国医大师周仲瑛病证结合辨治颅内肿瘤学术思想析要  

Analysis of academic thought of treating intracranial tumors by combining disease and syndrome from TCM master ZHOU Zhongying

作　　者：陈潇颖 李天赐 于君 周崇怡 周静汶 叶放[1] CHEN Xiaoying;LI Tianci;YU Jun;ZHOU Chongyi;ZHOU Jingwen;YE Fang(Traditional Chinese Medicine Master ZHOU Zhongying Inheritance Studio,Nanjing University of Chinese Medicine,Nanjing 210029,China)

机构地区：[1]南京中医药大学国医大师周仲瑛传承工作室,南京210029

出　　处：《中华中医药杂志》2024年第11期5908-5911,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：江苏省社会发展重点研发计划(No.BE2019723);国家中医药管理局“国医大师周仲瑛传承工作室”建设项目(No.国中医药人教发〔2010〕59号)。

摘　　要：病证结合是当前中医临床辨治的主要思路,由于不同疾病的核心病机及其病机转化不同,临床采用辨病和辨证的主次各异。对于颅内肿瘤而言,周仲瑛教授认为详审核心病机能够为以辨病为基础结合辨证的辨治思路提供理论依据。通过研究分析,总结出周仲瑛教授治疗颅内肿瘤多针对“肝肾亏虚,风痰瘀阻,清阳失用”这一核心病机确立的周氏肿瘤验方,及随病机转化而加减用法的临床辨治经验。研究结果为病证结合诊疗模式提供一定临床应用思路。The integration of disease identification and pattern identification is the main approach in contemporary clinical practice of traditional Chinese medicine(TCM).Due to the different core pathogenesis and its transformation in various diseases,the prioritization of disease identification and pattern identification may differ in clinical settings.In the case of intracranial tumors,professor ZHOU Zhongying believes that a comprehensive understanding of the pathogenesis can provide a theoretical basis for combining disease identification and pattern identification in treatment.Through research and analysis,professor ZHOU has summarized the ZHOU’s tumor-prescription,which is based on the core pathogenesis of‘liverkidney deficiency,wind-phlegm stasis,and loss of clear yang’.Furthermore,clinical experience has been accumulated in terms of modifying the prescription based on the transformation of the pathogenesis.The research results provide certain clinical application strategies for the integration of disease identification and pattern identification in diagnosis and treatment.

关 键 词：颅内肿瘤 病证结合 核心病机 周仲瑛 

分 类 号：R249[医药卫生—中医临床基础] R273[医药卫生—中医学]