曹東義：癌症的微觀態症候與腫瘤體質——中醫視角下的治療智慧
在醫學的浩瀚宇宙中，癌症如同一顆璀璨的星辰，既閃耀着生命的希望，又暗藏着死亡的陰影。現代醫學以其精準的病竈實證病理診斷，爲癌症的治療提供了有力的武器。然而，病竈並非複雜臨牀現象的唯一解釋，癌症的問題也決不侷限於那肉眼可見的腫塊。
我們常能見到這樣的場景：癌症患者在確診前，生活如常，能喫能睡能勞動，甚至健步如飛前來體檢。然而，一旦被告知患了癌症，彷彿一夜間，他們喫不下、睡不着，甚至癱瘓在牀，行走困難。這並非僅僅是心理作用的結果，而是癌症這一複雜疾病在微觀領域對患者身心的全面侵襲。
現代醫學過分強調手術根治，試圖通過切除病竈及其周圍組織來徹底消滅癌症。然而，事實卻證明，這種“斬草除根”的方式往往效果不佳，甚至可能傷及無辜。食管癌患者，病竈以上、以下各5公分被切除，淋巴結被清掃，卻仍要面臨術後放療、化療的考驗。這些治療手段，本是爲了防止復發，卻有可能成爲“致癌”的元兇。據統計，大部分癌症患者並非死於癌症本身，而是死於恐懼和錯誤治療所帶來的併發症。
那麼，癌症的真相究竟是什麼？其實，每個人、每個細胞上都有癌症基因，關鍵在於這些基因是開放活躍的，還是關閉休眠的。這取決於人體微觀領域的複雜狀態，是紊亂還是平衡。中醫早已認識到這一點，將癌症視爲人體微觀領域失調的外在表現。
中醫治療癌症的長處，就在於調整病人失調的微觀領域，幫助患者向健康的方向轉化。各種證候的改善與消失，就是微觀複雜失調狀態得到糾正的外在表現。比如經期乳房脹痛，儘管病人沒有腫塊，既確診不了是增生還是腫瘤，但經過中醫用疏肝理氣、解鬱散結的中藥治療，病人症狀消失，就有可能將病竈消滅於未萌狀態。這種“兵不血刃”的治療方式，難道不是更優秀嗎？
病人主訴的症狀，是人體在幾百萬年進化後才具有的“特異功能”。這些症狀，如同人體內部的“警報器”，隨時向醫生反映其身體內複雜微觀領域的“動態變化”。然而，現代醫學卻常常因爲這些症狀在動物身上無法重複，沒有量化的實驗室數據，而輕易地放棄它們，甚至將它們看作是假象。這是何等的短視！
占人羣70%以上的“亞健康”人羣，他們的症狀正是身體在向我們發出警告，提示其身體內複雜微觀領域的失衡。這時，還沒有形成“固定不變的病竈”，所以更容易糾正，更容易恢復其固有的生理平衡，恢復健康狀態。中醫學的長處，就在於它善於捕捉這些微妙的變化，通過調整人體的陰陽平衡、氣血流通等，來達到治療疾病的目的。
中醫學一向主張“治未病”，“善治者，治皮毛”，“救其未萌”等先進醫學思想。這些思想，不僅體現了中醫對生命的尊重和呵護，更彰顯了中醫在治療癌症等複雜疾病方面的獨特智慧。中醫不僅僅關注病竈本身，更關注病竈背後的微觀領域失調狀態。通過調整這種失調狀態，中醫有可能使癌症病竈自行消失，達到臨牀自愈的效果。
讓我們以一位癌症患者爲例。張先生，在被確診爲肺癌後，選擇了中醫治療。中醫醫生通過望、聞、問、切四診合參，發現張先生存在肝鬱氣滯、痰溼內阻的證候。於是，醫生開具了疏肝理氣、化痰祛溼的中藥方劑。經過幾個月的治療，張先生的症狀逐漸改善，精神狀態也明顯好轉。複查時，發現肺部病竈竟然有所縮小。這，就是中醫調整微觀領域失調狀態、治療癌症的生動例證。
癌症，這一複雜而狡猾的疾病，需要我們以更加全面、深入的視角去認識它、治療它。中醫學，以其獨特的症候思維和整體觀念，爲我們提供了一條新的治療路徑。讓我們攜手中醫，共同探索癌症的奧祕，爲人類的健康事業貢獻智慧與力量。
參考文獻：2005年9月15日《中國中醫藥報》，作者:曹東義，《中醫診察手段基於生物進化》
作者簡介：梁世傑 中醫高年資主治醫師，本科學歷，從事中醫臨牀工作24年，積累了較豐富的臨牀經驗。師從首都醫科大學附屬北京中醫院肝病科主任醫師、著名老中醫陳勇，侍診多載，深得器重，盡得真傳！擅用“商湯經方分類療法”、專病專方結合“焦樹德學術思想”“關幼波十綱辨證”學術思想治療疑難雜症爲特色。現任北京樹德堂中醫研究院研究員，北京中醫藥薪火傳承新3+3工程—焦樹德門人（陳勇）傳承工作站研究員，國際易聯易學與養生專委會常務理事，中國中醫藥研究促進會焦樹德學術傳承專業委員會委員，中國藥文化研究會中醫藥慢病防治分會首批癌症領域入庫專家。榮獲2020年中國中醫藥研究促進會仲景醫學分會舉辦的第八屆醫聖仲景南陽論壇“經方名醫”榮譽稱號。2023年首屆京津冀“扁鵲杯”燕趙醫學研究主題徵文優秀獎獲得者。事蹟入選《當代科學家》雜誌、《中華英才》雜誌。
Cao Dongyi: Microscopic Symptoms and Tumor Properties of Cancer - Therapeutic Wisdom from the Perspective of Chinese Medicine
In the vast cosmos of medicine, cancer is like a bright star, both shining with the hope of life and hiding the shadow of death. Modern medicine provides a powerful weapon for the treatment of cancer with its precise empirical diagnosis of lesions. However, lesions are not the only explanation for complex clinical phenomena, and the problem of cancer is by no means limited to the visible mass.
