摘要
补土伏火法意指培补中焦脾胃能使邪火得伏。脾肾阳虚、虚阳浮越是肾癌发生的重要病机之一。机体脾阳不足,推动无力,气血津液运化输布失常,形成有形之"积",故见局部肿块,可通过补益脾阳的虚损,收敛浮越于外的阳气,使脾阳充盛,则有形邪积缓慢消磨;气血运行不畅,湿浊、痰饮、血瘀等病理产物郁而化热,加之虚阳外越,虚阳偏盛,故见全身性发热,采用补土伏火法补益中焦脾胃以助阳运,使郁滞得行、虚火得伏而热自除;脾之阳气不足,气血生化乏源,肢体失于滋养,故见疲乏,以补益脾胃为治疗要点,扶助一身正气,则疲乏自消;阳气不足,卫外不固,津液外泄,故见汗出异常,可补益脾土、交通水火、调和阴阳而止汗。
Butu Fuhuo theory means that cultivating the spleen and stomach can subdue the pathogenic fire.Yang deficiency of spleen and kidney and deficiency yang floating over are important pathogenesis of kidney cancer.The spleen yang of the body is insufficient,the promotion is weak,and the blood and body fluid are transported and distributed abnormally,forming a visible"accumulation".Therefore,a local lump can be seen.By tonifying the deficiency of the spleen yang,the yang qi floating can be restrained,so that the spleen yang can be filled,and the visible accumulation will be slowly dissipated.Qi and blood flow is not smooth,damp turbid,phlegm and fluid retention,blood stasis and other pathological products are depressed and fever.In addition,the excess of deficiency yang outside the body leads to excessive deficiency yang,so systemic fever can be seen.Butu Fuhuo theory is used to replenish the spleen and stomach of Zhongjiao so as to help the transportation and transformation of yang qi,so that the stagnation can be carried out,the deficiency fire can be subdued and the heat can be removed by itself.The yang qi of spleen is insufficient,the biochemical source of qi and blood is exhausted,and the limbs are lack of nourishment.Therefore,fatigue can be seen.Taking tonifying the spleen and stomach as the treatment point,supporting the healthy qi of the whole body,the fatigue will disappear by itself.Yang qi is insufficient,defensive qi can not consolidate superficies and body fluid is leaking out,so abnormal sweating can be seen.It can stop sweating by tonifying spleen,restoring normal coordination between water and fire,adjusting yin and yang.
作者
苏学林
汤井源
朱清毅
SU Xuelin;TANG Jingyuan;ZHU Qingyi(Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing Jiangsu China 210029)
出处
《中医学报》
CAS
2020年第8期1616-1619,共4页
Acta Chinese Medicine
基金
国家自然科学基金青年科学基金项目(81902570)。
关键词
肾癌
补土伏火法
肾癌相关性发热
肾癌相关性疲乏
肾癌相关性多汗
脾肾阳虚
虚阳浮越
kidney cancer
Butu Fuhuo theory
kidney cancer-related fever
kidney cancer-related fatigue
kidney cancer-related hyperhidrosis
yang deficiency of spleen and kidney
deficiency yang floating over
