国医大师黄瑾明以“气血均衡”理论辨治食管癌术后经验  

TCM master HUANG Jinming’s experience of postoperative treatment on esophageal cancer based on the‘balance of qi and blood’theory

作　　者：宁玲 马澳伦 黄贵华[3] NING Ling;MA Aolun;HUANG Guihua(College of Traditional Chinese Medicine,Hunan University of Chinese Medicine,Changsha 410208,China;The First Clinical Medical College of Guangxi University of Chinese Medicine,Nanning 530000,China;The First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530000,China)

机构地区：[1]湖南中医药大学中医学院,长沙410208 [2]广西中医药大学第一临床医学院,南宁530000 [3]广西中医药大学第一附属医院,南宁530000

出　　处：《中华中医药杂志》2024年第10期5249-5253,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：第七批全国老中医药专家学术经验继承工作项目(No.国中医药人教函[2022]76号);国医大师黄瑾明学术思想与临床诊疗传承发展研究中心(No.桂中医大党[2022]24号);黄贵华桂派中医大师培养项目(No.桂中医药科教发[2022]6号);黄贵华广西名中医传承工作室(No.桂卫中医发[2017]2号)。

摘　　要：文章系统总结国医大师黄瑾明基于“气血均衡”理论辨治食管癌术后经验。黄教授认为气血失衡为食管癌发生发展之本,“虚、毒、瘀、郁”互结为食管癌术后的病机特点,病性为虚实夹杂,病位在食管,涉及脾、胃、肝、肾,且与脾、胃关系密切。治疗上以均衡气血,调整阴阳为原则,提出解毒、补虚、祛瘀、调气四大治法。解毒推崇“以毒攻毒”,善用岭南“毒药”,补虚以脾胃为先,注重使用血肉有情之品,祛瘀强调以补血为要,针药并用,同时善用壮医脐环针调节全身气机,作为食管癌治疗的重要一环;最后附验案1则,以期为本病治疗提供新思路。To summarize systematically the experience of TCM master HUANG Jinming in treating postoperative esophageal cancer based on the‘balance of qi and blood’theory.Professor HUANG believes that imbalance of qi and blood is the root cause of esophageal cancer,and‘deficiency,toxicity,stasis and depression’combine with each other to characterize the pathogenesis of postoperative esophageal cancer,and the pathology is a mixture of deficiencies and realities,and the disease is located in the esophagus,involving the spleen,stomach,liver,and kidneys,but it is closely related to the spleen and stomach.The treatment is based on balancing qi and blood,adjusting yin and yang,and proposing the four major treatments of detoxification,replenishing deficiency,regulating qi,and resolving blood stasis.Detoxification advocates‘fighting poison with poison’,and makes use of Lingnan‘poison’;supplementation of deficiency takes spleen and stomach as the first priority,and focuses on the use of blood and flesh sentient products;elimination of blood stasis emphasizes blood tonicity as the main point,and the use of needles and medicines,and at the same time,makes use of the Qihuanzhen of Zhuang medicine to regulate the body’s qi,which is an important link in the treatment of esophageal cancer.In the end,a case is attached,in order to provide new ideas for the treatment of this disease.

关 键 词：食管癌 噎膈 气血均衡 国医大师 经验 黄瑾明 

分 类 号：R273[医药卫生—中西医结合] R249[医药卫生—中医肿瘤科]