基于“百病生于气”论治癌性发热  

Syndrome differentiation and treatment of cancerous fever based on the theory of"all diseases resulting from qi disorder"

作　　者：匡子禹 刘可心 李杰[2] KUANG Ziyu;LIU Kexin;LI Jie(Beijing University of Chinese Medicine,Beijing 100029,China;Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]北京中医药大学,北京100029 [2]中国中医科学院广安门医院,北京100053

出　　处：《吉林中医药》2025年第1期27-31,共5页Jilin Journal of Chinese Medicine

基　　金：国家自然科学基金项目(82074402);首都卫生发展科研专项(2022-1-4151);中国中医科学院科技创新工程(CI2021A01802)。

摘　　要：基于“百病生于气”及其相关理论,阐述气机“郁”与“虚”在癌性发热中的作用,探讨癌性发热诊疗思路,早期开郁行气以解郁透热,中晚期补中益气以清其虚热。实性癌性发热病机主要为气郁,在疏肝的同时需重视调肺,注重肝-肺轴在气机失调中的作用;虚性癌性发热病机主要为气虚,治法以补益中焦为主,对于本虚标实者,则应“以枢调枢”,补益中焦以带动肝-肺轴气机斡旋;中焦虚衰引起的气机逆乱、寒热错杂之证,应详辨机体虚实寒热变化,随证治之。Based on the notion of"all diseases resulting from qi disorder"and its related theory,this paper elaborates on the roles of qi stagnation and qi deficiency in the evolution of cancerous fever,and also further explores its diagnosis and treatment ideas.In the early stage of cancerous heat,methods for dispersing stagnated qi and promoting qi are used to relieve stagnation and clear heat,while in its middle and late stages,methods for invigorating the spleen-stomach and replenishing qi are used to remove its deficient heat.The key pathogenesis of excessive cancerous fever consists in qi stagnation,which should be treated by dispersing stagnated liver qi and regulating the lung as well,underscoring the role of the liver-lung axis in the treatment of qi dysfunction.The core pathogenesis of deficient cancerous fever lies in qi deficiency,whose treatment method mainly involves invigorating the middle energizer.For cancerous fever characteristic of deficiency in root and excess in manifestations,treatment strategy should focus on invigorating and benefiting the middle energizer to promote the qi movement along the liver-lung axis.Cancerous fever,with the syndromes of reversed qi flow and intermingled cold and heat caused by the deficient middle burner,should be inflexibly dealt with according to specific syndromes based on differentiating carefully the changes in the body's deficiency,excess,cold and heat.

关 键 词：癌性发热 气机 五期演变 扶正五法 

分 类 号：R273[医药卫生—中西医结合]