李琦教授运用小柴胡汤合方辨治肿瘤
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摘要
通过对李琦教授运用小柴胡汤加减治疗肿瘤及其相关并发症典型案例的分析,总结李琦教授辨治肿瘤的临床经验及学术思想。李琦教授认为,气机失畅是一条贯穿肿瘤患者不同病程的关键病机,调畅气机当为中医药防治肿瘤的基本治法之一。临证中,李琦教授以六经辨证为纲,结合脏腑辨证、八纲辨证和经络辨证等。六经辨证上,李琦教授以少阳病"邪犯少阳,枢机不利"病机为主,常结合六经并病、合病的规律进行治疗。脏腑辨证上,李琦教授对于肿瘤术后和放化疗后患者,注重从脾肾论治,尤以顾护脾肾阳气为要。经络辨证上,李琦教授依据少阳位居半表半里及其循行路线,提出凡是开阖不利和病位在机体侧面的病症,皆可从少阳病论治的观点。
Based on the analysis of Professor LI Qi's clinical application of Xiaochaihu decoction in the treatment of tumor and related complications of typical cases, we summarized the clinical experience and academic thoughts of Professor LI Qi in treating tumors. Professor LI Qi thinks that the disfunction of qi is a key pathogenesis of different courses in tumor patients and smoothing the flow of qi should be one of the basic methods for Traditional Chinese medicine to prevent and cure tumor. In clinical practice, Professor LI Qi takes syndrome-differentiation of the six meridians as the main method, meanwhile, combined syndrome-differentiation of zang-fu viscera and syndrome differentiation of eight elements and syndrome differentiation of meridians.In syndrome-differentiation of the six meridians, Professor LI Qi takes Shaoyang dysfunction as the key pathogenesis, which is combined with other six meridians disease. In syndrome-differentiation of zang-fu viscera, Professor LI Qi pays more attention to the treatment of spleen and kidney, especially to protect the yang of spleen and kidney. In syndrome differentiation of meridians, Professor LI Qi thinks that we can treat tumor from Shaoyang disease because that Shaoyang stands on the semiexterior-interior of the body and according to its circulating routine.
Based on the analysis of Professor LI Qi's clinical application of Xiaochaihu decoction in the treatment of tumor and related complications of typical cases, we summarized the clinical experience and academic thoughts of Professor LI Qi in treating tumors. Professor LI Qi thinks that the disfunction of qi is a key pathogenesis of different courses in tumor patients and smoothing the flow of qi should be one of the basic methods for Traditional Chinese medicine to prevent and cure tumor. In clinical practice, Professor LI Qi takes syndrome-differentiation of the six meridians as the main method, meanwhile, combined syndrome-differentiation of zang-fu viscera and syndrome differentiation of eight elements and syndrome differentiation of meridians.In syndrome-differentiation of the six meridians, Professor LI Qi takes Shaoyang dysfunction as the key pathogenesis, which is combined with other six meridians disease. In syndrome-differentiation of zang-fu viscera, Professor LI Qi pays more attention to the treatment of spleen and kidney, especially to protect the yang of spleen and kidney. In syndrome differentiation of meridians, Professor LI Qi thinks that we can treat tumor from Shaoyang disease because that Shaoyang stands on the semiexterior-interior of the body and according to its circulating routine.
引文
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[11]张淼,田劭丹,刘莉,等.恶性肿瘤患者体质特点及化疗后白细胞减少症体质原因分析[J].吉林中医药,2017,37(1):14-18.
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[14]杨晨光,许鹏,曹永升,等.桂枝去芍药加麻黄附子细辛汤治疗恶性肿瘤心得[J].中医杂志,2012,53(3):253-254.
[15]陈柯羽,张青.经方治疗肿瘤并发症验案3则[J].中医药导报,2016(13):77-78.
[16]庞贞平.麻黄附子细辛汤加味治疗晚期肿瘤发热30例[J].四川中医,2011(12):57.
[17]陈明,马召田,张水馨.麻黄细辛附子汤应用近况[J].辽宁中医药大学学报,2013(2):5-9.
[18]刘春红,裴云芳,侯媛媛.麻黄附子细辛汤研究进展[J].山东中医杂志,2016(3):270-273.
[19]李营,范孝成.经方在肿瘤治疗中的运用[J].中国中医药现代远程教育,2015,13(5):155-156.
[2]刘誉华,胡业建,杜文飞,等.消化道相关性口腔溃疡的中西医临床研究[J].吉林中医药,2011,31(6):525-527.
[3]谢春娥,薛晓轩.中医治疗复发性口腔溃疡的临床研究概述[J].环球中医药,2012,5(10):793-797.
[4]刘玉良.论张景岳研究《伤寒论》的特色与成就[J].河南中医,2010,30(4):319-322.
[5]白鸽,赵鸣芳.《伤寒论》三阳合病治疗浅析[J].河南中医,2015,35(7):1465-1466.
[6]钱超,陆清昀,张晓春.中医药治疗乳腺癌术后[J].长春中医药大学学报,2014,30(2):259-261.
[7]何帅,殷东风,高宏,等.柴胡龙牡汤治疗恶性肿瘤忧郁随机平行对照研究[J].实用中医内科杂志,2015(5):31-33.
[8]邓暖繁.柴胡龙骨牡蛎汤治疗恶性肿瘤化疗后并发抑郁症临床观察[J].光明中医,2012,27(1):76-78.
[9]王锦辉,王建华,刘洪伟,等.柴胡加龙骨牡蛎汤加减方联合心理干预治疗肿瘤后抑郁临床研究[J].中国中医药信息杂志,2016,23(11):22-24.
[10]张璐,王锦辉,王建华,等.柴胡加龙骨牡蛎汤联合心理干预治疗肿瘤后抑郁的随机对照研究[J].天津中医药大学学报,2016,35(5):302-305.
[11]张淼,田劭丹,刘莉,等.恶性肿瘤患者体质特点及化疗后白细胞减少症体质原因分析[J].吉林中医药,2017,37(1):14-18.
[12]高宇,王晞星.肾癌中医病因病机探析[J].吉林中医药,2013,33(10):978-979.
[13]汤钊猷.现代肿瘤学[M].3版,上海:复旦大学出版社,2011.
[14]杨晨光,许鹏,曹永升,等.桂枝去芍药加麻黄附子细辛汤治疗恶性肿瘤心得[J].中医杂志,2012,53(3):253-254.
[15]陈柯羽,张青.经方治疗肿瘤并发症验案3则[J].中医药导报,2016(13):77-78.
[16]庞贞平.麻黄附子细辛汤加味治疗晚期肿瘤发热30例[J].四川中医,2011(12):57.
[17]陈明,马召田,张水馨.麻黄细辛附子汤应用近况[J].辽宁中医药大学学报,2013(2):5-9.
[18]刘春红,裴云芳,侯媛媛.麻黄附子细辛汤研究进展[J].山东中医杂志,2016(3):270-273.
[19]李营,范孝成.经方在肿瘤治疗中的运用[J].中国中医药现代远程教育,2015,13(5):155-156.
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