional Chinese medicine (TCM) can be traced back to the
Huangdi Neijing
which often refers to holes and channels in nature or the human body. Based on the textual research of the concept of "orifice" theory in TCM
this paper introduces it into the research of syndrome differentiation and treatment of tumor. Through the divergent thinking perspective of internal and external holistic view
upper and lower holistic view
and dynamic and static holistic view
it is considered that the "kong qiao" is the gateway for the communication between the internal and external environment
the "ji qiao" is the channel for the qi activity
and the "shen qiao" is the origin of the coordinated drive physique and qi. A tumorigenesis system based on the framework of "kong qiao blocked
ji qiao obstructed
shen qiao impeded" is proposed. Based on the different pathological locations of "orifice"
tumor progression stage
and the changes of pathogenic or healthy qi
deficiency
and excess
we should flexibly adopt the tumor treatment method of resuscitating or opening(xuan) kong qiao
promoting (li) ji qiao
and regulating (tiao) shen qiao
to provide new research ideas and perspectives for the syndrome differentiation and treatment of malignant tumors based on the theory of "orifice" of TCM.
窍肿瘤发生学证治思维整体观
orificetumorsgenesissyndrome differentiation and treatment ideasholistic view
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