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基于癌毒病机理论辨治前列腺癌OA北大核心CSTPCD

Syndrome differentiation and treatment of carcinoma of prostate based on the pathogenesis theory of cancer toxin

中文摘要英文摘要

本团队继承国医大师周仲瑛"癌毒"学术思想,建立癌毒病机理论,并构建中医肿瘤癌毒病机辨治体系.癌毒病机理论提出,癌毒是导致恶性肿瘤发生、发展的关键因素,恶性肿瘤的基本病机为邪毒蕴结、正气亏虚.本文提出前列腺癌的主要病理因素是虚、湿、热、瘀、毒;核心病机为脾肾亏虚、湿热瘀毒蕴结精室;病位在精室,与肾、膀胱密切相关,并涉及肝、脾.临证应以抗癌解毒、扶正祛邪为基本治疗原则,其中,抗癌解毒为核心,补益脾肾为根本,清热化湿、祛瘀散结为关键,佐以疏肝理气,同时,强调整体辨证,以平为期,扶正不留邪,祛邪不伤正.本文以癌毒病机理论为指导,阐述前列腺癌的辨证治要,突出癌毒病机理论在治疗本病中的关键作用,为中医药辨治前列腺癌提供参考.

Our team created the pathogenesis theory of cancer toxin in traditional Chinese medicine on the basis of inheriting the academic thought of "cancer toxins" of ZHOU Zhongying, a Chinese medical master.The pathogenesis theory of cancer toxin suggests that cancer toxins is the key factor leading to the occurrence and development of malignant tumors, the basic pathogenesis of malignant tumor is accumulation of evil and toxins, deficiency of vital qi. This paper proposes that the main pathological factors of carcinoma of prostate are deficiency, dampness, heat, stasis and toxins. The core pathogenesis was spleen and kidney deficiency, dampness-heat stasis toxin accumulation in essence chamber. The disease is located in the essence chamber, closely related to kidney and bladder, and involves liver and spleen. Clinical treatment is based on anti-cancer and detoxification, strengthening vital qi to eliminate pathogenic factor as the basic treatment principles, treatment with anti-cancer detoxification as the core, tonifying the spleen and kidney as the fundamental, clearing heat and removing dampness, removing blood stasis and dispersing is key, accompanied by dispersing liver and regulating qi, the whole syndrome differentiation, to maintain a stable period of time. Strengthening vital qi does not leave evil, eliminating evil does not harm vital qi. Guided by the pathogenesis theory of cancer toxin, this paper expounds the treatment of carcinoma of prostate based on syndrome differentiation and highlights the key role of the pathogenesis theory of cancer toxin in the treatment of this disease, providing reference for the differentiation and treatment of carcinoma of prostate.

李晨;姚源;李柳;王俊壹;程海波

南京中医药大学第一临床医学院 南京 210023南京中医药大学第一临床医学院 南京 210023||江苏省中医药防治肿瘤协同创新中心南京中医药大学附属医院

中医学

癌毒病机理论前列腺癌辨证论治治则治法

cancer toxinpathogenesis theorycarcinoma of prostatetreatment based on syndrome differentiationtherapeutic principles and methods

《北京中医药大学学报》 2024 (003)

307-311 / 5

国家重点研发计划项目(No.2022YFC3500200,No.2022YFC3500201);国家中医药管理局中医药创新团队及人才支持计划项目(No.ZYY-CXTD-C-202208);国家中医药管理局高水平中医药重点学科建设项目(国中医药人教函[2023]85号);江苏高校"青蓝工程"资助项目(苏教师函[2023]27号) National Key R&D Program of China(Nos.2022YFC3500200 and 2022YFC3500201)

10.3969/j.issn.1006-2157.2024.03.003

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