基于“君火以明,相火以位”防治恶性肿瘤  

Prevention and Treatment of Malignant Tumor Based on“Sovereign Fire Being Bright and Ministerial Fire Keeping Position”

作　　者：吴子婷 杨永[1] 高宠 张青[1] WU Ziting;YANG Yong;GAO Chong;ZHANG Qing(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;Bei-jing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京中医医院,北京100010 [2]北京中医药大学,北京100029

出　　处：《山东中医杂志》2024年第6期562-566,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(编号:82004289);恩施州科技计划项目(编号:JCY2019000040)。

摘　　要：通过梳理古代文献阐明君火、相火的生理功能、病理变化以及“君火以明,相火以位”的含义,并结合恶性肿瘤生物学发病机制,分析“君火以明,相火以位”与恶性肿瘤发生发展的相关性,提出君火不明是肿瘤产生之基,相火妄动为肿瘤形成之始,痰瘀内生为肿瘤发展之渐,君相两衰为肿瘤进展之终。基于此,认为临床防治恶性肿瘤应节欲畅志以明君火,引火归元以敛相火,化痰祛瘀以消瘤体,潜阳培土以复正气。By reviewing ancient literature,the physiological functions and pathological changes of sovereign fire and ministerial fire,as well as the meaning of“sovereign fire being bright and ministerial fire keeping the position”are expounded.Combining with the pathogenesis of malignant tumors in biology,the correlation between“sovereign fire being bright and ministerial fire keeping the position”and the occurrence and development of malignant tumors is analyzed.It is proposed that sovereign fire not being bright serves as the foundation for tumor formation,frenetic stirring of ministerial fire signifies the initiation of tumorigenesis,internal generation of phlegm and blood stasis reflects the progressive development of tumor,and debilitation in both sovereign fire and ministerial fire indicates tumor progression.Based on this understanding,it is believed that clinical prevention and treatments of malignant tumors can start from the following aspects:regulating desire and adjusting emotion to clarify sovereign fire,returning fire back to its origin to suppress ministerial fire,resolving phlegm and dispelling blood stasis to eliminate tumor mass,and subduing yang and banking up earth to restore healthy qi.

关 键 词：君火 相火 恶性肿瘤 痰瘀 节欲畅志 引火归元 化痰祛瘀 潜阳培土 

分 类 号：R273[医药卫生—中西医结合]