基于一气周流理论探讨温滋解毒法辨治恶性肿瘤

Exploring the Warming, Nourishing, and Detoxifying Method for the Diagnosis and Treatment of Malignant Tumors Based on the Qi Dynamic Cycle Theory

  • 摘要: 在中医整体观指导下,恶性肿瘤辨治遵循复杂系统原理。本文立足一气周流理论,提出恶性肿瘤三大核心病机:脾升胃降失常为发病基础;肝升肺降失常为发展核心;肾水升心火降失常为恶化关键。明确温滋解毒法与常规扶正祛邪法不同,以温阳滋阴扶正、分层解毒祛邪、动态平衡气机为核心的复合治则,通过温法助升、滋法协降、解毒通滞的协同作用恢复气机圆运动状态,体现了该治法三维扶正,整体补益;分层祛邪,给邪出路;动态平衡,扶正祛邪共生的特点。结合《四圣心源》黄芽汤、天魂汤、地魄汤、乌肝汤、兔髓汤五大核心方剂,构建三维辨治体系:以斡旋中州、复脾胃升降为治疗基石;以调和肝肺、调畅气机周流为治疗核心;以心肾同治、立水火之极为治疗关键,为中医药防治恶性肿瘤提供新的理论框架与实践路径。

     

    Abstract: Under the guidance of the holistic view of traditional Chinese medicine (TCM), the diagnosis and treatment of malignant tumors follow the principles of complex systems. This paper, based on the qi dynamic cycle theory, proposes three core pathological mechanisms of malignant tumors: abnormal ascending and descending functions of the spleen and stomach as the basis of disease onset; abnormal ascending of the liver and descending of the lung as the core of disease progression; and abnormal ascending of kidney water and descending of heart fire as the key to disease deterioration. It clarifies that the warming, nourishing, and detoxifying method differs from conventional methods of supporting the healthy qi and eliminating pathogenic factors. This method employs a composite treatment principle centered on warming yang and nourishing yin to support the healthy qi, layered detoxification and elimination of pathogenic factors, as well as dynamic balancing of qi, which restores harmony in the circular movement of qi through the synergistic effects of warming to assist ascending, nourishing to aid descending, and detoxifying to clear stagnation, demonstrating the three major characteristics of this treatment method: three-dimensional support of the healthy qi and overall tonification; layered elimination of pathogenic factors, providing an outlet for pathogenic factors; and dynamic balance, with support of the healthy qi and elimination of pathogenic factors. Combining the five core formulas from The indications of classics by four medical sages, including Huangya Decoction, Tianhun Decoction, Dipo Decoction, Wugan Decoction, and Tusui Decoction, a three-dimensional treatment framework is constructed: using the coordination of the middle burner and the restoration of spleen and stomach ascension and descent as the therapeutic foundation; harmonizing liver and lung and promoting the circulation of qi as the treatment core; and treating the kidney and heart concurrently to establish the extremities of water and fire as the therapeutic key. Its three main characteristics are summarized: three-dimensional support and overall nourishment; layered elimination of pathogens and providing exit paths for evil; dynamic balance with the symbiosis of tonifying and pathogen elimination. This provides a new theoretical framework and practical approach for the prevention and treatment of malignant tumors in TCM.

     

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