1.北京中医药大学,北京市朝阳区北三环东路11号,100029
2.首都医科大学附属北京中医医院
wangxiaomin_bhtcm@126.com
收稿:2023-08-27,
修回:2023-12-29,
纸质出版:2024-02-02
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弋润茜,杨永,王玥等.从相火理论探讨恶性肿瘤的辨治[J].中医杂志,2024,65(03):328-331.
YI Runxi,YANG Yong,WANG Yue,et al.Differentiation and Treatment of Malignant Tumors based on the Theory of Ministerial Fire[J].Journal of Traditional Chinese Medicine,2024,65(03):328-331.
弋润茜,杨永,王玥等.从相火理论探讨恶性肿瘤的辨治[J].中医杂志,2024,65(03):328-331. DOI: 10.13288/j.11-2166/r.2024.03.017.
YI Runxi,YANG Yong,WANG Yue,et al.Differentiation and Treatment of Malignant Tumors based on the Theory of Ministerial Fire[J].Journal of Traditional Chinese Medicine,2024,65(03):328-331. DOI: 10.13288/j.11-2166/r.2024.03.017.
认为恶性肿瘤的发生与相火密切相关,异变相火是癌毒产生的根本因素,相火离位和相火妄动是异变相火产生的基础。相火不能恪守其位或动而无度,进而燔炽亢盛,产生异变相火。在相火理论的指导下,以直折异变相火、调节离位相火、调节妄动相火为基本法则辨治恶性肿瘤。常应用苦寒之品清热解毒,且用量需大,以制异变相火。针对相火离位,相火虚衰、真阳不足,相火无力依附者常见上热下寒之象,治当益火之源,常用引火汤加减;真阴不足、相火无所依附者治当补益肾精,常用滋阴益肾之品。针对相火妄动,治以怡心安神,常用交泰丸清心安神、引火归元;同时应用理气、化痰、清火、祛瘀等法清有形实邪,使相火动而有度、守位禀命。
The occurrence of malignant tumors is closely related to the ministerial fire. The variant ministerial fire is the fundamental factor of the formation of cancer toxin, and ministerial fire dislocation and hyperactivity are the basis for the generation of variant ministerial fire. When the ministerial fire cannot keep its position or moves without restraint, burning and exuberant, the variant ministerial fire comes out. Under the guidance of the theory of ministerial fire, the basic treatment methods to differentiate and treat malignant tumors are the direct repulsion of variant ministerial fire, and the regulation of dislocated and hyperactive ministerial fire. The method of clearing heat and resolving toxins is often used, taking a large amounts of bitter and cold herbs to reduce variant ministerial fire. For ministerial fire dislocation, ministerial fire depletion, true yang insufficiency, and the ministerial fire failing to rely on, it is common to have symptoms of upper heat and lower cold, for which the treatment method is to benefit the source of the fire, and
Modified Yinhuo Decoction
(引火汤加减) is commonly used. For insufficient true
yin
and lack of support for ministerial fire, it is suggested to nourish kidney essence, and the medicinals of enriching
yin
and boosting kidney are commonly used. In terms of ministerial fire hyperactivity, the treatment method should be nourishing the heart and calming the mind, and
Jiaotai Pills
(交泰丸) is often used to clear heart and clam the mind, and return fire to its origin. At the same time, methods such as regulating
qi
, resolving phlegm, clearing fire, and dispelling stasis are used to clear away tangible pathogens, so that the ministerial fire acts in a controlled manner and keeps its position and destiny.
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