基于“大气下陷”理论探讨胃癌术后倾倒综合征的辨治  

he differentiation and treatment of gastric cancer dumping syndrome after operation based on the theory of“atmospheric subsidence”

作　　者：孙千惠 李杰[1] 朱潇雨 许博文 韩欣璞 SUN Qianhui;LI Jie;ZHU Xiaoyu;XU Bowen;HAN Xinpu(Department of Oncology,Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Beijing University of Chinese Medicine,Beijing 100105,China)

机构地区：[1]中国中医科学院广安门医院肿瘤科,北京100053 [2]北京中医药大学,北京100105

出　　处：《天津中医药大学学报》2024年第2期181-185,共5页Journal of Tianjin University of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(82074402);中国中医科学院科技创新工程项目(CI2021A01802);中央高水平中医医院临床研究和成果转化能力提升项目-临床科研一体化人才专项(创新团队培育项目)(HLCMHPP2023001)。

摘　　要：以胃癌术后倾倒综合征患者的临床特征为基础,立足“大气下陷”经典理论,阐述“大气下陷”在其发生、发展中的重要作用,提出脾胃戕损、中气亏虚为发病基础,中气亏虚、大气下陷为核心病机,痰瘀痹阻、癌毒伏郁为病进转折的病机演变规律。治疗强调正邪主次,侧重病机的不同,在益气升陷法的基础上加减变化,扶正以脾胃为核,兼顾他脏之变,择以疏肝潜阳之法,祛邪以解毒为要,另以利水消瘀之法,以达机圆法活,药证相合之效,以期为临床辨治提供新思路。Based on the clinical characteristics of gastric cancer patients with postoperative dumping syndrome and the classical theory of“atmospheric depression”,the important role of“atmospheric depression”in the occurrence and development of gastric cancer was expounded.It was proposed that spleen and stomach injury,qi deficiency and atmospheric depression were the pathogenesis basis,and qi deficiency and atmospheric depression were the core pathogenesis,and phlegm-stasis obstruction and cancer toxic-depression were the turning point of the disease.The treatment emphasizes the primary and secondary of good and evil,and focuses on the difference of pathogenesis.The changes are added and subtraction on the basis of the method of nourishing qi and rising depression.Fuzheng takes the spleen and stomach as the core and takes into account the changes of viscera.

关 键 词：倾倒综合征 胃癌 大气下陷 益气升阳 

分 类 号：R735.2[医药卫生—肿瘤]