李晶治疗消化道肿瘤经验  

Li Jing's Experience of Treating Digestive Tract Tumor

作　　者：张泽 阮雅清 张文华 李晶 ZHANG Ze;RUAN Ya-qing;ZHANG Wen-hua;LI Jing(Shanxi University of Traditional Chinese Medicine,Taiyuan,Shanxi,China,030024)

机构地区：[1]山西中医药大学,山西太原030024

出　　处：《河南中医》2021年第7期1022-1024,共3页Henan Traditional Chinese Medicine

基　　金：山西省名中医传承工作室建设项目{晋财社〔2020〕106号};第六批全国老中医药专家学术经验继承工作室项目{国中医药人教发〔2017〕29号}。

摘　　要：李晶教授认为,脾胃虚弱为消化道肿瘤病机关键,虚、寒常兼见,瘀毒常兼夹为病,且消化道肿瘤患者长期情志不舒,则肝气郁结,木郁克土,运化失常,则气机升降无度,治宜温补中焦,理气为上,升降同调,祛瘀生肌,佐以解毒,腑气调和,上下协调等,自拟残胃方治疗。脾胃虚弱甚者采用四君子汤加减;气虚郁结者采用四逆散加减;久病伤血入络,脉络瘀阻者采用石见穿之类活血化瘀,白及消肿生肌。便秘者加杏仁、紫苏子、防风、郁李仁、柏子仁等;腹泻者加石榴皮、乌梅、益智仁;祛风除湿可加徐长卿、羌活、防风等。Professor Li Jing believes that weakness of the spleen and stomach is the key to the pathogenesis of digestive tract tumor.Intermingled deficiency and cold are common,and blood stasis and toxin are often mixed and lead to disease.In addition,patients with digestive tract tumor have long-term emotional discomfort,which leads to stagnation of liver qi,while wood stagnation constrains earth,so abnormal transportation and transformation,and ascending and descending of qi movement appear.It is necessary to treat the disease by warming and toning the middle energizer,regulating qi,ascending and descending at the same time,removing blood stasis and generating muscles,and assisting with detoxification,harmonizing the internal organs and qi,coordinating the upper and lower parts,etc.Self-made Canwei Decoction(残胃方,CWD) is often used.For excessive weakness of the spleen and stomach,Modified Four Gentlemen Decoction can be used.For qi deficiency leading to stagnation,Modified Frigid Extremities Powder can be used.For chronic disease leading to damage to blood vessel and blockage of collaterals,Shijianchuan(Herba Salviae Chinensis) and other same-type medicinals can be used for promoting blood circulation and removing blood stasis,and Baiji(Rhizoma Bletillae) can be used for dispersing swelling and generating muscles.For insomnia,Xingren(Semen Armeniacae Amarum),Zisuzi(Fructus Perillae),Fangfeng(Radix Saposhnikoviae),Yuliren(Semen Pruni),Baiziren(Semen Platycladi),etc.can be added.For diarrhea,Shiliupi(Pericarpium Granati),Wumei(Fructus Mume) and Yizhiren(Fructus Alpiniae Oxyphyllae) can be added.For Removing wind and dampness,Xuchangqing(Radix Cynanchi Paniculati),Qianghuo(Radix et Rhizoma Notopterygii) and Fangfeng(Radix Saposhnikoviae) can be added.

关 键 词：消化道肿瘤 脾胃虚弱 残胃方 四君子汤 四逆散 李晶 

分 类 号：R273[医药卫生—中西医结合]