Traditional Chinese medicine syndrome differentiation tumor several concept discussion

GuoYi master, nanjing university of Chinese medicine professor ZhouZhongYing

China's traditional Chinese medicine to

        The incidence of cancer is rising continuously, from rare disease to evolve for frequently occurring disease, common diseases, to be healthy first killer, traditional Chinese medicine treatment of cancer, from single righting complement virtual, palliative treatment, supporting any, progress to all correspondence, in many plays a unique advantage, reveal its own value. The author is the feeling of practice, and puts forward some concept problems, for discussion.

        "Cancer poison" is cancer specificity pathogenic factor

        Based on the clinical and careful card for received perceptual knowledge, cancer's widely used anticancer therapeutic remove poison the objective rebuttal, indicating that the "cancer poison" is a kind of specific cause cancer pathogenesis. It is in the internal organs function disorder, on the basis of qi and blood stasis, the inside and outside factors induced and formation, and related nonspecific pathologic factors hybrid for disease, poison will with evil, evil ChengSheng poison, poison for evil and the opposite sex, evil for poison and leather pictures, phlegm and blood stasis for attachment and forming, loss JingXie autotrophic and proliferation, along with physical, disease evil, a disease and conghua, the performance certificate class frequently, and eventually to evil poison damage is due to illness, the virtual, cancer poison and phlegm and blood stasis are stroke "and cohesion, in the virtual places keep and breeding, and related viscera affinity and growth, recurrence and metastasis. Thus for the application, such as poison attack jiedu law provides a theoretical basis for cancer. But can not be misinterpreted as accordingly can from the experiment to find "cancer poison" pathological essence.

        Disease begins with invisible gas, after the mass become visible

        From the view of tumor growth, is in the viscera qi inverse disorderly, depression and not stretch, based on the spirit not cloth tianjin and TanNing, gas and blood resistance and into stasis, and a variety of pathological factors hybrid and the opposite sex, and cancer poison as depression stuffed stroke "and for disease. From the function disorder and disease and form quality, from the invisible poison became tangible things, injuries and viscera, as what is the change, loss of qi Yin jin, because real to virtual, difficult to reverse.

        Accordingly, if can cure to XieYu qi as the foundation, "hair at machine first", seems to have super early treatment effect, nip in the bud, have not for the life, not a purpose.

        Phlegm and blood stasis depression poison is the basis of tumor pathogenesis syndrome

        Based on the "cancer poison" for the disease, from the qi stasis that tianjin setting for phlegm, blood stasis, poison and make yu phlegm and blood stasis mutual stroke form shaped pathological view, combined with clinical feeling, can think "phlegm and blood stasis depression poison" is the main core oncosis pathogenesis, syndrome differentiation with common sense, and eliminating phlegm and blood stasis elimination is an important method in cancer therapy. According to a variety of pathological factors can be causal to evolve into and formula, with its internal organs disease is a pathological characteristics and dispensing, and cheng are virtual person visual viscera of Yin and Yang, qi deficient and righting complement virtual, elimination of fill, fill in away, primary and secondary weight because of the person and applied. Generally speaking, the tumor is the most easy injury into later, Yin air, so much to gas Yin qi and blood, the virtual is given priority to, for treatment to qi.

        Occlusion is the pathological changes of local sign

        Clinical visible, some patients find see a tumor markers, and significantly higher for anomaly, or has appeared metastatic carcinoma, and find the primary lesion over who is still unknown, which can be thought of as the formation of tumors, as the result of the whole lesions is that the overall performance of the local lesion, clinical should begin from the whole situation local pathological changes, do organic unification, pay attention to individual specificity, judges of patients to measure, to tumor, put the card of the primary and secondary, successively priorities, avoid only see occlusion, regardless of the overall one-sidedness. In order to play the overall concept, the advantages of the syndrome differentiation and treatment. Highlight the concept of heal tumor characteristics, go independent exploration road.

        Syndrome differentiation and combination of disease when complementary

        From the tumor diagnosis of disease in traditional Chinese medicine, which has since time immemorial, such as milk rock, intestinal tain, stone breakdown, disease product, stone gall is a different disease and pathological nature of this disease, it is considered with western medicine combined with the corresponding foundation, should be mining arrange, for clinical dual diagnosis and research purposes; Syndrome differentiation is the theory of traditional Chinese medicine characteristics, clinical advantages, individualization treatment based, alleviate pain patients mainly means, the application of modern differentiation of disease diagnosis knowledge, sensing the evolution of disease development outcome, but it can not guide the syndrome differentiation and treatment of traditional Chinese medicine, therefore, must cause disease differentiation two parallel, especially for differentiation of disease diagnosis of suspected difficult to decide, the primary lesion times find difficult to open, can't converse chemotherapy, radiotherapy is more need to depend on differentiation of symptoms and signs treatment, therefore, differentiation of disease and syndrome differentiation, it is complementary to the primary and secondary when for cause card is different from person to person.

