1.北京中医药大学研究生院 北京 100029
2.中国中医科学院广安门医院
孙哲拯,男,在读博士生
# 张培彤,男,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:drzhangpeitong@hotmail.com
纸质出版日期:2023-09-30,
网络出版日期:2023-07-20,
收稿日期:2023-05-05,
移动端阅览
孙哲拯, 张培彤. “毒证”证候与“癌毒”病机的概念辨析[J]. 北京中医药大学学报, 2023,46(9):1237-1241.
SUN Zhezheng, ZHANG Peitong. Differentiation and analysis of the concepts of "toxin syndrome" syndromes and "cancerous toxin" pathogenesis[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(9):1237-1241.
孙哲拯, 张培彤. “毒证”证候与“癌毒”病机的概念辨析[J]. 北京中医药大学学报, 2023,46(9):1237-1241. DOI: 10.3969/j.issn.1006-2157.2023.09.008.
SUN Zhezheng, ZHANG Peitong. Differentiation and analysis of the concepts of "toxin syndrome" syndromes and "cancerous toxin" pathogenesis[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(9):1237-1241. DOI: 10.3969/j.issn.1006-2157.2023.09.008.
中医学病机理论认为,毒邪是恶性肿瘤发病及进展的重要因素,由毒邪积聚侵犯人体所表现出的证候被称为“毒证”。“毒证”属于证候的概念,是“风毒证”“湿毒证”等一类证候的总称。而根据不同病邪性质细分后的“毒证”均是内涵独立的病性证素,与“风证”“湿证”等病性证素呈并列关系。但“毒证”在临床中如何被准确辨识仍是目前亟待解决的问题。“癌毒病机学说”明确了“癌毒”是恶性肿瘤的核心病机,也是影响肿瘤发生、进展的特异性病因与病理产物。“癌毒”内涵丰富,其概念属于辨病层次而非辨证层次,不能等同于“毒证”。本文通过对“毒证”与“癌毒”概念的梳理与辨析,对证候要素理论中的“毒证”概念进行补充和完善,亦为恶性肿瘤“毒证”辨识研究提供理论基础与参考。
According to the pathogenesis theory of traditional Chinese medicine(TCM)
toxin pathogen is an important factor in the onset and progression of malignant tumors. The TCM syndrome manifested by the accumulation of toxin invading the human body is called "toxin syndrome" . "Toxin syndrome" belongs to the concept of TCM syndrome and contains a set of TCM syndromes such as "wind-toxin syndrome" and "dampness-toxin syndrome" . These "toxin syndromes" may be subdivided according to the nature of different pathogenic factors as independent pathogenic syndromes with independent connotations that exist in parallel with "wind syndrome"
"dampness syndrome"
and other pathogenic syndromes. However
how to accurately identify a specific "toxin syndrome" in clinical practice remains an important problem that needs to be solved. "Cancerous toxin pathogenesis theory" claims that "cancerous toxin" is the core pathogenesis of malignant tumors and also the specific etiological and pathological product affecting the onset and progression of tumor diseases. "Cancerous toxin" has rich connotations
and this concept is at the level of disease differentiation rather than TCM syndrome differentiation
which renders it dissimilar to the "toxin syndrome" in cancer patients. This paper sorts out and analyzes the concept of "toxin syndrome" and "cancerous toxin"
supplements and improves the concept of "toxin syndrome" in the theory of syndrome elements
and also provides a theoretical basis and reference for identification of "toxin syndrome" in malignant tumors.
恶性肿瘤癌毒证候要素病机
malignant tumorcancerous toxinsyndrome elementpathogenesis
高蓓,初海超,芦文丽,等.2004—2019年中国恶性肿瘤死亡趋势及预测分析[J]. 中华肿瘤防治杂志,2022,29(9):630-634.
吴娜,孙凌云,陈楠,等.健脾补肾序贯方减轻结肠癌辅助化疗所致骨髓抑制疗效观察及机制探讨[J]. 北京中医药,2023,42(4):355-359.
赵越洋,龙顺钦,周宇姝,等.扶正抗癌颗粒联合吉非替尼治疗晚期非小细胞肺癌随机双盲对照试验[J]. 中国中西医结合杂志,2020,40(11):1310-1314.
张佳慧,于明薇,王笑民,等.中医药改善三阴性乳腺癌术后患者生活质量临床观察[J]. 北京中医药大学学报,2022,45(11):1095-1102.
尤怡.金匮要略心典[M].李占永,岳雪莲,点校.北京:中国中医药出版社,2018:32.
朱文锋.证素辨证学[M].北京:人民卫生出版社,2008:228.
周琪,夏士林,刘建均,等.“因毒生热”:毒热理论体系的构建与发展[J]. 中华中医药学刊,2019,37(7):1702-1705.
陈美玲,赵智强.赵智强教授从毒论治病毒性肝炎经验[J]. 四川中医,2018,36(1):8-10.
王靖怡,高嘉良,王阶.心痛热毒论探赜[J]. 中华中医药杂志,2019,34(12):5832-5834.
赵智强,李嘉.略论周仲瑛教授的“癌毒”学说及其临床运用[J]. 新中医,1998,30(10):7-9.
王笑民,张青.基于“癌毒”的肿瘤发生发展规律探讨[J]. 中华中医药杂志,2011,26(7):1533-1536.
张金峰.凌昌全癌毒学说运用经验[J]. 中医杂志,2008,49(8):693.
郁仁存.中西医结合肿瘤学[M].北京:中国协和医科大学出版社,2008:14-15.
王俊壹,程海波.癌毒病机理论与“固本清源”理论辨析[J]. 中华中医药杂志,2019,34(10):4687-4690.
程海波,王俊壹.癌毒病机的生物学基础探讨[J]. 南京中医药大学学报,2019,35(3):241-244.
程海波,吴勉华.周仲瑛教授“癌毒”学术思想探析[J]. 中华中医药杂志,2010,25(6):866-869.
程海波,周仲瑛.癌毒病机科学内涵的现代诠释[J]. 南京中医药大学学报,2021,37(5):637-641.
谭峰,李柳,沈卫星,等.基于癌毒病机理论辨治肿瘤组方思路探讨[J]. 南京中医药大学学报,2021,37(6):837-840.
周计春,邢风举,颜新.国医大师周仲瑛教授治疗癌毒五法及辨病应用经验[J]. 中华中医药杂志,2014,29(4):1112-1114.
赵延华,周仲瑛,吴勉华,等.基于癌毒理论探讨“抗癌解毒药”[J]. 中华中医药杂志,2022,37(12):7146-7149.
0
浏览量
2
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构