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基于"阳化气,阴成形"理论探讨陈卫建中药联合火针治疗直肠癌的经验OA

CHEN Weijian's Experience in Treating Rectal Cancer with Traditional Chinese Medicine Combined with Fire Needle Therapy Based on the Theory of Yang Transforming Qi while Yin Constituting Form

中文摘要英文摘要

本文探讨陈卫建教授中药联合火针治疗直肠癌的经验.基于"阳化气,阴成形"理论,陈卫建教授认为,直肠癌属中医癌病范畴,以脾肾阳虚为本,兼以湿热、痰瘀、郁毒等病理因素,其形成病机可分三阶段:阳不化气致气机壅滞;阴成形太过致痰瘀胶结;阴阳离决则癌毒肆虐.治疗以温补脾肾为根本,兼顾清除湿热、化痰祛瘀、行气解郁,旨在温阳化气以治本,化痰逐瘀以消形.据此,陈教授提出补肾健脾、化痰祛瘀之法,形成了经验方,并配合火针以提升脾肾阳气,达到温阳化气以去阴邪之效.所附医案证属脾肾阳虚,痰瘀内阻,治法为温补脾肾,化痰祛瘀,以经验方配合火针治疗,患者诸症明显减轻.本文深入剖析其学术特色,为临床提供理论与实践参考.

This article discusses Professor CHEN Weijian's experience in treating rectal cancer with traditional Chinese medicine(TCM)combined with fire needle therapy.According to the theory of Yang transforming Qi while Yin constituting Form,Professor CHEN Weijian believes that rectal cancer falls under the category of cancer in TCM,with the root cause being Yang deficiency in the spleen and kidney,complicated by pathological factors such as dampness-heat,phlegm-stasis,and stagnant toxins.The pathogenesis of this disease can be divided into three stages:Yang fails to generate Qi,leading to stagnation of Qi;Yin constitutes form excessively,resulting in the coagulation of phlegm and stasis;the separation of Yin and Yang allows cancer toxins to run rampant.Treatment focuses on warming and tonifying the spleen and kidney,while also clearing dampness-heat,resolving phlegm,removing stasis,and moving Qi to relieve depression.The aim is to warm Yang and transform Qi to address the root cause,and resolve phlegm and remove stasis to eliminate the form.On this basis,Professor CHEN proposes methods such as tonifying the kidney and invigorating the spleen,as well as resolving phlegm and removing stasis,and develops an empirical formula.This formula is combined with fire needle therapy to enhance Yang Qi in the spleen and kidney,achieving the effect of warming Yang and transforming Qi to eliminate Yin pathogens.The attached medical case involves spleen-kidney Yang deficiency with phlegm and stasis obstruction.The treatment method involves warming and tonifying the spleen and kidney,resolving phlegm and removing stasis.The application of the empirical formula combined with fire needle therapy significant relieved the patient's symptoms.This article delves into its academic characteristics,offering theoretical and practical references for clinical practice.

张佳彤;沈若岚;危怡霏;陈卫建

浙江中医药大学第二临床医学院(浙江 杭州 310053)浙江中医药大学第二临床医学院(浙江 杭州 310053)浙江中医药大学第二临床医学院(浙江 杭州 310053)浙江中医药大学附属第二医院肿瘤内科(浙江 杭州 310005)

直肠癌火针"阳化气,阴成形"理论温阳化气经验总结陈卫建

rectal cancerfire needletheory of Yang transforming Qi while Yin constituting Formwarming Yang and transforming Qiexperience summaryCHEN Weijian

《基层中医药》 2026 (3)

16-20,5

浙江省中医药科技计划(2019ZZ011)

10.20065/j.cnki.btcm.20260087

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