从肝脾肾探讨前列腺癌的分期辨证论治  

Discussion on Staging Differentiation and Treatment of Prostate Cancer from the Perspective of Liver,Spleen and Kidney

作　　者：游爽 陈学彰[2] 方子豪 刘皓然 YOU Shuang;CHEN Xue-zhang;FANG Zi-hao;LIU Hao-ran(The Eighth Clinical Medical School of Guangzhou University of Chinese Medicine,Foshan 528000 Guangdong,China;Foshan Traditional Chinese Medicine Hospital,Foshan 528000 Guangdong,China)

机构地区：[1]广州中医药大学第八临床医学院,广东佛山528000 [2]佛山市中医院,广东佛山528000

出　　处：《中医肿瘤学杂志》2023年第4期18-22,共5页Journal of Oncology in Chinese Medicine

基　　金：广东省中医药局科研项目(编号:20221379)。

摘　　要：中医认为虚、湿、瘀、毒是前列腺癌的关键病机,其与肝脾肾三脏密切相关。肾虚为本,先天亏虚;脾虚失用,后天乏源;肝失疏泄可致气滞血瘀;脾失运化可生痰凝湿阻,日久酿生浊毒,裹结成癌。本文主要从肝、脾、肾三脏的生理功能、生理特性和脏腑之间的相互关系入手,立足于前列腺癌的病机,探讨中医药对前列腺癌的分期辨证论治。In the field of traditional Chinese medicine,deficiency,dampness,stasis and toxin contribute to the key pathogenesis of prostate cancer,which are closely related to the liver,spleen,and kidney.Kidney deficiency causes congenital insufficiency,spleen deficiency leads to postnatal malnutrition,and the failure of the conveyance and dispersion function in the liver may lead to qi stagnation and blood stasis.The dysfunction of the spleen in transportation results into dampness obstruction and phlegm coagulation,which will develop into turbidity and toxicity over the time,and then contribute to the cause of the prostate cancer.Therefore,the staging differentiation and treatment of prostate cancer can start with the physiological functions and characteristics of liver,spleen and kidney as well as their relationship,and should be based on the pathogenesis of prostate cancer.

关 键 词：前列腺癌 肝脾肾 分期 辨证论治 

分 类 号：R737.25[医药卫生—肿瘤] R273[医药卫生—临床医学]