摘要
肿瘤作为慢性消耗性疾病,受手术、放化疗等多因素影响,常见阳气虚羸、气虚下陷证,在临床对符合方证的肿瘤患者应用升陷培本法,往往可获佳效。经方作为中医传承的重要组成部分,独具药专力宏特性,深入挖掘经方在临床的应用,可继承、发展中医精髓。文章提出升陷培本法的基本概念,认为应辨病-辨证-辨症-辨体-辨志,五辨四诊相结合,并据“因势利导”的治疗法则可将升陷培本用于:胸部肿瘤术后的大气下陷、癌因性疲乏的中气下陷与盆腔恶性肿瘤术后的肾气下陷,并举隅临床经方—升陷汤、补中益气汤、肾气丸及其方证主要证候和脉象,且后附医案以证之。
As a chronic consumptive disease,tumor is affected by many factors such as surgery,radiotherapy and chemotherapy.Yang Qi deficiency syndrome and Qi deficiency collapse syndrome are common.The application of ascending the collapse and tonifying the root method to tumor patients who can be treated with classical formulae and syndromes can often achieve good results.As an important part of the inheritance of traditional Chinese medicine,classical formula has the unique characteristics of better effect.By deeply excavating the clinical application of classical formulae,we can inherit and develop the essence of traditional Chinese medicine.This paper puts forward the basic concept of ascending the collapse and tonifying the root method,which should be combined with disease differentiation,syndrome differentiation,body differentiation,ambition differentiation,five differentiation and four diagnosis methods.According to the treatment principle of“taking advantage of the situation”,ascending the collapse and tonifying the root method can be used for:Qi depression after thoracic tumor operation,middle Qi depression due to cancer fatigue and renal Qi depression after pelvic malignant tumor operation,and gives examples of Shengxian Decoction(升陷汤),Buzhong Yiqi Decoction(补中益气汤)and Shenqi Pill(肾气丸)and the main symptoms and pulse which are accompanied by medical records.
作者
曹璐畅
李杰
CAO Luchang;LI Jie(Guang′anmen Hospital of China Academy of Chinese Medical Sciences,Beijing 100053,China)
出处
《辽宁中医杂志》
CAS
2022年第3期32-35,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金(81273946,81473463,81774289)
关键词
升陷培本法
五辨四诊
因势利导
大气下陷
中气下陷
肾气下陷
ascending the collapse and tonifying the root method
five differentiation and four diagnosis methods
improving occasion
vital Qi collapse
collapse of middle Qi
kidney Qi collapse
作者简介
曹璐畅(1996-),女,河北人,硕士研究生,研究方向:中药干预肿瘤复发转移的研究;通讯作者:李杰(1971-),男,河北人,主任医师,博士,研究方向:中药干预肿瘤复发转移的基础与临床研究。
