历代中医论治大肠癌  

Treatment of colorectal cancer in ancient Chinese medicine

作　　者：郭飘婷 王松坡[1,2] 

机构地区：[1]上海中医药大学,上海201203 [2]上海市第一人民医院,上海200080

出　　处：《吉林中医药》2016年第3期223-227,共5页Jilin Journal of Chinese Medicine

基　　金：上海市重点学科建设项目

摘　　要：中医对大肠癌的认识经过了历代医家的临床实践及理论探索,病名病证的描述日渐具体、确切。病因病机从外感六淫到正虚邪实、内伤饮食、情志不畅而导致湿、热、毒、瘀蕴结日久,肠道失司而发病的认识也更加客观全面。历代医家治疗该病多遵崇着眼整体、以人为本,治疗中时时顾护正气,分期论治,攻补兼施。在疾病发展的不同阶段采用不同的治法,务在扶正补虚的基础上行软坚散结、行气化痰、活血祛瘀之法。除内治法外,古代医家也多采用熏洗、灌肠、外搽、调敷、针灸以及手术等综合疗法治疗大肠癌。The knowledge of colorectal cancer is obtained from the clinical practices and theoretical explorations of the generations of TCM physicians. Therefore,the description of disease name symptoms has been more accurate and meanwhile,the understanding of etiology and pathogenesis,from six external pathogenic factors to the healthy energy deficiency,pathogenic factors excess,internal injury th＂at is upon improper diet and liver qi stagnation that is due to emotional distress,which could lead to an attack of the illness because of accumulation of damp,hot,toxin and stasis resulting in the intestinal dysfunction,has been more objective and comprehensive. Generations of physicians should attach importance to the overall situation and people oriented principle,and in the treatment,they should care the healthy energy all the time,treat by stages whilst combine tonification and purgation together. Moreover,physicians should take different therapies in the different developmental stages of the disease,and focus on softening and resolving hard mass,activating qi and eliminating phlegm and removing blood stasis on the basis of strengthening healthy energy while restoring deficiency. However,except the internal therapies,the ancient TCM physicians used to employ fumigation and washing,clysis,external rub,applying mixed,acupuncture and operations to treat colorectal cancer.

关 键 词：大肠癌 积聚 软坚散结 行气化痰 活血化瘀 攻补兼施 中医药疗法 

分 类 号：R273[医药卫生—中西医结合]