1.首都医科大学附属北京友谊医院,北京市西城区永安路95号,100050
2.中国中医科学院望京医院
3.中国中医科学院广安门医院
drpangbo@gmail.com
收稿:2024-03-13,
修回:2024-04-22,
纸质出版:2025-01-02
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张传龙,高梦琦,李奕等.基于中性粒细胞胞外诱捕网异常堆积探讨清脾复卫法在胰腺癌治疗中的应用[J].中医杂志,2025,66(01):30-33.
ZHANG Chuanlong,GAO Mengqi,LI Yi,et al.Exploring the Application of "Cleaning Spleen and Restoring Defensive Qi" Method in Treatment of Pancreatic Cancer based on Neutrophil Extracellular Traps Abnormal Accumulation[J].Journal of Traditional Chinese Medicine,2025,66(01):30-33.
张传龙,高梦琦,李奕等.基于中性粒细胞胞外诱捕网异常堆积探讨清脾复卫法在胰腺癌治疗中的应用[J].中医杂志,2025,66(01):30-33. DOI: 10.13288/j.11-2166/r.2025.01.006.
ZHANG Chuanlong,GAO Mengqi,LI Yi,et al.Exploring the Application of "Cleaning Spleen and Restoring Defensive Qi" Method in Treatment of Pancreatic Cancer based on Neutrophil Extracellular Traps Abnormal Accumulation[J].Journal of Traditional Chinese Medicine,2025,66(01):30-33. DOI: 10.13288/j.11-2166/r.2025.01.006.
中性粒细胞胞外诱捕网(NETs)的异常堆积可以促进胰腺癌的发生、发展,NETs被认为是胰腺癌潜在的治疗靶点。《灵枢·口问》记载“卫气稽留”,基于卫气防御功能与中性粒细胞免疫功能相似的认识,结合中医理论与临床实践,提出NETs异常堆积或是“卫气稽留”的病理产物,病位关键在脾。进而探讨清脾复卫法在胰腺癌中的应用策略,提出运用通法以消脾滞、遏制胰腺癌细胞增殖,清法以除脾湿、抑制炎性微环境,补法以匡卫气、改善免疫微环境,以期为中医药治疗胰腺癌提供新思路。
The abnormal accumulation of neutrophil extracellular traps (NETs) can promote the initiation
and progression of pancreatic cancer, which is considered a potential therapeutic target for this disease. The
Miraculous Pivot·Inquiry About Statement
(《灵枢·口问》) have recorded the concept of "defensive
qi
stagnation". Based on the recognition that the function of defensive
qi
is similar to the immune function of neutrophils, and combining traditional Chinese medicine theory with clinical practice, it is proposed that the abnormal accumulation of NETs may be a pathological product of "defensive
qi
stagnation", with the spleen being the critical site of pathology. Further exploring the application strategy of cleaning spleen and restoring defensive
qi
method in pancreatic cancer treatment, it is proposed to employ three approaches such as dredging method to eliminate spleen stagnation and inhibit pancreatic cancer proliferation, cleaning method to remove spleen dampness and suppress the inflammatory micro-environment, and tonifying method to strengthen
Weiqi
and to improve the immune microenvironment, which aims to provide new insights for the clinical treatment of pancreatic cancer with traditional Chinese medicine.
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