基于“伏毒”学说审因论治结直肠癌  

Causal treatment of colorectal cancer based on the theory of“latent toxins”

作　　者：李玉 李城 时浩洋 王栋 张艳[1] 李雯[1] 李清波 孟静岩[1] LI Yu;LI Cheng;SHI Haoyang;WANG Dong;ZHANG Yan;LI Wen;LI Qingbo;MENG Jingyan(Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)

机构地区：[1]天津中医药大学,天津301617

出　　处：《天津中医药》2024年第6期714-718,共5页Tianjin Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(82274396)。

摘　　要：伏毒作为介导结直肠癌发病、转移和复发的重要病理因素,贯穿结直肠癌发生发展的多个阶段,根据伏毒成因不同,可分为外淫伏毒和内生伏毒,审因论治结直肠癌具有重要临床意义。祛除外淫伏毒,以宣透疏散为要;对于内生伏毒,兼顾扶正与祛邪。扶正者,须注重健脾益肾、气血双补、通补兼施;祛邪者,当针对不同伏毒,分别予以燥运除伏湿、健脾化伏痰、活血化伏瘀等法。运用“伏毒”学说可对结直肠癌进行辨证求因、审因论治,以把握时机,标本兼治。As an important pathological factor that mediates the onset,metastasis,and recurrence of colorectal cancer,latent toxin runs through multiple stages of the occurrence and development of colorectal cancer.According to the different causes of latent toxin,it can be divided into exogenous latent toxin and endogenous latent toxin.The treatment of colorectal cancer through causal analysis has important clinical significance.To eliminate external lewdness and subdue toxins,it is essential to promote transparency and evacuation.For endogenous detoxification,both nourishing and eliminating pathogenic factors should be taken into account.Those who support the right should pay attention to strengthening the spleen,tonifying the kidneys,supplementing both qi and blood,and promoting both circulation and tonifying.For those who expel evil,different methods such as dryness and dampness removal,spleen strengthening and phlegm reduction,and blood circulation and stasis reduction should be applied to different types of toxins.The application of the“Fu Du”theory can differentiate and determine the cause and treatment of colorectal cancer,in order to seize the opportunity and treat both symptoms and root causes.

关 键 词：伏毒 结直肠癌 审因论治 扶正祛邪 

分 类 号：R735.3[医药卫生—肿瘤]