现代中医医家对胃癌的病机认识及治法创新  

Modern traditional Chinese doctors'understanding of gastric cancer pathogenesis and innovative treatment approaches

作　　者：周孜奕 王宇立 方志红[1] ZHOU Ziyi;WANG Yuli;FANG Zhihong(Shanghai Municipal Hospital of Traditional Chinese Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China)

机构地区：[1]上海中医药大学附属市中医医院,上海200071

出　　处：《上海中医药杂志》2024年第12期184-188,共5页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(82204842);上海市科委科技计划项目(22Y11921300);上海医学创新发展基金会“未来计划”中医药传承发展类项目(WLJH2021ZY-MZY040);上海医学创新发展基金会“未来计划”中医药科技发展项目(WL-HBBD-2021004K,WL-YJXYS-2021003K);上海医学创新发展基金会“未来计划”优本计划项目(WL-YBXM-2022001K)。

摘　　要：中医学古籍中并无对“胃癌”这一病名的直接记载,现代中医医家在古人对“积聚”病因病机的理论认识基础上,结合肿瘤学研究进展,对胃癌的因、机、证、治进行了深入探索与理论创新。通过回顾和分析近20年胃癌病因病机研究相关中医药文献,从浊邪癌毒、气机失常、阳气虚衰及分期分部4个角度,对胃癌的病机认识与治法创新进行归纳探讨,旨在为临床诊疗提供参考。There is no explicit record of the term"gastric cancer"in ancient medical literature.Based on ancient theories of"accumulation"and the combination of the advancements in oncology research,modern doctors of traditional Chinese medicine have conducted in-depth exploration and theoretical innovation regarding the etiology,pathogenesis,syndrome differentiation,and treatment methods of gastric cancer.Based on the review and analysis of traditional Chinese medicine literatures related to the etiology and pathogenesis of gastric cancer in the past 20 years,this article summarizes and discusses the pathogenesis and therapeutic innovation of gastric cancer from four perspectives of turbid evil and cancer toxicity,qi movement disorder,debilitation of yang qi and stage division,aiming to provide a reference for clinical diagnosis and treatment.

关 键 词：胃癌 肿瘤 病机 治法 研究进展 中医药疗法 

分 类 号：R273[医药卫生—中西医结合]