Abstract:

The classic development mode of intestinal gastric cancer in western medicine is recognized as the Correa mode. At present, there is no theory on the occurrence and development mode of intestinal gastric cancer in traditional Chinese medicine, so it is worthy of further study and excavation. Based on many years' clinical practice, Director Yu found that the pathogenesis of gastric cancer is based on deficiency and excess, spleen deficiency, and damp-heat and blood stasis. Spleen deficiency is mostly caused by the long-term effects of internal injury in diet and emotional disorder. Spleen deficiency is endogenous to dampness, and dampness stagnation turns into heat for a long time, which is unfavorable to qi movement. Coupled with long-term illness and excessive blood stasis, blood stasis stops, and heat stagnation and blood stasis turn into toxic evil for a long time, leading to cancer. Director Yu innovatively put forward the development mode of intestinal gastric cancer——spleen deficiency→damp heat→blood stasis→toxin; the clinical treatment according to the theory was satisfactory. The core pathogenesis of this disease is spleen deficiency, damp-heat, and blood stasis, and the essence is deficiency-based excess syndrome; spleen deficiency is the fundamental pathogenesis; excess is the connotation of damp-heat and blood stasis; the pathogenesis of deficiency of the essence and excess of the essence is primary and secondary; spleen is strengthened, and the root cause is cured from beginning to end; the excess of the essence should be treated according to different stages. Clinical treatment should be based on strengthening the spleen and strengthening the body resistance, clearing away damp-heat, and removing toxin and removing blood stasis. Heat is easy to clear, but dampness and blood stasis are difficult to remove. Strengthening the spleen and strengthening the body resistance is especially important. Strengthening the spleen throughout the treatment, spleen will transport normally; dampness and heat will be clear; blood stasis and toxin will be easily removed; atrophy and intestinal metaplasia can delay the progress and reverse; precancerous lesion and cancer can be prevented and treated.

Key words: Intestinal gastric cancer,  Occurrence and development mode of traditional Chinese medicine,  Spleen deficiency, damp-heat, and blood stasis

摘要：

肠型胃癌西医经典发展模式是公认的Correa模式，而传统中医理论目前尚无肠型胃癌中医发生发展模式的理论，值得深入研究和挖掘。鱼涛主任基于多年临床实践发现，胃癌的病机为本虚标实，脾虚为本，湿热瘀毒为标。脾虚多因饮食内伤、情志不畅等因素长期作用所致，脾虚则湿邪内生，湿滞郁久化热，湿热胶合，气机不利，加之久病多瘀，致瘀血内停，热郁血瘀久之化生毒邪，导致发生癌变。鱼涛主任创新性地提出肠型胃癌发生发展模式脾虚→湿热→瘀→毒，临床据此治疗，疗效满意。本病核心病机是脾虚湿热瘀毒，本质为本虚标实证；脾虚是根本病机；标实为湿热瘀毒内蕴；本虚标实病机主次，本虚为主，标实为次，健脾治本贯彻始终，标实当根据不同阶段分期论治。临证当以健脾扶正、清化湿热、化瘀祛毒为治法，热易清，而湿瘀毒难祛，当尤重健脾扶正，将健脾贯穿治疗之始末，健脾则脾运健旺，湿祛热清则瘀毒易除，萎缩及肠化生可延缓进展甚至逆转，则癌前病变和癌变可防可治。

关键词: 肠型胃癌； ,  , 中医发生发展模式； ,  , 脾虚湿热瘀毒