1.上海中医药大学附属曙光医院(上海 201203)
2.上海交通大学医学院附属同仁医院(上海 200336)
陈萌,男,博士研究生,主治医师,主要从事中医药治疗消化系统疾病及中医经典方药的临床与基础研究工作
蔡淦,教授,博士研究生导师;E-mail:245592340@qq.com。吕婵,副主任医师;E-mail:rachel_1983@163.com
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陈萌,凌江红,魏珏,等.基于阴火理论探讨慢性胰腺炎“炎⁃癌转化”与防治策略[J].上海中医药杂志,2023,57(6):12-15.
CHEN Meng,LING Jianghong,WEI Jue,et al.Discussion on “inflammation⁃cancer transformation” and prevention and treatment strategy of chronic pancreatitis based on the theory of yin⁃fire[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(6):12-15.
陈萌,凌江红,魏珏,等.基于阴火理论探讨慢性胰腺炎“炎⁃癌转化”与防治策略[J].上海中医药杂志,2023,57(6):12-15. DOI: 10.16305/j.1007-1334.2023.2302028.
CHEN Meng,LING Jianghong,WEI Jue,et al.Discussion on “inflammation⁃cancer transformation” and prevention and treatment strategy of chronic pancreatitis based on the theory of yin⁃fire[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(6):12-15. DOI: 10.16305/j.1007-1334.2023.2302028.
慢性胰腺炎是发生胰腺癌的独立危险因素,高度重视慢性胰腺炎“炎-癌转化”并进行干预具有重要意义。基于李东垣的阴火理论,认为阴火主要是指脾胃气虚所致的气郁郁火及湿热之邪,是慢性胰腺炎“炎-癌转化”的关键。从阴火理论出发探讨中医药干预慢性胰腺炎“炎-癌转化”,需把握其动态变化,紧扣阴火这一核心环节,健脾益气、因势利导、攻伐有道,才能取得临床效益的最大化。
Chronic pancreatitis is an independent risk factor for pancreatic cancer. It is significant to attach great importance to the “inflammation-cancer transformation” of chronic pancreatitis and its prevention and treatment. Based on Li Dongyuan’s theory of yin-fire, this paper puts forward that yin-fire mainly refers to qi stagnation, fire stagnation and damp-heat caused by spleen-stomach qi deficiency, which is the key to the “inflammation-cancer transformation” of chronic pancreatitis. When practicing traditional Chinese medicine intervention in the process of “inflammation-cancer transformation” of the chronic pancreatitis based on the yin-fire theory, it is necessary to recognize its dynamic change and stick to the core mechanism of yin-fire. The maximum clinical benefits could only be achieved by strengthening the spleen and benefiting qi, adjusting treatment according to specific circumstance and attacking pathogens reasonably and appropriately.
慢性胰腺炎胰腺癌炎-癌转化阴火防治中医药疗法
chronic pancreatitispancreatic cancerinflammation-cancer transformationyin-fireprevention and treatmenttraditional Chinese medicine therapy
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