1.天津中医药大学第一附属医院 天津 300381
2.国家中医针灸临床医学研究中心
韩增风,女,在读硕士生
# 孙彬栩,女,博士,副主任医师,E-mail:sunbinxu@126.com
纸质出版日期:2023-09-30,
收稿日期:2023-01-04,
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韩增风, 牛小玉, 查春媛, 等. 基于“培中焦,黜下焦”探析贾英杰辨治大肠癌[J]. 现代中医临床, 2023,30(5):102-106.
HAN Zengfeng, NIU Xiaoyu, CHA Chunyuan, et al. Discussion on Jia Yingjie’s experience in the treatment of colorectal cancer based on the theory of "banking up the middle
韩增风, 牛小玉, 查春媛, 等. 基于“培中焦,黜下焦”探析贾英杰辨治大肠癌[J]. 现代中医临床, 2023,30(5):102-106. DOI: 10.3969/j.issn.2095-6606.2023.05.021.
HAN Zengfeng, NIU Xiaoyu, CHA Chunyuan, et al. Discussion on Jia Yingjie’s experience in the treatment of colorectal cancer based on the theory of "banking up the middle
结直肠癌是消化道常见恶性肿瘤之一,在我国发病率及病死率高,且肠癌年轻化趋势逐渐明显,中晚期肠癌治疗疗效不佳,易进展复发。全国名中医贾英杰教授结合多年临床经验,在既往学术理论的基础上,从浊邪致病角度提出“癌浊”病机新理论,并形成了“黜浊培本”治癌新法则,贾教授认为肠癌所成,浊者为先,浊当属阴,其性趋下,以中下二焦变证为多,湿浊下注,毒瘀蕴藉是其病机关键,治疗上遵循“培中焦,黜下焦”理论,坚守培本,健脾调气运中以扶正,多面黜浊,以通为用以祛邪,化裁古方,动态辨治,临床上辨病与辨证相辅相成,脏腑辨证与三焦辨证相得益彰,在整体论治指导下,选药精当,临床屡见佳效,本文简介贾教授临证辨治中晚期肠癌经验,并附验案1则以证之。
Colorectal cancer is one of the common malignant tumors of the digestive tract
with high incidence and mortality rate in China
and the trend of colorectal cancer becoming more prevalent among younger individuals is increasingly evident. Professor Jia Yingjie
laureate of the title "National Prestigious TCM Doctor"
put forward based on decades of clinical experience and existing theories a new idea on the pathogenesis of "cancer turbidity"
and created a new rule of "dethroning turbidity and banking up the foundation" to treat cancer. He believed that when cancer occurs
turbidity should be the primary cause
which is yin in nature and therefore tends to descend
leading to the fact that patterns involving the middle and lower
jiao
are most common. Dampness turbidity pouring downwards and the result ant accumulation of toxin and blood stasis are key to the disease. The treatment should follow the principle of "banking up the middle
jiao
and dethroning the lower
jiao
"
adhere to banking up the foundation
reinforce healthy qi by fortifying the spleen
regulating qi
and activating the middle
jiao
. Turbidity should be dethroned in multiple ways
so as to eliminate evil. Modified versions of ancient prescriptions can used and the treatment should be adjusted flexibly. This has been proved to be effective in clinical practice. Differentiation of diseases and syndromes complement each other
so do syndrome differentiation based on
zang
-
fu
organs and the three
jiao
. Under the guidance of holistic treatment and careful selection of herbs
desirable clinical result have been achieved
which is demonstrated in this article
evidenced by one case record.
大肠癌名医经验中医治疗贾英杰
colorectal cancerfamous physicians’ experiencetraditional Chinese medicineJia Yingjie
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