首页|期刊导航|中华中医药杂志|张仲景"虚实相应"理论在恶性肿瘤治疗中的临床运用探析

张仲景"虚实相应"理论在恶性肿瘤治疗中的临床运用探析OA

Clinical exploration of ZHANG Zhongjing's theory of'deficiency-excess correspondence'in the treatment of malignant tumors

中文摘要英文摘要

张仲景《金匮要略》所倡"虚实相应"治法,明示正气亏虚与邪气盛实的辨证关系,尤为契合恶性肿瘤的病机演变.文章基于此理论,阐述恶性肿瘤在实证阶段祛邪散结,虚证阶段扶正固本,及虚实夹杂阶段攻补兼施的治法要义.结合肿瘤在现代放化疗后正气大损之证,探讨中医调理脾胃、复元固本、扶正祛邪之功,解析"虚实相应"在增强免疫、预防复发中的临床应用.通过经典与现代的融汇,彰显"虚实相应"治法在肿瘤治疗中的独特优势与实践价值.

ZHANG Zhongjing's Jingui Yaolue advocated the principle of'deficiency-excess correspondence',clarifying the dialectical relationship between deficiency of healthy qi and excess of pathogenic factors,which is particularly consistent with the pathogenesis and progression of malignant tumors.Based on this theory,this article discusses the therapeutic strategies for malignant tumors at the stage of excess syndrome,strengthening healthy qi and consolidating the root in the deficiency stage,and applying both attacking and tonifying methods in the stage of mixed deficiency and excess.In view of the marked depletion of healthy qi after modern radiotherapy and chemotherapy,the role of traditional Chinese medicine in regulating the spleen and stomach,restoring vitality,strengthening healthy qi,and eliminating pathogenic factors are discussed,and the clinical application of the principle of deficiency-excess correspondence in enhancing immunity and preventing recurrence is analyzed.Through the integration of classical theory and modern medicine,the unique advantages and practical value of the therapeutic principle of deficiency-excess correspondence in cancer treatment are highlighted.

王亮;赵媛;宋姗姗;卫宜锐;薄瑞晴;潘国凤

首都医科大学附属北京世纪坛医院,北京 100038首都医科大学附属北京世纪坛医院,北京 100038首都医科大学附属北京世纪坛医院,北京 100038首都医科大学附属北京朝阳医院,北京 100020首都医科大学附属北京世纪坛医院,北京 100038首都医科大学附属北京世纪坛医院,北京 100038

虚实相应张仲景恶性肿瘤扶正祛邪攻补兼施

Deficiency-excess correspondenceZHANG ZhongjingMalignant tumorsStrengthening healthy qi and eliminating pathogenic factorsTreating with both elimination and reinforcement

《中华中医药杂志》 2026 (4)

1066-1070,5

第五批全国中医临床优秀人才研修项目(No.国中医药人教函[2022]1号),北京市高层级公共卫生技术人才建设项目(No.学科骨干-2-35)

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