彝医张之道辨治肿瘤临床经验及学术思想整理研究  

Organization of clinical experiences and academic ideas of ZHANG Zhidao,a practitioner of Yi medicine,in pattern differentiation and treatment of tumors

作　　者：陈蓉 许嘉鹏 张勇进 叶海燕 殷润先 茶静 郑进 张之道 陈清华 CHEN Rong;XU Jiapeng;ZHANG Yongjin;YE Haiyan;YIN Runxian;CHA Jing;ZHENG Jin;ZHANG Zhidao;CHEN Qinghua(Yunnan University of Chinese Medicine,Kunming,Yunnan 650500,China;Yunnan Hospital of Yi Medicine,Chuxiong,Yunnan 675000,China;Dayao County Hospital of Chinese and Yi Medicines of Yunnan Province,Dayao,Yunnan 675400,China;Chuxiong Yi Medical Center of Old Boyun Pharmacy,Chuxiong,Yunnan 675000,China)

机构地区：[1]云南中医药大学,云南昆明650500 [2]云南省彝医医院,云南楚雄675000 [3]云南省大姚县中彝医医院,云南大姚675400 [4]云南省楚雄老拨云堂彝医馆,云南楚雄675000

出　　处：《湖南中医药大学学报》2024年第7期1304-1307,共4页Journal of Hunan University of Chinese Medicine

基　　金：云南省科技厅重点研发计划社会发展专项计划(202403AC100017);全国公共就业服务能力提升示范项目“彝医药大师工作室”建设项目;云南中医药大学青苗人才项目;云南省傣医药与彝医药重点实验室。

摘　　要：张之道是彝医药奠基人,在肿瘤辨治上形成开创性的“治瘤先治气”的学术思想,认为人体与宇宙清浊之气失衡是肿瘤发病的外因,体内清浊之气虚衰、紊乱致水血、痰瘀、毒邪内生是肿瘤发病的内因。治疗当以“天人同象”为总纲,以“扶正祛毒”为目标,以“疏通气路、血路、水谷路”为治法,以“平衡清气、浊气”贯穿始终进行中彝医结合临床辨治。通过总结张之道临床辨治肿瘤的经验,并附验案一则,以期为肿瘤的治疗提供新思路。ZHANG Zhidao,the founder of Yi medicine,has formed the pioneering academic thought of"regulating qi first when treating tumors"in tumor pattern identification and treatment.He considers the imbalance of clear and turbid qi between the human body and the universe as the external cause of tumor onset,and the deficiency or disorder of clear and turbid qi within the body,which leads to the formation of pathogenic water and blood,as well as phlegm,static blood,and toxins,as the internal cause.When treating tumors,he believes that one should take"nature and man manifesting themselves alike"as the general law,"reinforcing the healthy qi and eliminating the toxins"as the goal,and"dredging the pathways of qi,blood,and water and food"as the treatment method.Meanwhile,the principle of"balancing the clear qi and turbid qi"should be stuck to throughout the tumor pattern differentiation and treatment with the combination of Chinese and Yi medicines.By summarizing ZHANG's clinical experience in treating tumors,along with citing a successful medical case,this paper aims to provide new ideas for the treatment of tumors.

关 键 词：治瘤先治气 三通学说 清浊之气 天人同象 扶正祛毒 彝医 张之道 

分 类 号：R29[医药卫生—民族医学]