摘要
以张介宾“命门水火观”为指导,探讨食管癌的病因病机与辨治。认为食管癌的核心病机可从命门水火失衡状态归纳为三种转归:命门火衰,气不化精,痰瘀互结;火不暖土,升降失调,气滞血瘀;水亏其源,癌毒肆虐,形体衰败。治疗上根据张介宾治疗噎膈理论,提出温补肾阳、蒸腾而化气机,温养脾胃、斡旋以运枢机,滋养肾水、滋濡以荣百骸三种治法,并结合临床案例加以分析。
Guided by ZHANG Jiebin's"water-fire of life gate theory",this paper explored the etiology,pathoge-nesis,and syndrome differentiation-based treatment approach for esophageal cancer.It is proposed that the core pathogenesis of esophageal cancer,derived from the imbalanced state of water and fire in life gate,can be summarized into three manifestations.Firstly,decline of life gate fire leads to failure of qi transformation and accumulation of phlegm and blood stasis;secondly,fire fails to warm the earth resulting in dysfunctional ascending and descending,and qi stagnation and blood stasis;thirdly,deficiency of life gate water contributs to proliferation of cancerous toxins and physical deterioration.In terms of treatment,guided by ZHANG's treatment principles for dysphagia,three treatment methods are proposed,warming and tonifying kidney yang to promote qi transformation through steaming action,warming and nourishing the spleen and stomach to restore central pivot movement,and nourishing kidney water to replenish essence and blood,then support bodily nourishment.Clinical case examples are provided to illustrate the application of these methods.
作者
赵伟丛
何凌林
黄雪怡
金禹衡
徐光星
ZHAO Weicong;HE Linglin;HUANG Xueyi;JIN Yuheng;XU Guangxing(School of Basic Medical Science,Zhejiang Chinese Medical University,Hangzhou,310053)
出处
《中医杂志》
北大核心
2025年第23期2504-2508,共5页
Journal of Traditional Chinese Medicine
关键词
食管癌
噎膈
命门
水火
肾阳
肾水
esophageal cancer
dysphagia
life gate(mìng mén)
water and fire
kidney yang
kidney water
