主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2021, Vol. 44 ›› Issue (9): 796-801.doi: 10.3969/j.issn.1006-2157.2021.09.005

• 理论研究 • 上一篇    下一篇

基于《黄帝内经》先天论探讨“通补奇经、分经别治”在肿瘤辨治中的应用*

曹璐畅1, 朱广辉1,2, 李杰1#   

  1. 1 中国中医科学院广安门医院 北京 100053;
    2 北京中医药大学研究生院
  • 收稿日期:2021-03-11 出版日期:2021-09-30 发布日期:2021-10-08
  • 通讯作者: #李杰,男,博士,教授,主任医师,博士生导师,主要研究方向:中医药干预肿瘤复发转移,E-mail:drjieli2007@126.com
  • 作者简介:曹璐畅,女,在读硕士生
  • 基金资助:
    *国家自然科学基金项目(No.81273946,No.81473463,No.81774289)

Discussion of “unblocking and supplementing extraordinary vessels and treating them separately” in tumor pattern differentiation and treatment based on the theory of innateness from Huangdi Neijing*

Cao Luchang1, Zhu Guanghui1,2, Li Jie1#   

  1. 1 Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China;
    2 Graduate School of Beijing University of Chinese Medicine, Beijing 100029, China
  • Received:2021-03-11 Online:2021-09-30 Published:2021-10-08
  • Contact: Prof. Li Jie, M.D., Chief Physician, Doctoral Supervisor. Guang'anmen Hospital, China Academy of Chinese Medical Sciences. No. 5 Beixiange, Xicheng District, Beijing 100053. E-mail: drjieli2007@126.com
  • Supported by:
    National Natural Science Foundation of China (No.81273946, No.81473463, No.81774289)

摘要: 奇经八脉为先天一气所生,其中运行元气。肿瘤的发生发展受基因调控,与先天密切联系,现代医家多从后天脏腑论治肿瘤,以先天奇经为切入点辨治未得到重视。基于《黄帝内经》相关条文,论述肿瘤发生与先天的直接、间接关系,并提出肾-十二经-奇经的先天一气周流说,阐发先天奇经与肿瘤发生发展的关系。治疗则应据奇经虚实、肿瘤所处疾病阶段、治疗阶段的不同,灵活调整通、补、攻比重,并结合八脉不同特性,分经论治,望以此丰富中医辨治肿瘤的病因病机学说及临证治则治法。

关键词: 肿瘤, 奇经八脉, 先天, 中医, 病因病机

Abstract: The eight extraordinary vessels originate from the prenatal qi, and the original qi runs in them. The occurrence and development of tumors are regulated by genes and closely related to congenital basis. However, nowadays most physicians treat tumors from the perspectives of postnatal zang-fu organs while pattern differentiation and treatment from the perspective of congenital extraordinary vessels has not received due attention. Based on relevant records in Huangdi Neijing (Huangdi's Internal Classic), this paper discusses the direct and indirect relationships between tumorigenesis and congenital condition, and suggests the possible circulation of the congenital qi in the kidney-twelve meridians-extraordinary vessel pathway to elucidate the relationship between congenital extraordinary vessels and tumorigenesis and development. The treatment characterized by unblocking, supplementing and purging should be flexibly adjusted according to the deficiency and excess of the extraordinary vessels, the stage of tumor development, and the stage of treatment. In addition, the eight extraordinary vessels should be treated based on their different characteristics. It's hoped that the analysis of the etiology and pathogenesis in TCM differentiation and treatment of tumors and the treatment principles and methods will be enriched.

Key words: tumor, eight extraordinary vessels, congenital, TCM, etiology and pathogenesis

中图分类号: 

  • R221