基于“肾者,胃之关也”理论探讨裴正学教授治疗胃癌的学术思想  

Professor Pei Zhengxue′s Academic Thought in the Treatment of Gastric Cancer Based on the Theory of"Kidney as the Pass of Stomach"

作　　者：杨斌锋 黄邦荣[1] 王鑫 李明阳 张志明 乔玉洁 蔡玉亮[1] 倪红[1] 王兰英[1] YANG Binfeng;HUANG Bangrong;WANG Xin;LI Mingyang;ZHANG Zhiming;QIAO Yujie;CAI Yuliang;NI Hong;WANG Lanying(Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China;Affiliated Hospital of Gansu University of Chinese Medicine,Lanzhou 730030,China;Jiuquan Hospital of Traditional Chinese Medicine,Jiuquan 735000,China)

机构地区：[1]甘肃省中医院,甘肃兰州730050 [2]甘肃中医药大学附属医院,甘肃兰州730030 [3]酒泉市中医医院,甘肃酒泉735000

出　　处：《西部中医药》2024年第8期28-32,共5页Western Journal of Traditional Chinese Medicine

基　　金：甘肃省自然科学基金(21JR1RA054);甘肃省科技计划资助项目(18JR2FA001);甘肃省中西结合肿瘤临床医学研究中心2021年基金(zlzx2021-9)。

摘　　要：裴正学教授认为胃癌的病机总属本虚标实,脾肾两虚,临床治疗当以“十六字方针”为指导原则,谨遵《黄帝内经》曰:“肾者,胃之关也”之理论,标本兼治、攻补结合、以补助攻,后期以健脾补肾为法,始终将扶正固本大法贯穿于治疗胃癌的全程。裴正学教授临床用药融兵法寓治法于一炉,据正邪矛盾,加减进退,擅用复法大方,创制的乌附理中汤(胃癌1号方)在临床中取得良好的疗效。Professor Pei Zhengxue believes that the pathogenesis of gastric cancer belongs to the deficiency of the root cause and the excess of the superficiality,caused by spleen and kidney deficieny,"sixteen-characters guiding principle"should be adopted in clinical therapy,following the theory of"kidney as the pass of stomach"in Huangdi Neijing(Inner Canon of Huangdi),and including:treating the root causes and the superficial causes,combining supplementing and dispelling,supplementing assisting in dispelling,invigorating spleen and tonifying kidney as therapeutic method at the later stage,the method of enhancing healthy Qi and consolidating the foundation was used throughout the entire process of treating gastric cancer.Professor Pei Zhengxue integrates the art of war with therapeutic method in his clinical medication,he is good at using the composite method according to the conflict between the healthy Qi and the evil factor,and the prescription Wufu Lizhong Tang(gastric cancer prescription No.1)that he invented has obtained good clinical effects in clinic.

关 键 词：胃癌 肾者 胃之关也 学术思想 裴正学 

分 类 号：R273[医药卫生—中西医结合]