从阳密乃固探讨恶性肿瘤的病机和辨治

Explore the Formation and Treatment of Malignant Tumors from the Perspective of Yang Being Solid and Able to Hold on

  • 摘要: 阳密是《黄帝内经》对于人体阳气正常功能状态的重要总结,基于阳密乃固理论提出阳气保持周密、通密和静密的状态对于维持人体健康状态至关重要。阳失其密是恶性肿瘤发病和进展的核心病机,表现为阳虚、阳郁和阳躁。阳虚不能密则阳失温卫而邪气稽留;阳郁不能密则阳失温通而痰瘀结聚;阳躁不能密则阳失清静而灼阴耗精。针对阳失其密的核心病机,在临床当中辨证使用温阳益气以治其未发、通阳化浊以散其窠臼、清解躁阳以抗癌解毒的治疗方法。将恢复阳密的状态作为治疗恶性肿瘤的目标,为中医药治疗恶性肿瘤的临床实践提供思路。

     

    Abstract: Yang being solid is an important summary of the normal functional state of yang qi in The Yellow Emperor's Inner Classic. Based on the theory of yang being solid and able to hold on, it is proposed that yang being solid is essential to maintain the state of tightness, thoroughness and quietness for maintaining the health of the human body. Yang losing its solidity is the core pathogenesis of the onset and progression of malignant tumors, which manifests as yang deficiency, yang depression and yang restlessness. If yang is not solid due to its deficiency, yang will lose its warmth and defense and the evil qi will be retained; if yang is not solid due to its depression, yang will lose its warmth and circulation and phlegm and stasis will gather; if yang is not solid due to its restlessness, yang will lose its tranquility, burn yin and consume essence. Aiming at the core pathogenesis of yang losing its solidity, the treatment methods of warming yang and replenishing qi to treat the disease before it occurs, unblocking yang and removing turbidity to disperse the staleness, and clearing and resolving restless yang to fight cancer and detoxify are used in clinical practice. Restoring the solidity of yang is taken as the goal of treating malignant tumors, which provides ideas for the clinical practice of treating malignant tumors with traditional Chinese medicine.

     

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