北京中医药大学学报2025，Vol.48Issue(11)：1595-1601,7.DOI:10.3969/j.issn.1006-2157.2025.11.015
从肾虚为本,毒瘀为使探析食管鳞状细胞癌辨治思路
Diagnostic and treatment strategies for esophageal squamous cell carcinoma from the perspective of kidney deficiency as the root cause and toxicity and stasis as the enabler
摘要
Abstract
Esophageal squamous cell carcinoma(ESCC)is a common malignant tumor with insidious early symptoms and a poor prognosis.In traditional Chinese medicine(TCM),ESCC is classified as"ye ge."Drawing on clinical experience,we believe that kidney deficiency leads to the deficiency of vital qi and immune dysfunction,providing the foundation for cancerous growth by depleting qi and damaging essence,toxic stasis and stagnation,forming a local hypoxic and acidic microenvironment that promotes tumor invasion,metastasis,and recurrence.Considering the effect of modern comprehensive treatments,the occurrence and development of ESCC are summarized as kidney deficiency being the root cause and toxic stasis being the driving force.The pathogenesis and treatment of ESCC in the preoperative,postoperative,and non-surgical treatment stages are discussed.The pathogenesis of the disease is summarized as follows:preoperatively,toxicity and stasis intertwine,depleting the kidney;postoperatively,the kidney loses its vitality,allowing various pathogenic factors to persist;during non-operative treatment,vital qi and pathogens contend,resulting in entrenched toxicity.During the preoperative neoadjuvant phase,therapy should resolve stasis,eliminate toxins,enhance kidney function,tonify essence,and support the body.During the postoperative adjuvant phase,therapy should strengthen the root and consolidate the foundation while detoxifying and expelling stasis.The non-surgical treatment stage uses"balanced interruption,"targeting tumor progression and metastasis by harmonizing yin and yang,thus preventing recurrence.This article will provide insights into the integrative Chinese-Western management of ESCC.关键词
食管鳞状细胞癌/新辅助治疗/综合治疗/肾虚/毒瘀Key words
esophageal squamous cell carcinoma/neoadjuvant therapy/comprehensive treatment/kidney deficiency/toxicity and stasis分类
中医学引用本文复制引用
于婧杰,李思聪,胡圣涓,崔译元,金玥,陈昱帆,闫逸婧,冯利..从肾虚为本,毒瘀为使探析食管鳞状细胞癌辨治思路[J].北京中医药大学学报,2025,48(11):1595-1601,7.基金项目
国家重点研发计划项目(No.2023YFC3503200,No.2023YFC3503203) National Key R&D Program of China(Nos.2023YFC3503200 and 2023YFC3503203) （No.2023YFC3503200,No.2023YFC3503203）
