基于“同气相求”理论的大肠癌临证应用探讨  

Discussion on the clinical application of colorectal cancer based on the theory of"Tongqixiangqiu"

作　　者：王馨 方志军[1,2] 徐荷芬[1,2] 左武琪[1,2] 杨汪银 唐琳 WANG Xin;FANG Zhi-jun;XU He-fen;ZUO Wu-qi;YANG Wang-yin;TANG Lin(Affiliated Hospital of Integrated Traditional Chinese and Western Medicine,Nanjing University of Chinese Medicine,Nanjing 210028,China;Jiangsu Province Academy of Traditional Chinese Medicine,Nanjing 210028,China)

机构地区：[1]南京中医药大学附属中西医结合医院,江苏南京210028 [2]江苏省中医药研究院,江苏南京210028

出　　处：《海南医学院学报》2021年第9期709-712,共4页Journal of Hainan Medical University

基　　金：国家中医临床研究基地(江苏省中医药研究院)开放课题(JD2019SZXZD06)。

摘　　要：目的:通过释义“同气相求”理论及其在中医学中的应用探讨,以发现大肠癌的临证应用思路。方法:查阅古代医家著作及现代文献中对“同气相求”理论的阐述,结合大肠癌的病症特点及古今名医临床验案,探寻其在大肠癌临床治疗的应用。结果:“同气相求”理论有着丰富的内涵,其中“反佐疗法”、“肺肠合治”是该理论具体应用的代表。寒热反佐、配伍反佐、外治反佐等法的应用以及治疗脾虚气滞型大肠癌注重补肺气、滋肺阴,宣通三焦气机的思路,在中医药辨治大肠癌中发挥了重要的作用。结论:“同气相求”的理论在治疗大肠癌中应用广泛,有疗效显著、增效减毒、延长患者生存期、改善患者生存质量等优势。Objective:To explore the application of the theory of"Tongqixiangqiu"and its application in traditional Chinese medicine in order to find out the clinical application of colorectal cancer.Methods:Referring to the ancient medical works and modern literature on the theory of"Tongqixiangqiu",we explored the application of"Tongqixiangqiu"theory in the clinical treatment of colorectal cancer by combining with the disease characteristics of colorectal cancer and the clinical experience of famous doctors in ancient and modern times.Results:The theory of"Tongqixiangqiu"had rich connotations,among which"anti adjuvant therapy"and"lung and intestine combined treatment"were the representatives of the specific application of the theory.The methods of cold and heat counteraction,compatibility and external treatment as well as the idea of spleen deficiency and Qi stagnation type colorectal cancer paid attention to tonifying Fei qi,nourishing Fei yin,and promoting Sanjiao Qi mechanism,which played an important role in the differentiation and treatment of colorectal cancer in traditional Chinese medicine.Conclusion:The theory of"Tongqixiangqiu"is widely used in the treatment of colorectal cancer,which has the advantages of significant curative effect,synergism and toxicity reduction,prolonging patients’survival period and improving patients’quality of life.

关 键 词：大肠癌 同气相求 反佐 肺与大肠 临床应用 

分 类 号：R273[医药卫生—中西医结合]