基于"胃脘干槁,血液俱耗"病机探讨食管癌的演变规律与辨证思路OA

Based on the pathogenesis of"dryness and exhaustion of the gastric cavity with depletion of both blood and fluid"proposed by Professor Li Jing,this paper systematically explores the evolution law and syndrome differentiation strategy of esophageal cancer.By integrating literature review and clinical practice,this paper puts forward staged syndrome differentiation and treatment:for the fluid injury stage,promoting fluid production with sweet-cold medicinals,moistening dryness and unblocking the diaphragm;for the fluid depletion stage,nourishing fluid with sweet-moist medicinals,invigorating stomach and nourishing yin;for the blood deficiency stage,nourishing yin and replenishing blood,and tonifying liver and kidney;for the essence exhaustion stage,tonifying marrow and replenishing essence,and nourishing five zang-organs.Clinical practice shows that the syndrome differentiation protocol guided by this pathogenesis can alleviate clinical symptoms and prolong survival time,reflecting the advantages of traditional Chinese medicine in syndrome differentiation and treatment and the holistic concept.