中华中医药杂志(原中国医药学报)2023年2月第38卷第2期CJTCMP,February2023,Vol.38,No.2•576•·论著·通信作者：许云，北京市海淀区西苑操场1号中国中医科学院西苑医院肿瘤科，邮编：100091，电话：010-62835437E-mail：xyxiao78@163.com结肠癌从左升右降论治思路探析龚璐天，宋卓，谷珊珊，许云，杨宇飞（中国中医科学院西苑医院肿瘤科，北京100091）摘要：现代医学从微观角度提出左、右半结肠癌两种疾病论，其在各方面均存在较大差异。文章运用中医辨证论治优势，结合现代精准医学，从左升右降理论出发，以气机为核心论点，探讨了该理论与现代医学在左、右半结肠癌各方面差异的因果关联，提出治气之升降要以脾胃为核心，肝肺为关键，通腑为重点，为中医细化分治结肠癌提供思路。关键词：左右半结肠癌；左升右降；气机；脾胃；肝肺；通腑基金资助：国家自然科学基金面上项目（No.82074414），国家重点研发计划“中医药现代化研究”重点专项项目（No.2018YFC1707406），中国中医科学院育苗基金培育专项（No.ZZ11-069）DiscussiononthetreatmentofcoloncancerfromleftriseandrightfallGONGLu-tian,SONGZhuo,GUShan-shan,XUYun,YANGYu-fei(DepartmentofOncology,XiyuanHospital,ChinaAcademyofChineseMedicalSciences,Beijing100091,China)Abstract:Fromthepointofviewofmodernmicromedicine,leftandrightcoloncanceraretwodifferentdiseases.ThispaperusestheadvantagesoftraditionalChinesemedicinecharacteristicsofdiagnosisandtreatmentofdiseases,combingwithmodernprecisionmedicine,withqitheoryasthecore,startingwiththeleftriseandrightfalltheory,exploringthecausalrelationshipbetweenmodernprecisionmedicineandChinesemedicinetheoryinallaspectsofleftandrightcoloncancer.Putforwardthecoreofregulatingqiisspleenandstomach,theliverandlungsarekey,unobstructedstoolsareimportant,toprovideideasforthetreatmentofcoloncancer.Keywords:Leftandrightcoloncancer;Leftriseandrightfall;Qiactivity;Spleenandstomach;Liverandlung;DefecateunobstructedFunding:GeneralProgramofNationalNaturalScienceFoundationofChina(No.82074414),KeyProjectof‘ModernizationofTraditionalChineseMedicine’ofNationalKeyR&DProgramofChina(No.2018YFC1707406),ChinaAcademyofChineseMedicalSciencesSeedlingFundCultivationSpecialProject...
