基于“虚气窠囊”理论探讨脑瘤的病机及证治思路

Exploring the Pathogenesis and Syndrome Treatment of Brain Tumor Based on the "Deficient Qi and Kenang" Theory

  • 摘要: 全国名中医吴勉华教授在虚气和窠囊学说基础上,提出虚气窠囊理论,将其应用于脑瘤的病机分析及临床辨治,认为脑瘤的基本病机是元气虚损,虚气内生,痰瘀互结,毒聚成窠。提出扶正调气、化痰逐瘀、攻毒散结的复合治法,临证治疗结合病程阶段进行分期干预,初期扶正调气除虚气,中期化痰逐瘀消窠基,晚期攻毒散结破窠囊,全程谨守扶正不留邪、破窠不伤正的治疗原则。

     

    Abstract: Professor Wu Mianhua, a renowned national traditional Chinese medicine (TCM) practitioner, proposed the "deficient qi and Kenang" theory based on the doctrines of "deficient qi" and "Kenang". This theory is applied to the pathogenesis analysis and clinical syndrome differentiation and treatment of brain tumors. It posits that the fundamental pathogenesis of brain tumors involves original qi deficiency, internal generation of deficient qi, intermingling of phlegm and blood stasis, and conglomeration of toxins into nest-like foci. The treatment strategy emphasizes reinforcing healthy qi, regulating qi, resolving phlegm, dispelling stasis, attacking toxins, dispersing nodules, and adjusting treatment according to disease stages. In the early stage, it is to support healthy qi and regulate qi to remove qi deficiency; in the middle stage, it is to dissipate phlegm and expel blood stasis to resolve pathological nests; in the late stage, it is to attack toxins and resolve masses to break up nest sac. Throughout the treatment, strictly adhere to the principle of "reinforcing healthy qi without retaining pathogens, and breaking accumulations without impairing healthy qi".

     

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