基于营卫理论探讨结直肠癌的病理生理
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摘要
营卫循行于大肠共同维持大肠主津功能,其平衡的破坏是结直肠癌发病的关键。通过对"大肠主津"的再次解读,提出肠道微生态属于肠道的"卫"部分功能范畴,是肠道的"生理屏障",津液乃"营"的有机成分,实现物质-能量的交换。进一步探讨了其科学内涵,从"营卫失和"、"营卫逆乱"、"寒湿入营"探讨结直肠癌发生发展过程中的病机演变,为辨治结直肠癌提供新的理论依据。
Yingqi and Weiqi pass through the large intestine to maintain the functions of the large intestine governing the body fluids. The balance of destruction is the key to the pathogenesis of colorectal cancer. This article reinterprets "the large intestine governing the body fluids" and suggests that the intestinal microecology belongs to the functional category of the "Wei" and forms the "physical barrier" of the intestine. The body fluid is the organic component of the "Ying" and achieve material-energy conversion. Further explore its scientific connotation,explore the evolution of pathogenesis in the development of colorectal cancer from the perspectives of "disharmony of Ying and Wei","disturbance between Ying and Wei" and "invasion of cold-dampness into Ying Fen" to provide new theoretical basis into the treatment of colorectal cancer.
Yingqi and Weiqi pass through the large intestine to maintain the functions of the large intestine governing the body fluids. The balance of destruction is the key to the pathogenesis of colorectal cancer. This article reinterprets "the large intestine governing the body fluids" and suggests that the intestinal microecology belongs to the functional category of the "Wei" and forms the "physical barrier" of the intestine. The body fluid is the organic component of the "Ying" and achieve material-energy conversion. Further explore its scientific connotation,explore the evolution of pathogenesis in the development of colorectal cancer from the perspectives of "disharmony of Ying and Wei","disturbance between Ying and Wei" and "invasion of cold-dampness into Ying Fen" to provide new theoretical basis into the treatment of colorectal cancer.
引文
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[2] 马守宝,刘海燕.肠道菌群在肿瘤进程中的作用及其临床研究进展[J].中国肿瘤生物治疗杂志,2016,23(03):318～325
[3] 杨兴智,王铀,陈乐意,等.《黄帝内经》营卫初探[J].中医杂志,2011,52(S1):30～32
[4] 常成成,魏聪,吴以岭.脉络学说“孙络-微血管”概念及其临床指导意义[J].中医杂志,2016,57(01):7～11
[5] 郑舞,杨金坤.肿瘤微环境及其中医病机[J].中医杂志,2015,56(20):1720～1724
[6] 靳雅荣,宋鑫.肠道菌群干预肿瘤负性免疫调控机制的研究进展[J].中国肿瘤生物治疗杂志,2017,24(03):215～221
[7] 张葛,花宝金.从炎性微环境探究中医肿瘤病机与治则治法[J].中医杂志,2012,53(13):1101～1104
[8] 黄培英,雷云霞,刘慧.结肠息肉中医药诊治进展[J].新疆中医药,2017,35(06):123～125
[9] 常成成,李红蓉,刘红利,等.脉络学说营卫交会生化理论探讨[J].中医杂志,2017,58(01):2～5
[10] 李爽,沈涛,祝捷,等.试论“阳化气,阴成形”理论对中医肿瘤治法的指导意义[J].四川中医,2015,33(07):34～35
[11] 张相宏.类风湿性关节炎的中医发病机制探讨[J].甘肃中医,2007,20(04):10～12
[12] 高秀兰,谢鸣.芍药汤君药论证[J].时珍国医国药,2015,26(03):686～688
[13] 顾军花,刘嘉湘.刘嘉湘教授“扶正治癌”理论核心及运用方法[J].中国中西医结合杂志,2017,37(04):495～499
[14] 夏孟蛟,金钊,郑川等.“寒湿入营”与肿瘤恶病质[J].时珍国医国药,2018,29(03):646～648
[15] 王可,王芳,余红秀.肿瘤微环境的代谢重编程[J].现代免疫学,2017,37(02):152～156
[16] 索凤茹.邪毒传舍-经络流注与恶性肿瘤转移[J].实用中医内科杂志,2014,28(05):65～66