运用卫气营血理论指导恶性肿瘤病情判断思考-郭海

Thinking of Guiding the DiagnosBaidu Nhomakorabeas of Malignant Tumor by Using Theory of Defense，Qi，Nutrient and Blood
GUO Hai1，GONG Jiening2，LIU Baorui3，CHEN Xiaofei1，HE Jingdong1 （1.Huai'an First Hospital of Nanjing Medical University，Huaian 223300，Jiangsu，China；2.Nanjing
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University of Chinese Medicine，Nanjing 210029，Jiangsu，China；3.Nanjing Drum Tower Hospital， The Affiliated Hospital of Nanjing University Medical School，Nanjing 210029，Jiangsu，China）
第 1 8 卷 第 7 期 2016 年 7 月
辽宁中医药大学学报
JOURNAL OF LIAONING UNIVERSITY OF TCM
Vol. 18 No. 7 Jul .，2016
DOI：10.13194/j.issn.1673-842x.2016.07.025
运用卫气营血理论指导恶性肿瘤病情判断思考
Abstract：With changing in the clinical spectrum of disease，we establish theory of new defense，Qi， nutrient and blood，combined the physiological barrier of the modern medicine with traditional theory of defense，Qi，nutrient and blood. The precancerous symptoms and cancer was divided of defense period，Qi period，nutrient period and blood，nephropathy period and encephalopathy period. The pathological changes of defense and Qi period is not serious and easy to treat. Nutrient period and blood period is mainly organic
收稿日期：2015-10-14 基金项目：科技部科技基础性工作专项资助课题（2009FY120300）；江苏省中医药局资助课题（LZ13180） 作者简介：郭海（1971-），男，河北张家口人，副教授、副主任医师，博士后，研究方向：中医肿瘤的基础和临床研究。
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辽宁中医药大学学报
18 卷
disease，grave illness and more difficult to treat；the period of nephropathy and encephalopathy is organ failure，very severe，very difficult to treat. The new theory is more complete overview of the clinical changes in the tumor disease. Because malignant tumor is a disease caused by the failure of the tumor inhibitory factors，cells to become cancerous belongs to the nephropathy period. Right to judge the condition and prognosis can improve the treatment of tumors and has important significance for the prevention to malignant tumors.
郭海 1，龚婕宁 2，刘宝瑞 3，陈小飞 1，何敬东 1
（1. 南京医科大学附属淮安第一医院，江苏 淮安 223300；2. 南京中医药大学，江苏 南京 210029； 3. 南京大学医学院附属鼓楼医院，江苏 南京 210029）
摘 要：根据临床疾病谱的变化，结合现代医学的生理屏障理论，在传统卫气营血理论的基础上，增加“脑主神
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属肾”和肾病期、脑病期，提出了新卫气营血理论。把癌前症状及恶性肿瘤病程划分为卫分期、气分期、营分期、血
分期、肾病期和脑病期。认为卫分期、气分期的主要病理变化是功能紊乱，病情轻浅易治；营分期、血分期以器质损
伤为主，病情深重，治疗较难；肾病期、脑病期以脏器功能衰竭为主，病情极重，治疗非常困难。不但可以更为完整的
概括肿瘤疾病的临床变化，而且明确了恶性肿瘤是由于抑瘤因素的功能衰竭而导致的疾病，一旦出现组织细胞癌变
就属于肾病期。在临床中可以根据患者所处病期的不同，正确判断病情和评估预后，提高肿瘤的治疗效果，对于恶
性肿瘤的预防具有重要意义。
关键词：卫气营血理论；恶性肿瘤；中医药
中图分类号：R73
文献标志码：A 文章编号：1673-842X ( 2016) 07- 0083- 0 3