从“阳化气,阴成形”理论探讨肺癌形成及转移的中医病机  

Traditional Chinese Medicine Pathogenesis of the Formation and Metastasis of Lung Cancer Based on the Theory of“Yang Transforming Qi and Yin Constituting Form”

作　　者：庞大承 张硕[2] 田甜 王彤 PANG Dacheng;ZHANG Shuo;TIAN Tian;WANG Tong(School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学中医学院,北京100029 [2]北京中医药大学,北京100029

出　　处：《世界中医药》2023年第19期2772-2776,共5页World Chinese Medicine

基　　金：国家自然科学基金青年科学基金项目(82204963);国家级名老中医尉中民工作室建设项目;北京3+3薪火传承尉中民名老中医工作站建设项目(2018SZC71)。

摘　　要：通过对“阳化气,阴成形”的理论内涵进行梳理,从理论层面探讨“阳化气,阴成形”与肺癌形成及转移之间的内在联系。借助阴阳的相对属性及无限可分,从机体物质代谢的角度阐释肺癌的中医理论渊源及“阳化气,阴成形”在生理和病理状态下对肺癌形成与发展的影响。同时,从瘤体增生侵袭的角度探究“阳化气,阴成形”在肺癌转移中的作用。机体与瘤体之间的阴阳消长、化气成形贯穿肺癌产生、发展及转移的全过程,用“阳化气,阴成形”理论来诠释肺癌形成及转移的中医学病机具有高度的普适性和临床价值。By analyzing the theory of“yang transforming qi and yin constituting form”,this paper explored the internal relationship between“yang transforming qi and yin constituting form”and the formation and metastasis of lung cancer from the theoretical level.By virtue of the relative attributes and infinite separability of yin and yang,the origin of lung cancer in traditional Chinese medicine(TCM)was explained from the perspective of body metabolism,and the influence of“yang transforming qi and yin constituting form”on the formation and development of lung cancer under physiological and pathological conditions was also discussed.Moreover,the paper analyzed the role of“yang transforming qi and yin constituting form”in the metastasis of lung cancer from the perspective of tumor proliferation and invasion.The waning and waxing of yin and yang between body and tumor and the formation of qi run through the whole process of the occurrence,development and metastasis of lung cancer.It is of high universality and clinical value to interpret the TCM pathogenesis of the formation and metastasis of lung cancer with the theory of“yang transforming qi and yin constituting form”.

关 键 词：阳化气 阴成形 肺癌 形成 转移 中医病机 机体 瘤体 

分 类 号：R22[医药卫生—中医基础理论]