        Hold a positive growth and change

        Tumor occurrence, development and prognosis, always depends on the ebb and flow of evil is ups and downs, dynamic change, this is based on the overall point of view, "managing the external inside" received comprehensive impression, such as differentiation and micro combination, more clinical practical value, but to make the installment treatment rules, and provide a doctor of traditional Chinese medicine characteristics, and to implement the ideas and the basis to clinical application. The YiZong required "accumulation article proposed three principles, at the end of junior high school division of tumor staging, treatment with a general guidance, he said:" at the beginning of the beginning of the disease, healthy atmosphere is strong, evil is shallow, the attack by the responsible person, diseases, gradually long, evil is deep, upright, as weak by and tapping and complement, the end, the disease is evil, infringe, healthy atmosphere away, the residue as intake ". In general, initial evil not quickly, is not empty, when to tapping away, and gradually in the middle of the ZhengRi fill, fill the empty, when the extinction, the end is virtual obvious, evil product already deep, then when fill in house away, in addition to product related.

        Particularly want to grasp the tapping evil and righting the dialectical relationship between, understanding tapping evil is also centering, evil to are Ann, but when the most failure and check, avoid excessive tapping cutting injury is, righting is to eliminate pathogenic factors, are filled, but avoid the evil but pure evil, hold for AIDS, to size up the situation, balance for the primary and secondary attack of successively. At the beginning of the disease is not the virtual, or evil poison leather zhang, when to eliminate pathogenic factors is given priority to, take the positive strategy; And the oldest, the patient's condition is serious, do not let the attack cut, then the righting is given priority to, to take defensive palliative treatment, alleviate pain and prolong the survival period.

        Jiedu and poison attack by issuing vary from person to person

        The doctor of traditional Chinese medicine clinical application remove poisonous drugs for cancer has been a consensus, objective counterevidence the cancer poison theory is practical, but to the degassing and tapping poison understanding and application of the tendency on each. If you can for card making, advocate have second, the complementary, will be more conducive to individualized treatment.

        Specific speaking, jiedu pray for, figured out poisonous pathological properties, we adopt different treatment. Such as clearing away heat and toxic material, resolving phlegm and eliminating stasis jiedu, jiedu, etc. In general, clinical use clearing away heat and toxic material code, especially prompt tumor pathologic characteristics of a hot poison which is, even in the cold poison, also from the cremation, and antidote and tapping poison for drugs, may have antagonism and restriction and effect.

        As for tapping poison is based on "set a thief to catch a thief", take poison to attack evil, both plant medicine or have extraction for cases of camptothecin, vinblastine, yew, etc., and animal medicine such as blister beetle, toad skin (clothing), mineral drugs such as realgar, sal ammoniac that arsenic preparation, etc.

        Clinical use of poison, should grasp its duality, which should not be of, also should not be too impulsive, difference is big poison, often poison, small poison, control in a safe dosage range, "no, that hurt it is also" to understand the individual on the drug tolerance, sensitivity, whether cumulative effect. Pay attention to the compatibility of the drug effect, and strive to can attenuated and efficiency.

        Especially the insect drugs and sex, good at go into complex, pick out by evil, remove stasis, eliminating phlegm to establish elimination real pain, removing the work, but it leads to disease have search poison, remove poison, shedding, and enhance curative effect. But the insect drugs with different function in, should choose syndrome differentiation. On the other hand, the poisonous insect drugs after all, must be rigorous treatment, "the most failure and check", or intermittent use, take precautions against renal injury of liver damage.

        Such as gun mountain armour, woodlouse longer remove blood stasis away Kennedy, scorpion, centipede longer than search wind stop spasm, pain, removing phlegm and longer than stiff silkworm (real hive, qufeng poison and detumescence, earthworm clear complex hot, toad skin drawn poison away evil sores, dung beetle broken stasis pass ", etc.

        To align the virtual is given priority to, the spleen and stomach virtual loser with caution, if necessary righting medicine for matching.

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