基于清浊理论辨治滤泡淋巴瘤

Differentiation and Treatment of Follicular Lymphoma Based on the Clear-Turbid Theory

  • 摘要: 滤泡淋巴瘤是非霍奇金淋巴瘤的一种,其治疗选择面临诸多挑战。论文基于中医清浊理论,探讨滤泡淋巴瘤的病机与治疗。清浊相干,气机升降乖戾是滤泡淋巴瘤的基本病机,随着疾病进展,邪气内壅,浊邪害清,最终邪盛病进,邪毒内生。提出升清降浊法和宣清利浊法治疗滤泡淋巴瘤。升清降浊重在以升降为纲,动静为枢,治在中焦;宣清利浊重在疏利三焦,温阳益气,脾肾同调。并附案例予以说明,为滤泡淋巴瘤的中医治疗提供了新思路。

     

    Abstract: Follicular lymphoma (FL) is a type of non-Hodgkin's lymphoma, and its treatment options face many challenges. This paper discusses the pathogenesis and treatment of FL based on the clear-turbid theory in traditional Chinese medicine (TCM). "The clear and the turbid being related, and the rise and fall of qi being disorderly" is the basic pathogenesis of FL. As the disease progresses, "evil qi being blocked inside, and turbid evil harming the clear" aggravates, and finally "evil qi is strong and the disease progresses, and evil poison is generated inside". Based on this theory, the method of raising the clear and lowering the turbid and the method of dispersing the clear and removing the turbid are proposed to treat FL. The emphasis of raising the clear and lowering the turbid is to take raising and lowering as the key, movement and stillness as the pivot, and to treat the middle jiao; the emphasis of dispersing the clear and removing the turbid is to clear the triple jiao, warm the yang and invigorate the qi, and harmonize the spleen and kidney. Cases are attached to illustrate, providing new ideas for the TCM treatment of FL.

     

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