国医张步桃运用经方辨治肿瘤学术经验整理与研究
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摘要
目的:
     肿瘤(含癌)是现代闻之丧胆的普遍致死疾病,西医主要采取毒杀策略,其缺失难以胜数。张老乃台湾中医四大名医,其以中药治疗肿瘤相当独特且屡建功效。因此,本文就以张老的医案进行搜集和分析,找出张老治疗肿瘤的原理,作为中医治疗肿瘤的最佳参考。
     方法:
     首先谈到中西医治肿瘤的观点,进而说明古今中医对肿瘤的辨证论治(从战国时代到近代),再特别针对仲景先生《伤寒杂病论》有关于肿瘤的辩证论治进行详细剖析,最后才剖析张老的肿瘤治病原则,作为中医二千年传承的最佳范例。
     结果:
     张老提出“人瘤共存”为治肿瘤的基础概念,再以肿瘤来自于痰湿、气滞、血瘀、热毒的病因病机,运用《伤寒论》八法(汗吐下和温清消补)为肿瘤找自然消失的去路,重视活血化瘀药和攻积兼气分药的原则,加上一些用药技巧和禁忌等数种原则,给中医提供肿瘤治疗相当清晰的思路,更提供医案遍布现代16种常见的肿瘤,以落实张老的治疗肿瘤原理。
     结论:
     本文针对张老治疗最独特的六种肿瘤,根据张老治肿瘤原理,以实际医案进行深入浅出的探讨,使得中医师知道如何依循张老治瘤原则进行辨证论治,以传承中医二千年的辉煌历史,期望中医在科研支持之下,能与西医并驾齐驱,共谋世界健康。
Purpose
     Carcinoma is a general but scaring lethiferous disease. Western medicine majorly adopts killing methodology with endless disadvantages. Master Butau Chang (张步桃),one of four outstanding physicians in Taiwan Chinese medicine, has specialized and remarkable efficiency in carcinoma treatment. Therefore, this thesis collects and analyzes Master Chang's clinic cases to elucidate his carcinoma treatment philosophy for the best reference of carcinoma treatment by Chinese medicine.
     Method
     Firstly, the carcinoma is well discussed in the view point of Chinese medicine and western medicine. Treatment upon syndrome differentiation at carcinoma is then introduced in ancient and modern Chinese medicine from Warring States periods(战国时代)until now. Furthermore, the carcinoma in Treatise on Cold Pathogenic and Miscellaneous Diseases (伤寒杂病论)by Master Zhongjing Chang(张仲景)is also analyzed in details. Finally, the analysis of Master Chang's carcinoma treatment methodology is well established as an extraordinarily prominent example of Chinese medicine inheritance for more than twenty centuries.
     Result:
     One quite important rule proposed by Master Chang for carcinoma treatment should be followed seriously:harmony with carcinoma. Under the instruction of these two rules, conducted are (1) the etiology and pathogenesis analysis of carcinoma coming from phlegm dampness, qi stagnation, blood stasis, and heat toxin;(2) the application of Eight Treatments on Treatise on Cold Pathogenic Diseases(伤寒论)(Sweating, vomiting, descending, harmony, warming, cleaning, cutting, replenishing);(3) treatment emphasis of blood promotion and stasis dispelling as well as tumor attacking with qi medicine;(4) some rules of Chinese medicine tricks and bans. It provides a clear carcinoma treatment philosophy. Clinic case studies covering sixteen kinds of carcinoma are provided for Chinese medicine physicians to consolidate Master Chang's carcinoma treatment methodology.
     Conclusion:
     Afterwards, six kinds of carcinoma specially and efficiently treated by Master Chang are provided with detailed case studies to demonstrate how to apply Master Chang's methodology. This allows Chinese medicine physicians to inherit Chinese medicine two-century splendid history under the support of scientific methodology. It is prospected that Chinese medicine can catch up with western medicine in the near future to promote world health together.
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