Practice and innovation of Five Methods of Strengthening Vital Qi in cancer prevention and treatment based on the Evolution of Five Phases

LI Jie; XU Bowen; ZHU Guanghui; ZHANG Ying; LIN Hongsheng

doi:10.3969/j.issn.1006-2157.2023.03.006

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Practice and innovation of Five Methods of Strengthening Vital Qi in cancer prevention and treatment based on the Evolution of Five Phases

Theoretical Studies | 更新时间：2023-04-07

- Practice and innovation of Five Methods of Strengthening Vital Qi in cancer prevention and treatment based on the Evolution of Five Phases
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 3, Pages: 321-325(2023)
- 作者机构：
  
  中国中医科学院广安门医院　北京　100053
- 作者简介：
  
  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
- 基金信息：
  
  National Key R&D Program of China(2018YFC1707405);Beijing Municipal Science and Technology Project(81774289;82074402);National TCM Inheritance and Innovation Team Project(CFH2022-1-4151);Innovation Team and Talents Cultivation Program of National Administration of Traditional Chinese Medicine(ZYYCXTD-C-202205);National Natural Science Foundation of China(CI2021A01802)
- DOI：10.3969/j.issn.1006-2157.2023.03.006
  CLC： R273
- Received：06 May 2022，
  
  Online First：02 November 2022，
  
  Published：30 March 2023
- 稿件说明：
移动端阅览
LI Jie, XU Bowen, ZHU Guanghui, et al. Practice and innovation of Five Methods of Strengthening Vital Qi in cancer prevention and treatment based on the Evolution of Five Phases[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(3): 321-325.
DOI：

LI Jie, XU Bowen, ZHU Guanghui, et al. Practice and innovation of Five Methods of Strengthening Vital Qi in cancer prevention and treatment based on the Evolution of Five Phases[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(3): 321-325. DOI： 10.3969/j.issn.1006-2157.2023.03.006.

摘要

“扶正培本”是中医药防治肿瘤的基本法则，历经近60年发展，逐步形成“扶正培本－扶正解毒－固本清源”的学术传承脉络。基于对肿瘤全周期核心病机演变规律探索，本团队提出“五期演变”，并凝练“扶正五法”，凸显中医药在分阶段序贯辨治中的防治优势，分为扶正解郁、扶正举陷、扶正解毒、扶正化毒与扶正活血祛毒。重视癌前负性情绪，关注易感体质，以扶正解郁防治肿瘤发生；优化术后气陷病机，分立三源(宗气、中气及肾气)辨治，以扶正举陷促进术后康复；细化不良反应防治策略，关注药毒阴阳属性，以扶正解毒改善不良反应；锚定余毒未尽，预先化解癌毒，以扶正化毒防治术后复发转移；明确扶正活血祛毒在晚期肿瘤中的临床价值，冀以提高远期生存。“扶正五法”是对“扶正培本”治法的传承与创新，契合当前中医药对肿瘤的认识规律，冀以指导与优化临床辨治，提高中医药防治水准，完善中医肿瘤辨治体系。

Abstract

" Strengthening and consolidating body resistance" is the basic principle of traditional Chinese medicine (TCM) in the prevention and treatment of tumors. After nearly 60 years of development

the academic inheritance venation of " strengthening and consolidating body resistance - strengthening vital qi and removing toxicity - consolidating body and clearing resource" has been gradually formed. Based on the exploration of the evolution law of the core pathogenesis in the tumor whole cycle

our team proposed the " Evolution of Five Phases"

and condensed the " Five Method of Strengthening Vital Qi" to highlight the prevention and treatment advantages of TCM in phased sequential differentiation

which are divided into strengthening vital qi and resolving stagnation

strengthening vital qi and lifting collapse

strengthening vital qi and removing toxicity of irradiation and chemotherapy

strengthening vital qi and removing residul toxicity

strengthening vital qi and activating blood circulation to remove blood stasis. Attach importance to precancerous negative emotions

pay attention to susceptible constitution

to strengthening vital qi and removing toxicity to prevent and treat tumorigenesis; optimize the pathogenesis of postoperative qi collapse

separate three sources(pectoral qi

middle qi

and kidney qi) of differentiation and treatment

to strengthening vital qi and lifting collapse to promote postoperative rehabilitation; refining adverse reactions (AEs) prevention and treatment strategies

pay attention to drug toxin yin and yang property

to strengthening vital qi and removing toxicity to improve AEs; anchor residual toxicity is not done

pre-resolve cancer

to prevent and treat postoperative recurrence and metastasis; clarify the clinical value of strengthening vital qi and activating blood circulation in advanced tumors

in order to improve long-term survival. The establishment of " Five Methods of Strengthening Vital Qi " is the inheritance and innovation of the treatment method of " strengthening and consolidating body resistance"

which is in line with the current law of TCM understanding of tumors

hoping to guide and optimize clinical treatment

improve the level of TCM prevention and treatment

and improve the TCM tumor differentiation and treatment system.

关键词

Keywords

references

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