王笑民教授应用“肾精变异与心神不力学说”论治肿瘤的经验

发布时间：2018-04-30 18:40

本文选题：肿瘤 + 心神　；参考：《北京中医药大学》2017年硕士论文

【摘要】：王笑民教授从事中西医结合治疗肿瘤临床工作二十余年,对肿瘤的治疗积累了丰富的经验。王笑民教授在多年的临床中发现很多肿瘤病人都会出现焦虑、抑郁、失眠、疲乏、耳鸣、潮热、腰膝酸软等症状,因此认为肿瘤的发生发展与心、肾二脏尤为密切,总结并提出了"肾精变异与心神不力学说",从心、肾二脏出发,以君火相火理论及元气理论为基础较为全面的阐释了肿瘤发生发展的过程。肾精变异与心神不力学说的核心思想:1、先天元气只减不增;2、肾精元气可能存在先天缺陷;3、肾精元气耗竭之时即是生变之时;4、肾精变异是异变的动力;5、心神不力则不能控制肾精变异。证型分为心神不力,肾精不变:心神尚调,肾精变异以及心神不力,肾精变异三种。基于肾精变异与心神不力学说的临床治疗思路:1、肾五行属水,八卦中属坎卦,当补元阴而抑坎中之异常阳爻。2、肾与膀胱相表里,当泻腑而安脏,通泻膀胱。3、根据五行生克理论,当补土而抑金,临床应当健脾益胃而泻肺通肠。4、固护心神,约束脏腑,防止相火上炎,心肾同病。文章开篇总结了中医各代医家对肿瘤的认识,其后从心神、肾精与肿瘤的相关性入手,结合君火相火理论及元气理论,对肾精变异与心神不力学说进行了理论基础论述,最后结合临床,概括了王笑民教授的临床治疗经验,并列举了临床病例加以佐证。旨在论述王笑民教授应用"肾精变异与心神不力学说""论治肿瘤的经验,完善中医肿瘤学临床思路,为肿瘤的中医治疗提供新方向。
[Abstract]:Professor Wang Xiaomin has been engaged in the clinical treatment of cancer for more than 20 years, and has accumulated rich experience in the treatment of cancer. Professor Wang Xiaomin has found that many cancer patients have symptoms such as anxiety, depression, insomnia, fatigue, tinnitus, hot flashes, sore waist and knee in many years of clinical experience. Therefore, he thinks that the occurrence and development of the tumor is particularly close to the heart and the kidney. This paper summarizes and puts forward the theory of "the variation of kidney essence and the weakness of heart and mind", which explains the process of tumorigenesis and development on the basis of the theory of fire and fire of Jun fire phase and the theory of Yuan Qi. The core thought of the theory of "kidney essence variation" and "deficiency of heart and mind" is: 1: 1, the congenital vital energy is only reduced by 2%, the kidney essence and vital energy may have congenital defects 3%, when the kidney essence is exhausted, it is the time of birth and change, the variation of kidney essence is the motive force of abnormal change, and the heart spirit is weak Can't control kidney essence mutation. The syndromes are divided into three types: the deficiency of the heart and the essence of the kidney: the regulation of the heart and the essence of the kidney, the variation of the kidney essence and the deficiency of the heart and the essence of the kidney. Based on the theory of variation of kidney essence and deficiency of heart and mind, the clinical treatment thought is: 1, the five elements of the kidney belong to water, the eight elements belong to hexagram, the abnormal yangyao. 2 is used to supplement the yin of the Yuan Dynasty, and the abnormal yangyao. 2, the kidney and the bladder phase surface, when the viscera is purged and the viscera is relieved, and the bladder. 3. According to the theory of Wuxingshengke, When tonifying soil and inhibiting gold, clinical practice should strengthen spleen and improve stomach, but diarrhea lung and open intestine. 4, strengthen and protect heart and mind, restrain viscera, prevent phrenic fire inflammation, heart and kidney disease. At the beginning of the article, the author summarizes the understanding of tumor in different generations of traditional Chinese medicine, and then, starting with the correlation between heart spirit, kidney essence and tumor, combining with the theory of fire and the theory of Yuan Qi, the theory of variation of kidney essence and the theory of weak heart and mind are discussed theoretically. Finally, the clinical experience of Professor Wang Xiaomin is summarized, and the clinical cases are cited. The purpose of this paper is to discuss Professor Wang Xiaomin's experience in treating tumor by applying the theory of "Renal essence variation and deficiency of Heart and mind", to perfect the clinical thinking of TCM oncology, and to provide a new direction for TCM treatment of tumor.
【学位授予单位】：北京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249;R273

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