| 引用本文: |
盖镜淳, 周恩光, 贺思雨, 赵珊, 韩笑, 宋爱英.基于“一气周流”理论从三焦浅析肺癌复发与转移的诊疗策略[J].湖南中医药大学学报,2025,45(10):1917-1923[点击复制] |
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| 基于“一气周流”理论从三焦浅析肺癌复发与转移的诊疗策略 |
| 盖镜淳,周恩光,贺思雨,赵珊,韩笑,宋爱英 |
| (黑龙江中医药大学研究生院, 黑龙江 哈尔滨 150040;黑龙江中医药大学附属第一医院肿瘤一科, 黑龙江 哈尔滨 150040) |
| 摘要: |
| 肺癌是我国最常见的癌症之一，尽管现代医学治疗手段多样，但治疗后极易复发转移。本文以清代黄元御“一气周流”理论为指导，结合三焦辨证之位，从气机运行角度分析肺癌复发与转移的宏观中医病机，揭示气机失调在肺癌复发转移中的核心作用。指出中焦脾胃失职，周流阻滞是肺癌复发与转移发生的病理基础；上下二焦不通，毒邪走注是复发与转移的关键病机。并提出临床治疗应以“调畅中焦、复其周流”为核心，确立“健中焦、疏上焦、固下焦”的治疗策略，为临床治疗肺癌复发与转移提供新的思路方法和理论依据。 |
| 关键词: 肺癌 一气周流 三焦 复发 转移 |
| DOI：10.3969/j.issn.1674-070X.2025.10.015 |
| 投稿时间：2025-06-11 |
| 基金项目:黑龙江省应用技术研究与开发计划项目（GA19C109）。 |
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| Diagnostic and therapeutic strategies for lung cancer recurrence and metastasis: An analysis from the perspective of the sanjiao based on the "Qi Circulation" theory |
| GAI Jingchun, ZHOU Enguang, HE Siyu, ZHAO Shan, HAN Xiao, SONG Aiying |
| (Graduate School, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, China;Department of Oncology I, The First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, China) |
| Abstract: |
| Lung cancer is one of the most common malignancies in China. Despite the diverse treatment modalities in modern medicine, it is highly prone to recurrence and metastasis after treatment. This article, guided by the theory of "Qi Circulation" proposed by HUANG Yuanyu in the Qing Dynasty, integrates positional pattern differentiation based on the sanjiao and analyzes the macroscopic Chinese medicine pathogenesis of lung cancer recurrence and metastasis from the perspective of qi movement. It elucidates the core role of qi movement dysregulation in the recurrence and metastasis of lung cancer. The article points out that dysfunction of the spleen and stomach in the middle jiao, with obstruction of qi circulation, constitutes the pathological basis for the recurrence and metastasis of lung cancer; blockage of the upper and lower jiao, along with the migration of toxic pathogens, represents the key pathological mechanism for the recurrence and metastasis. It is further proposed that clinical treatment should focus on "regulating and harmonizing the middle jiao to restore its qi circulation" as the core principle, and the therapeutic strategy of "strengthening the middle jiao, unblocking the upper jiao, and consolidating the lower jiao" is established. It aims to providing new ideas, approaches, and theoretical foundations for the clinical management of lung cancer recurrence and metastasis. |
| Key words: lung cancer Qi Circulation sanjiao recurrence metastasis |
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