“黜浊培本”理论指导下恶性肿瘤减毒思路探析  

Exploration of thoughts for reducing the toxicity of malignant tumor based on the theory of‘Chuzhuo-Peiben'

作　　者：廖冬颖 王晓群[1] 王超然 徐竞一 张豪健 刘家宇 孔凡铭[1] 贾英杰[1] LIAO Dongying;WANG Xiaoqun;WANG Chaoran;XU Jingyi;ZHANG Haojian;LIU Jiayu;KONG Fanming;JIA Yingjie(Fist Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin Cancer Instiute of Traditional Chinese Medicine,Tianjin 300381,China;Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)

机构地区：[1]天津中医药大学第一附属医院,国家中医针灸临床医学研究中心,天津市中医肿瘤研究所,天津300381 [2]天津中医药大学,天津301617

出　　处：《中华中医药杂志》2024年第9期4770-4774,共5页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：中医药辨治恶性肿瘤具有“减毒增效”的优势,然目前多以方药研究为主,尚缺乏关于“减毒”理念和方法的综合论述。贾英杰教授认为肿瘤之毒包含三个方面:癌瘤本身和易瘤体质之内生毒,瘤体刺激产生病理产物之续发毒,抗肿瘤治疗之外来毒。临证以减毒为旨,祛邪与扶正共施,罢黜浊毒、肃清痰饮、清解药毒和培补肝肾、调养气血等法同用,同时根据肿瘤患者不同癌种和治疗阶段调整攻补法度,旨在改善毒副反应和延长患者生存期。Traditional Chinese medicine has the advantage of‘reducing toxicity and increasing effectiveness'in the differentiation and treatment of malignant tumors,but at present it mainly focuses on prescription research,and there is still a lack of comprehensive discussion on the concept and method of‘reducing toxicity'.Professor JIA Yingjie considers that the toxicity of tumors includes three aspects:the tumor itself and within the tumor body,the tumor body stimulation to produce pathological products of secondary toxicity and anti-tumor therapy to poison.Clinical treatment is aimed at reducing toxicity,eliminating evil and strengthening normal administration,eliminating turbid toxicity,clearing phlegm,clearing drug toxicity,cultivating liver and kidney,and regulating qi and blood,etc..At the same time,the degree of attack and tonic method is adjusted according to different cancer types and treatment stages of tumor patients,aiming at improving toxicity and side effects and prolonging the survival period of patients.

关 键 词：减毒 恶性肿瘤 黜浊培本 名医经验 贾英杰 

分 类 号：R273[医药卫生—中西医结合]