主 办:北 京 中 医 药 大 学
ISSN 2095-6606 CN 10-1157/R

现代中医临床 ›› 2020, Vol. 27 ›› Issue (4): 72-76.doi: 10.3969/j.issn.2095-6606.2020.04.018

• 思路与方法 • 上一篇    

引火归元以扶阳固本治疗大肠癌理论探析*

张育伟1, 周琴2, 王超然1, 李彬彬1, 王一同1, 蒋璐剑1, 吴娜1, 左明焕2#   

  1. 1 北京中医药大学 北京 100029;
    2 北京中医药大学东方医院
  • 发布日期:2020-07-30
  • 通讯作者: #左明焕,女,硕士,主任医师、教授,博士生导师
  • 作者简介:张育伟,女,在读硕士生
  • 基金资助:
    *北京市科技计划课题(No.D161100005116004)

Theoretical thoughts and investigation of guiding fire to origin to support yang and strengthen body resistance in the treatment of colorectal cancer*

Zhang Yuwei1, Zhou Qin2, Wang Chaoran1, Li Binbin1, Wang Yitong1, Jiang Lujian1, Wu Na1, Zuo Minghuan2#   

  1. 1 Beijing University of Chinese Medicine, Beijing 100029;
    2 Dongfang Hospital, Beijing University of Chinese Medicine
  • Published:2020-07-30

摘要: 大肠癌是常见的消化系统恶性肿瘤,中医治疗大肠癌有着独特的优势。引火归元作为从《黄帝内经》中延伸的一种治疗法则,为临床辨证论治、增强治疗效果提供了思路。大肠癌的发生发展过程与相火离位、脾肾亏虚、阳气不足有关。先天禀赋不足,加之外邪侵袭,相火易离其位,导致机体脾肾亏虚、阳气不足,病理产物堆积,易发展为大肠癌,癌毒损伤机体阳气,同时经过手术、化疗等治疗后,阳虚更甚,脾肾不足,致离位之相火不能归位,形成恶性循环,病情日渐加重。引火归元法作为扶阳法中重要的一部分,可引离位之相火下行、温补脾肾、扶助补益阳气。应用引火归元法治疗大肠癌的代表方有肾气丸、潜阳封髓丹及引火汤,根据症状灵活加减,可提高临床疗效。

关键词: 大肠癌, 引火归元, 扶阳固本

Abstract: Colorectal cancer is a common malignant tumor of the digestive system. The treatment of colorectal cancer in traditional Chinese medicine has its unique advantages. As a treatment principle extended from Huangdi Neijing (The Yellow Emperor's Inner Classic), guiding fire to origin provides us train of thoughts for treatment based on syndrome differentiation and enhanced therapeutic efficacy. The occurrence and development of colorectal cancer is related to the phase of fire separation, insufficiency of the spleen and kidney, and deficiency of yang qi. The inadequate innate endowment, coupled with the invasion of external pathogens, makes it easy for fire to leave its position, resulting in deficiency of the spleen and kidney and the deficiency of yang qi. As a result, pathological products are increasingly accumulated in the body, which can easily lead to the formation and development of colorectal cancer. The cancerous toxin injures the body's yang qi. Moreover, yang deficiency becomes even worse following surgery, chemotherapy and other treatments, the spleen and kidney are deficient, and the dislocated phase of fire cannot return to its original position, forming a vicious circle and increasingly aggravating the disease. As an important part of the fuyang method, guiding fire to origin can guide the dislocated phase of fire downward, warm up the spleen and kidney, and aid the yang qi. The representative prescriptions of treating colorectal cancer with guiding fire to origin method are Shenqi Pill, Qianyang Fengsui Pill and Yinhuo Decoction, which can be modified flexibly according to symptoms to improve the clinical efficacy.

Key words: colorectal cancer, guiding fire to origin, supporting yang and strengthening body resistance

中图分类号: 

  • R273