贾英杰从三焦论治前列腺癌内分泌治疗后潮热经验  

Jia Yingjie’s experience in the treatment of hot flashes after endocrine therapy in prostate cancer based on the triple energizer

作　　者：刘金明 孙彬栩[1,2,3] LIU Jinming;SUN Binxu(Department of Oncology,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300381;National Clinical Research Center of Chinese Medicine Acupuncture and Moxibustion;Tianjin Cancer Institute of Traditional Chinese Medicine)

机构地区：[1]天津中医药大学第一附属医院肿瘤科,天津300381 [2]国家中医针灸临床医学研究中心 [3]天津市中医肿瘤研究所

出　　处：《现代中医临床》2025年第1期112-116,共5页Modern Chinese Clinical Medicine

基　　金：天津市中医药重点领域科研项目(No.2022004)。

摘　　要：总结贾英杰教授从三焦论治前列腺癌内分泌治疗相关潮热的临床经验。认为三焦原气不足、气化失司而脏腑生克制化异常是潮热发生的核心环节。三焦气化是脏腑五行生克制化的基础。晚期PCa与脾、肾密切相关,内分泌治疗后折损脾肾,以致三焦原气衰微、气化失常,癌浊内生、胶结不解,脏腑五行失约、生克异常而出现潮热。临证治疗强调立足中州,培植本元,重用黄芪直入中土,补原气而畅气机;善用芳香化浊、解毒散浊、通腑泄浊法黜癌浊以助气化;并兼顾诸脏,以复生克制化。This paper explains Professor Jia Yingjie’s clinical experience in treating endocrine therapyrelated hot flashes in prostate cancer from the perspective of the sanjiao(triple energizer)theory.He believes that insufficient original qi(Yuan qi)in the sanjiao,combined with impaired qi transformation leading to abnormal interactions of organ systems,is central to the development of hot flashes in prostate cancer patients undergoing endocrine therapy.Sanjiao qi transformation underlies the mutual generation and restraint within the five elements of the zang-fu organs.In advanced prostate cancer,the spleen and kidney are particularly affected.Endocrine treatment further weakens these organs,resulting in depleted original qi in the sanjiao,impaired qi transformation,and internal accumulation of pathogenic dampness.This leads to adhesions and unresolved pathogenic masses,disrupting the five-element regulatory balance and manifesting as hot flashes.In clinical practice,Professor Jia emphasizes grounding treatment in the Middle Earth(spleen and stomach)to strengthen the original qi.He frequently uses Huangqi(Radix Astragali)to directly reinforce the spleen,supporting original qi and regulating qi movement.Additionally,he applies aromatic herbs to transform dampness,remove toxins,disperse pathogenic dampness,and cleanse the intestines to promote qi transformation.Careful attention is given to restoring balance across all organs to reestablish the natural generation and restraint among the five elements.

关 键 词：三焦 前列腺癌 潮热 名医经验 贾英杰 

分 类 号：R259[医药卫生—中西医结合] R273[医药卫生—中医内科学]