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恶性肿瘤从“浊”论治
贾英杰
天津中医药大学第一附属医院, 国家中医针灸临床医学研究中心, 天津市中医肿瘤研究所, 天津 300381
摘要:
基于“浊”致病理论视域,恶性肿瘤是机体在本元亏虚的基础上,加之致癌因素的长期刺激,脏腑功能失衡,三焦气化失司,浊邪内生,与毒、瘀、痰等相搏结,变生癌浊,久踞虚所,气涩血浊,发为癌瘤。基于癌浊病机特性和正气内虚的发病基础,辨治施以“黜浊培本”治癌法则,针对不同癌种全程管理,各阶段权衡“罢黜癌浊”与“培植本元”尺度,以“治中”为根本点,以“疏利三焦”为着力点,以“气机调达”和“气血充盈”为落脚点,以期浊化正安、阴平阳秘。
关键词:  癌浊  黜浊培本  恶性肿瘤  黜浊治中  疏利三焦
DOI:10.11656/j.issn.1672-1519.2025.11.07
分类号:R73
基金项目:第二届全国名中医传承工作室建设项目—贾英杰全国名中医传承工作室(974022);天津中医药大学第一附属医院“拓新工程”基金科研课题(院2023001)。
Treatment of malignant tumours based on the “zhuo” theory
JIA Yingjie
First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin Institute of Traditional Chinese Medicine Oncology, Tianjin 300381, China
Abstract:
Based on the pathogenic theory of “zhuo”,the article proposes that malignant tumors arise from constitutional deficiency coupled with prolonged exposure to carcinogenic factors,leading to visceral dysfunction,impaired sanjiao qi transformation,and endogenous turbid pathogens. These turbid evils amalgamate with toxins,stasis,and phlegm,eventually evolving into aizhuo that lingers in deficient areas,causing qi stagnation and blood turbidity,ultimately manifesting as malignant neoplasms. Guided by the pathological characteristics of cancerous turbidity and the constitutional deficiency pathogenesis,the treatment principle of “Chuzhuo Peiben” is applied in cancer management. This approach involves disease-stage-specific modulation of “turbidity eradication” and “root reinforcement” throughout the therapeutic course for different malignancies. The strategy centers on “regulating the sanjiao”as the foundational focus,prioritizes “dredging the sanjiao” as the therapeutic pivot,and aims to achieve “qi dynamic harmony” and “sufficient qi-blood” as treatment endpoints. The ultimate goal is to resolve turbidity,restore healthy qi,and reestablish yin yang equilibrium.
Key words:  aizhuo  Chuzhuo Peiben  malignant tumour  eliminating turbidity and regulating the sanjiao  dredging the sanjiao
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