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"主客交"理论在溃疡性结肠炎"炎-癌"转化中的应用OACSTPCD

Application of the theory of"interaction between host and guest"in"inflammation-cancer transformation"of ul-cerative colitis

中文摘要英文摘要

结直肠癌是目前世界上最常见的消化道恶性肿瘤之一,其发生率和死亡率均较高,治疗预后较差,已成为威胁人们生命安全的重大公共卫生问题.目前结直肠癌的发病机制仍未十分清楚,溃疡性结肠炎作为结直肠癌发病的重要危险因素,如何有效阻断溃疡性结肠炎向结直肠癌的演变已成为众多医学者亟待攻克的重点.中药复方在治疗溃疡性结肠炎,预防其反复发作,降低结直肠癌发病率等方面有着极大的优势和特色."主客交"理论来源于吴又可所著的《温疫论》,经过后世医家的不断补充和创新,现多用于临床指导治疗各种慢性痼疾.溃疡性结肠炎"炎-癌"转化属于中医"痼疾"的范畴,其动态转化过程中虚实夹杂、本虚标实的正邪交争与"主客交"理论正虚邪客,客邪胶固于血脉缠绵难解的过程相一致,并且在两者的治法上彼此相通.因此本文以"主客交"理论为切入点,在该理论视角下阐述中药复方干预溃疡性结肠炎"炎-癌"转化的重要作用,以体现其在临床中的指导价值,同时为今后疑难病症的治疗提供思路.

Colorectal cancer is one of the most common malignant tumors of the digestive system in the world,with high in-cidence,low overall survival rate and poor prognosis after treatment.It has become a major public health problem that threatens people's life and health.At present,the pathogenesis of colorectal cancer is still not Since the pathogenesis of gastric cancer is still not fully understood.Ulcerative colitis is an important risk factor for colorectal cancer.How to effectively block the evolution of ulcerative colitis to colorectal cancer has become the focus of many medical researchers.Traditional Chinese medicine has great advantages and characteristics in treating ulcerative colitis,preventing its recurrence and reducing the incidence rate of colorectal cancer.The theory of"interaction between host and guest"was first proposed by wu youxing,a febrile disease physician,in"The Treatise on Warm Epidemic Diseases".The theory of"interaction between host and guest"comes from Wenyi Lun(Trea-tise on Pestilence)written by Wu You ke and has been applied to the treatment of protracted diseases for a long time.Ulcerative colitis"inflammation-cancer transformation"belongs to the category of"protracted diseases"of traditional Chinese medicine.Its evolution process is characterized by a combination of deficiency and excess,which is consistent with the core pathogenesis of"in-teraction between host and guest",namely,positive deficiency and evil guest,and guest pathogen cementation in the blood ves-sels.Therefore,the article takes the theory of"interaction between host and guest"as the breakthrough point,and expounds the intervention effect of chinese medicine on precancerous lesions of"inflammation-cancer transformation"of ulcerative colitis from the perspective of this theory,reflecting its important guidance value,and providing new ideas for clinical treatment of intractable diseases.

孔维枝;曹志群;黄文文;姜璐;李晓彤;张傲

山东中医药大学第一临床医学院,济南 250355山东中医药大学附属医院,济南 250011辽宁中医药大学,沈阳 118047

临床医学

主客交理论溃疡性结肠炎炎癌转化肿瘤微环境结直肠癌

the theory of interaction between host and guestulcerative colitisinflammation-cancer transformationtumor microenvironmentcolorectal cancer

《四川中医》 2024 (002)

34-38 / 5

济南市临床医学科技创新计划(编号:202019154).

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