通讯作者: 姚德蛟, 5373@cdutcm.edu.cn

DOI：10.12201/bmr.202505.00040

Professor Yao Dejiaos Approach to Treating Lymphoma from the Perspective of Carbuncles and Abscesses in Traditional Chinese Medicine Surgery

• 摘要：淋巴瘤是常见恶性肿瘤，目前治疗以化疗、靶向治疗为主，但存在耐药性与毒副作用。姚德蛟教授认为淋巴瘤与痈疽病因、病机相似，故可从痈疽角度论治淋巴瘤，其病机演变可分为四个阶段即：初期痰瘀互结；中期癌毒化火伤阴；极期毒邪久羁，耗损真元；终末期正气溃败、毒邪走窜。提出分期论治的思路，在不同分期，首辨护场盛衰，消、托、补三法合用，调和气血，托毒外出。临床验案表明，中医药在稳定瘤体、改善生存质量方面具有优势，为高龄体弱、无法耐受化疗的淋巴瘤患者提供了长期带瘤生存的可能。

  关键词： 淋巴瘤；痈疽；论治；临床经验; ; ; 

   

  Abstract: Lymphoma, a prevalent malignancy primarily treated with chemotherapy and targeted therapies, remains challenged by drug resistance and toxic side effects. Professor Yao Dejiao proposes that lymphoma shares etiological and pathological mechanisms with carbuncle-abscess diseases, advocating a therapeutic approach derived from suppurative infection management. The pathogenesis progresses through four stages: initial stage of phlegm-stasis intermingling; intermediate stage featuring cancerous toxin-induced fire damaging yin; critical phase with persistent toxin retention depleting primordial qi; and terminal phase marked by vital qi collapse and toxin dissemination. The staged treatment strategy prioritizes assessing the protective milieus robustness, combining resolving, expelling, and tonifying methods to harmonize qi-blood dynamics and eliminate toxins. Clinical evidence highlights traditional Chinese medicines efficacy in tumor stabilization, quality-of-life improvement, and enabling long-term tumor-bearing survival for elderly or chemotherapy-ineligible patients.

  Key words: Lymphoma; Carbuncles and Abscesses; therapeutic principles; clinical experience

  提交时间：2025-05-26

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2025-04-28	bmr.202505.00040V1	下载

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