摘要
介绍王小奇教授从脾虚毒滞论治胃癌前病变经验。王小奇教授认为,胃癌前病变是以脾胃亏虚为本,毒邪郁滞为标,由于感受外邪或先天不足等因素导致中焦脾土亏虚,升降失常,气血运行受阻,痰浊、瘀血、湿热内生,诸邪积聚,郁久化毒(痰浊之毒、瘀血之毒、湿热之毒),毒邪阻滞胃腑所致。故在治疗上以固护脾胃为主,同时祛其浊毒;祛痰浊之毒,重在祛湿化痰,佐以温通;祛瘀血之毒,重在活血化瘀,兼以行气;祛湿热之毒,重在清热解毒,辅以温药。如此虚实兼顾,乃能正邪两治,直中其本。
This paper introduces the experience of Professor WANG Xiaoqi treating gastric precancerous lesions from stagnant toxin due to spleen deficiency.Professor WANG holds that spleenstomach deficiency is the root of gastric precancerous lesions and pathogenic toxin stagnation is the branch of the disease;gastric precancerous lesions come into being because of the external contraction of pathogens,innate insufficiency or other factors that lead to the depletion of spleen and middle energizer,abnormal ascending and descending of qi movement,blocked qi and blood movement,and the internal accumulation of phlegm turbidity,blood stasis,and damp-heat,and the accumulation and constraint of all these pathogens turn into toxins(toxin of phlegm turbidity,toxin of blood stasis,and toxin of dampheat)over time,and finally,pathogenic toxin obstruct the stomach,resulting in the occurrence of the disease.Therefore,the treatment should focus on taking care of the spleen and stomach and draw out its turbid toxin at the same time;the key to dispelling toxin of phlegm turbidity is to dispel dampness and resolve phlegm,assisted by warming and unblocking;the key to dispelling toxin of blood stasis is to invigorate blood and dissolve stasis,assisted by moving qi;the key to dispelling toxin of damp-heat is to clear heat and resolve toxins,assisted by Chinese medicine with warm nature.By taking deficiency and excess into consideration and treatment,the healthy qi and pathogenic qi can be treated and the root of the diseases can be solved.
作者
蒋廷
张楚楚
华鑫
曹泽鹏
钱素婷
刘庆生
王小奇(指导)
JIANG Ting;ZHANG Chuchu;HUA Xin;CAO Zepeng;QIAN Suting;LIU Qingsheng;WANG Xiaoqi(Zhejiang Chinese Medical University,Hangzhou Zhejiang 310053,China;Hangzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University,Hangzhou Zhejiang 310007,China)
出处
《新中医》
CAS
2023年第22期129-133,共5页
New Chinese Medicine
基金
杭州市卫生科技计划重点项目(ZD20210047)
浙江省中医药科技计划项目(2023ZL091)。
关键词
胃癌前病变
病因病机
脾虚毒滞
虚实兼顾
Gastric precancerous lesions
Etiology and pathogenesis
Stagnant toxin due to spleen deficiency
Combination of deficiency and excess
