基于“壮火食气”论治放射性皮肤损伤

Treating Radiation-Induced Skin Injury Based on the Theory of “Excessive Fire Consumes Qi”

  • 摘要: 放射性皮肤损伤(RISI)是肿瘤放射治疗的常见并发症,现代医学缺乏特效防治手段。霍介格教授基于“壮火食气”病机理论,结合络病学说及孟河医派学术思想,提出放射线为外感“壮火”之邪,其致病遵循“热毒伤阴-耗气伤阳-阳虚瘀阻-痰瘀互结”的动态病机演变规律。RISI急性期以热毒炽盛伴气阴耗伤为主,慢性期以阳气虚衰、痰瘀互结为核心。霍教授据此创立“清温通瘀”治法,以清法清热泻火、凉血解毒,温法温阳益气、扶正固本,通瘀法疏通络脉、消散瘀结,三法依病程动态配伍、相制为用,共奏清热不伤正、温阳不助火、化瘀通络之效。该治法构建了中医药防治RISI理法方药一体化体系,为该病的临床诊疗提供理论依据与实践参考。

     

    Abstract: Radiation-induced skin injury (RISI) is a common complication of tumor radiotherapy, for which modern medicine lacks effective preventive and therapeutic measures. Based on the pathogenesis theory of “excessive fire consumes qi”, combined with collateral disease theory and academic thought of Menghe School. Professor Huo Jiege holds that radiation is an exogenous “excessive fire” pathogen, whose pathogenic process follows the dynamic evolution law of heat toxin injuring yin-consuming qi and damaging yang-yang deficiency with blood stasis-phlegm and blood stasis binding. The acute stage of RISI is mainly characterized by intense heat toxin accompanied by qi and yin consumption, while the chronic stage is centered on yang deficiency with phlegm and blood stasis binding. Professor Huo Jiege established the “clearing-warming-unblocking stasis” therapy accordingly: the clearing method clears heat and purges fire, cools blood and detoxifies; the warming method warms yang and tonifies qi, strengthens body resistance and consolidates the root; the stasis-unblocking method dredges collaterals and dissipates blood stasis. The three methods are dynamically compatible and used in mutual restraint according to the course of disease, achieving the effects of clearing heat without injuring healthy qi, warming yang without assisting fire, and resolving stasis to dredge collaterals. This therapy constructs an integrated system of theory, method, formula and medicine for TCM prevention and treatment of RISI, providing theoretical basis and practical strategies for clinical diagnosis and treatment.

     

/

返回文章
返回