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基于"甘守津还"探讨恶性肿瘤高凝状态的病机与防治OA

Pathogenesis and Prevention Strategies of Hypercoagulable State in Malignant Tumors Based on the Theory of"Sweet-Flavored Medicinals Retaining and Restoring Body Fluid"

中文摘要英文摘要

基于"甘守津还"提出恶性肿瘤高凝状态的核心病机为气虚津亏、血脉瘀滞,病机演变遵循"气虚→津亏→血瘀"的动态规律.据此确立顾护中焦、复津行血为治则的分阶段论治体系:初期健脾益气以生津,对应中焦虚损、津亏之始;中期滋阴通络以通津,针对津失输布、内燥伤络;晚期固阴化瘀以守津,化解阴伤液耗、瘀毒互结.通过调节津液代谢以改善高凝状态,以期为中医药防治本病提供思路.

Based on the theory of"sweet-flavored medicinals retaining and restoring body fluid",this paper pro-posed that the core pathogenesis of hypercoagulable state in malignant tumors is qi deficiency and fluid consumption,blood stasis and vessels stagnation,which evolves dynamically according to the pattern"qi deficiency → fluid con-sumption → blood stasis".Accordingly,a staged treatment system is established with the general principle of"fortify-ing the middle jiao,restoring fluid and activating blood circulation".In the initial stage,invigorating the spleen and boosting qi to generate body fluid,targeting the onset of middle jiao deficiency and body fluid consumption;in the middle stage,nourishing yin and unblocking collaterals to facilitate body fluid circulation,addressing the disorder of body fluid transportation and collateral injury caused by internal dryness;in the late stage,consolidating yin and re-solving blood stasis to retain body fluid,resolving yin impairment,fluid exhaustion,and binding of stasis and toxin.By regulating body fluid metabolism to improve the hypercoagulable state,this system is intended to provide insights for the prevention and treatment of hypercoagulable state in malignant tumors with traditional Chinese medicine.

王墉;程梓轩;孔维扬;孙雨薇;史芸轩;秦如玉;刘寨东

山东中医药大学第一临床医学院,山东省济南市历下区经十路16369号,250355山东中医药大学附属医院山东中医药大学第一临床医学院,山东省济南市历下区经十路16369号,250355山东中医药大学第一临床医学院,山东省济南市历下区经十路16369号,250355山东中医药大学第一临床医学院,山东省济南市历下区经十路16369号,250355山东中医药大学第一临床医学院,山东省济南市历下区经十路16369号,250355山东中医药大学第一临床医学院,山东省济南市历下区经十路16369号,250355||山东中医药大学附属医院

恶性肿瘤血液高凝状态甘守津还叶桂津液甘味药

malignant tumorshypercoagulable statesweet-flavored medicinals retaining and restoring body fluidYE Guibody fluidssweet-flavored medicinals

《中医杂志》 2026 (1)

26-30,5

国家中医药管理局第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号)山东省重点研发计划(2021CXGC010510)山东省中医药科技项目(2020M015)济南市"新高校20条"资助项目(202228085)2025年山东中医药大学硕士研究生提质创新课题(YJSTZCX2025121)

10.13288/j.11-2166/r.2026.01.005

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