从“阳化气,阴成形”理论探讨肿瘤类疾病的病机与诊疗思路  

Discussion on Pathogenesis and Diagnosis and Treatment Thought of Tumor Diseases from Theory of“Yang Transforms into Qi,While Yin Constitutes Form”

作　　者：崔晓宁[1] 孙士玲[1] 关徐涛[1,2] 高萍[1] 王涛[1] 王冰[1] CUI Xiaoning;SUN Shiling;GUAN Xutao;GAO Ping;WANG Tao;WANG Bing

机构地区：[1]河南中医药大学第一附属医院,河南郑州450003 [2]河南中医药大学,河南郑州450008

出　　处：《新中医》2023年第10期106-110,共5页New Chinese Medicine

基　　金：河南中医药科学研究专项课题(20-21ZY1010);河南省科技攻关计划(212102311136)。

摘　　要：从中医学阴阳理论为根本出发点,对肿瘤类疾病的形成、发展以及复发转移的基本病机进行论述。根据《黄帝内经》“阳化气,阴成形”理论,认为阳气不足,阴精无力输布,进而停留在机体,形成瘀血、痰凝、气滞,是肿瘤类疾病的主要病机。治疗应遵循“辨证-辨时-辨体”的原则,注意不忘扶阳,时时消阴,并根据疾病所处的阶段以及患者的体质辨清阴阳权重。在运用温阳散结消阴法时要谨守阳虚病机,才能不耗伤正气。“阳化气,阴成形”理论可进一步丰富和发展中医肿瘤的病因病机学说,也可提高肿瘤类疾病的中医疗效。Starting from the yin-yang theory of traditional Chinese medicine(TCM),the authors discuss the basic pathogenesis of formation,development and recurrence and metastasis of tumor.Based on the theory of“yang transforms into qi,while yin constitutes form”in Huangdi Neijing(The Yellow Emperor's Inner Classic),the main pathogenesis of tumor diseases is that insufficiency of yang qi disables the delivery and distribution of yin essence and causes the retention of yin essence in the body,which further leads to blood stasis,phlegm coagulation and qi stagnation.The treatment for tumor should follow the principle of“differentiation of syndrome,time and body”and with attention paid to the reinforce of yang and the occasional dissipation of yin.The proportion of yin and yang should also be identified according to the stage of diseases and the constitution of patients.When adopting the method of warming yang,dissipating masses and dispersing yin,the pathogenesis of yang deficiency should be observed carefully so that the healthy qi will not be damaged.The theory of“yang transforms into qi,while yin constitutes form”can help further enrich and develop the theory of pathogenesis and etiology of tumor in TCM and improve the curative effect of TCM on tumor diseases.

关 键 词：肿瘤 阳化气 阴成形 温阳散结消阴法 

分 类 号：R273[医药卫生—中西医结合]