基于“培中焦，黜下焦”探析贾英杰辨治大肠癌

韩增风; 牛小玉; 查春媛; 孙彬栩

doi:10.3969/j.issn.2095-6606.2023.05.021

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基于“培中焦，黜下焦”探析贾英杰辨治大肠癌

名老中医经验 | 更新时间：2023-10-12

- 基于“培中焦，黜下焦”探析贾英杰辨治大肠癌
- Discussion on Jia Yingjie’s experience in the treatment of colorectal cancer based on the theory of "banking up the middle jiao and dethroning the lower jiao"
- 现代中医临床 2023年30卷第5期页码：102-106
- 作者机构：
  
  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
- 作者简介：
  
  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
- 基金信息：
  
  全国名中医大师传承工作室(974022)
- DOI：10.3969/j.issn.2095-6606.2023.05.021
  中图分类号： R273
- 收稿：2023-01-04，
  
  纸质出版：2023-09-30
- 稿件说明：
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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 jiao and dethroning the lower jiao"[J]. Modern Chinese Clinical Medicine, 2023, 30(5): 102-106. DOI: 10.3969/j.issn.2095-6606.2023.05.021.
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 jiao and dethroning the lower jiao"[J]. Modern Chinese Clinical Medicine, 2023, 30(5): 102-106. DOI: 10.3969/j.issn.2095-6606.2023.05.021. DOI：

摘要

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。

Abstract

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

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.

关键词

Keywords

references

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