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大半夏汤加减治疗食道癌浅析OA

Preliminary Analysis of Modified Dabanxia Decoction in the Treatment of Esophageal Cancer

中文摘要英文摘要

文章基于中医"噎膈"理论,探讨食道癌的病因病机,认为其属本虚标实之证,气阴亏虚、肝郁脾虚为发病内在基础,癌毒蕴结为关键病理因素.探讨了以《金匮要略》之大半夏汤为基础方,采用益气和胃、降逆止呕、解毒散结法,治疗中焦虚寒、痰气交阻型食道癌的临床经验,并列举了紫硇砂、冬凌草等针对该病的特色用药.附验案一则,结果显示此方加减能改善患者吞咽困难等症状,提升生存质量,为中医药治疗食道癌提供了有效思路.

Based on the theory of"dysphagia"of traditional Chinese medicine(TCM),this article explored the etiology and pathogenesis of esophageal cancer.It holds that the disease pertains to the syndrome of deficiency in origin and excess in superficiality.Qi-yin deficiency,liver depression and spleen deficiency constitute the internal pathogenic foundation,while accumulated cancerous toxin acts as the core pathological factor.This article explored the clinical experience of treating esophageal cancer of the middle jiao cold deficiency and phlegm qi obstruction type by using Dabanxia decoction from Jingui Yaolue as the basic formula,combined with the therapeutic methods of replenishing qi and harmonizing the stomach,descending counterflow qi to arrest vomiting,and detoxifying and resolving masses.It also listed characteristic medicinal herbs for this disease,such as sal ammoniac and rabdosia rubescens.A proved case was attached.The results showed that the modified formula could relieve symptoms such as dysphagia and improve patients'quality of life,which provides an effective reference for the TCM in the treatment of esophageal cancer.

彭扬中

北京中医药大学第三附属医院密云院区急诊内科,北京 101500

医药卫生

食道癌大半夏汤基础方病因病机辨证论治临床经验

esophageal cancerbase formula of Dabanxia decoctionetiology and pathogenesistreatment based on syndrome differentiationclinical experience

《光明中医》 2026 (6)

17-20,4

10.70976/j.issn.1003-8914.2026.06.004

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