常德贵教授运用络病理论治疗前列腺癌经验OA

Prostate cancer(PCa)refers to an epithelial malignant tumor occurring in the prostate gland.Its onset is closely associated with factors such as age,heredity,hormone levels,and infections.Professor Chang Degui holds that the pathogenesis of this disease is characterized by"deficiency in the root and excess in the superficial"—the"deficiency in the root"is attributed to the decline in physical function and insufficient vital Qi in the elderly,while the"excess in the superficial"is caused by pathogenic factors such as dampness-heat,blood stasis,and toxin.These two aspects together impede blood circulation,leading to the development of the disease.In the theory of collateral disease,collaterals,as the convergence sites of Qi and blood throughout the body,serve as a bridge connecting the internal and external parts of the body.Collateral disease refers to a category of conditions characterized by obstruction of collaterals and stagnation of Qi and blood,whose pathogenesis is highly similar to that of prostate cancer.Therefore,in clinical practice,Professor Chang Degui applies the theory of collateral disease to treat PCa by replenishing deficiency,reducing excess,and dredging collaterals,this treatment method demonstrates unique advantages.This experience systematically sorts out Professor Chang Degui's clinical diagnosis and treatment ideas for PCa.His core therapeutic principle is"collateral dredging",with a preference for using insect and vine herbs,supplemented by five collateral-dredging methods according to the patient's syndrome:Tonifying deficiency,resolving toxin,regulating Qi,removing blood stasis,and reducing phlegm.This study summarizes his clinical experience,aiming to provide a new clinical pathway for the TCM diagnosis and treatment of PCa.