从“冲任受损,癌毒留结”探讨卵巢癌减瘤术后复发转移病机及防治思路

Exploring the Pathogenesis and Prevention Strategies for Recurrence and Metastasis of Ovarian Cancer after Cytoreductive Surgery from the Perspective of "Impairment of Chong-Ren Meridians and Retention of Cancer-Toxin"

  • 摘要: 针对卵巢癌减瘤术后高复发率及高死亡率的问题,全国名中医吴勉华教授总结卵巢癌减瘤术后发生发展的核心病机为冲任受损,癌毒留结。冲任受损为卵巢癌减瘤术后发病之本,癌毒留结为卵巢癌减瘤术后发病之要,辨证总属本虚标实。针对以上病机,确立“调和冲任、泄浊解毒”的基本治法,调和冲任固其本,治以补肾健脾、养血舒肝等法;泄浊解毒治其标,将祛瘀、利湿、化痰等泄浊解毒之法贯穿始终。临证应对标本缓急、证候特点加以分析,灵活应用。

     

    Abstract: Given the high recurrence and mortality rates following cytoreductive surgery for ovarian cancer, Professor Wu Mianhua, a nationally renowned (traditional Chinese medicine) TCM expert, proposed that the core pathogenesis of ovarian cancer after cytoreductive surgery lies in the impairment of the Chong-Ren meridians and retention of Cancer-Toxin. Damage to Chong-Ren meridians is the root cause, and residual cancer toxins are the key. Syndrome differentiation is always based on the deficiency of the root and the excess of the symptoms. In view of the above pathogenesis, the basic treatment method of "regulating Chong-Ren meridians, dissipating turbidity and detoxifying" is established. Harmonizing Chong-Ren meridians consolidates the root, and the treatment is based on methods such as tonifying the kidney and strengthening the spleen, nourishing blood and soothing the liver; dissipating turbidity and detoxifying treats the symptoms, and the corresponding methods, such as removing stasis, draining dampness, and resolving phlegm, are used throughout. Clinical application should be tailored based on the roots and symptoms, the degree of urgency, and the characteristics of the syndromes.

     

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