1.北京中医药大学 北京 100029
2.北京中医药大学东方医院
杜若芳,女,在读硕士生
#卫月,女,硕士,主治医师,E-mail:zigi622@126.com
纸质出版日期:2023-11-30,
收稿日期:2022-12-02,
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杜若芳, 曹阳, 梁秋然, 等. 从“寒者热之”探讨深部热疗在肿瘤绿色治疗中的应用[J]. 现代中医临床, 2023,30(6):28-31.
DU Ruofang, CAO Yang, LIANG Qiuran, et al. Discussion on the application of deep thermal therapy in green therapy of tumors from the perspective of "treating cold with heat"[J]. Modern Chinese Clinical Medicine, 2023,30(6):28-31.
杜若芳, 曹阳, 梁秋然, 等. 从“寒者热之”探讨深部热疗在肿瘤绿色治疗中的应用[J]. 现代中医临床, 2023,30(6):28-31. DOI: 10.3969/j.issn.2095-6606.2023.06.006.
DU Ruofang, CAO Yang, LIANG Qiuran, et al. Discussion on the application of deep thermal therapy in green therapy of tumors from the perspective of "treating cold with heat"[J]. Modern Chinese Clinical Medicine, 2023,30(6):28-31. DOI: 10.3969/j.issn.2095-6606.2023.06.006.
“肿瘤绿色治疗”模式是一种肿瘤防治新体系,该体系以“现代微创技术+中医药调理”为主要治疗手段,强调对肿瘤的控制而非根治。在“肿瘤绿色治疗”模式中,肿瘤被认为是一种“有生命”的邪气,寒热是阴阳范围内的有形之物,在肿瘤形成早期,肿块局部由寒痰血瘀等邪实构成,其“体阴而用阳”的特性致使患者整体日渐多虚多寒。根据邪正盛衰的变化特点,“肿瘤绿色治疗”模式将肿瘤发展分为急性期、慢性期和隐匿期,并针对性确定了“霸道”“王道”“帝道”3种治疗方法。从寒热角度来讲,深部热疗属热性,根据“寒者热之”的原则,深部热疗可在慢性期和隐匿期发挥温阳散寒的作用。在慢性期,深部热疗发挥扶正和祛邪的双重作用,重在调理慢性期患者全身不适症状。在隐匿期,“帝道”重在协调阴阳,改善患癌体质。治疗前,综合评估患者体质及证候类型是否适合深部热疗,根据患者身体状况及对热的耐受程度制定个性化治疗方案。“肿瘤绿色治疗”模式将不断探索基于中医属性指导下深部热疗的临床应用,并联合其他治疗方法服务于临床。
The "green therapy of tumors" model is a new cancer prevention and treatment system that primarily utilizes "modern minimally invasive technology + body conditioning with traditional Chinese medicine" as its main approach. It emphasizes controlling cancer rather than curing it. In the "green therapy of tumor" model
cancer is regarded as a "living" pathogenic factor
and the concepts of cold and heat fall within the realm of yin and yang. In the early stages of tumor formation
part of the tumor mass is composed of pathogenic factors such as cold
phlegm
and blood stasis. Due to its characteristic of "yin in physique and yang in function
" the patient gradually develops excessive deficiency and cold. Based on the changing characteristics of the relative strength of pathogenic and healthy factors
the "green therapy of tumors" model divides tumor development into the acute
chronic
and concealing phases. It also specifically identifies three treatment methods
which include the "domineering method
" the "kingly method
" and the "emperor method." From the perspective of cold and heat
deep thermal therapy is considered a heat-inducing treatment. According to the principle of "treating cold with heat"
deep thermal therapy can play a role in warming yang and dispelling cold during the chronic and concealing phases. In the chronic phase
deep thermal therapy has the dual effect of strengthening the body’s resistance and eliminating pathogens. Its focus is relieving the general discomfort symptoms in chronic-phase patients. In the concealing stage
the "emperor method " focuses on coordinating yin and yang and improving the physical fitness of cancer patients. Before treatment
a comprehensive evaluation is made to determine whether the patient’s physical fitness and syndrome type are suitable for the treatment. Personalized plans are made based on the patient’s physical conditions and tolerance to heat. The "green therapy of tumors" model will continue to explore the clinical application of deep thermal therapy under the guidance of traditional Chinese medicine attributes and combine it with other treatment methods in practice.
深部热疗肿瘤绿色治疗寒者热之
deep thermal therapygreen therapy of tumortreating cold with heat
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