We often see scenes where cancer patients live as normal before they are diagnosed, can eat, sleep and work, even walk as fast as they can to get a medical checkup. However, once told they had cancer, it seemed like overnight, they couldn''t eat, slept, and were even paralysed in bed and struggled to walk. This is not simply the result of psychological effects, but the comprehensive physical and psychological invasion of the patient by the complex disease of cancer at the micro level.
Modern medicine puts too much emphasis on surgical cure, attempting to eradicate cancer completely by removing the lesion and the surrounding tissue. However, it turns out that this method of "weeding out the roots" often does not work well and may even harm innocent people. Esophagus cancer, 5 cm above and below the lesion, has been resected, and lymph nodes have been dissected. However, postoperative radiotherapy and chemotherapy are still needed. These treatments, which are meant to prevent recurrence, may become the culprit of "carcinogenesis." According to statistics, the majority of cancer patients die not from the cancer itself, but from the complications of fear and mistreatment.
So what is the truth about cancer? In fact, every person and every cell has cancer genes, and the key is whether these genes are active or inactive. This depends on the complex state of the human microsphere, whether it is disordered or balanced. TCM has long recognized this, viewing cancer as an outward manifestation of disorders in the microspheres of the human body.
The strength of TCM in treating cancer lies in adjusting the micro-areas of the patient''s dysfunction to help the patient transform to a healthy direction. The improvement and disappearance of various symptoms is an external manifestation of the correcting of the microscopic complex disorder state. For example, menstrual breast pain, although the patient does not have a lump, it can neither be diagnosed as a proliferation nor a tumor, but after treatment with traditional Chinese medicine to soothe the liver, calm the stomach, and dissolve the knot, the patient''s symptoms disappear, and it is possible to eliminate the lesion in the uninitiated state. Isn''t this "non-invasive" treatment better?
The symptoms reported by patients are "special functions" that the human body has developed over millions of years. These symptoms, like "alarms" inside the human body, are constantly telling doctors about "dynamic changes" in complex micro-areas of the body. However, modern medicine often easily abandons these symptoms because they are unrepeatable in animals and because there is no quantitative laboratory data, and even treats them as a falsehood. What a short-sighted thing this is!
The symptoms of "sub-healthy" people, who make up more than 70% of the population, are a warning to us about imbalances in complex micro-areas of the body. At this time, has not formed "fixed lesions," it is easier to correct, easier to restore its inherent physiological balance, restore the state of health. The strength of traditional Chinese medicine is that it is adept at capturing these subtle changes to achieve the purpose of treating diseases by adjusting the yin-yang balance of the human body, the circulation of air and blood, etc.
Traditional Chinese Medicine (TCM) has always advocated such advanced medical ideas as "preventive treatment of disease," "treatment of the superficial," and "saving the young." These ideas not only reflect the respect and care of life of traditional Chinese medicine, but also demonstrate the unique wisdom of traditional medicine in treating complex diseases such as cancer. Traditional Chinese medicine focuses not only on the lesion itself, but also on the micro-area disorder state behind the lesion. By adjusting this dysregulated state, traditional Chinese medicine has the potential to cause cancer lesions to disappear on their own and achieve clinical self-healing.
Let''s take a cancer patient as an example. Mr. Zhang chose traditional Chinese medicine after being diagnosed with lung cancer. The traditional Chinese medicine practitioners examined, smelled, asked and cut together four signs and found that Mr. Zhang had symptoms of depressed liver, stagnant stomach and constipation of sputum. The doctor then prescribed a Chinese herbal remedy for liver healing, spitting and swelling. After several months of treatment, Mr. Zhang''s symptoms gradually improved and his mental state also improved significantly. On a re-examination, the lesions in the lungs actually shrank. This is a vivid example of TCM adjusting the dysfunctional state of the microsphere and treating cancer.
Cancer, a complex and devious disease, requires us to take a more comprehensive and in-depth look at it and treat it. Chinese medicine, with its unique symptom thinking and holistic concept, has provided us with a new path of treatment. Let us join hands with traditional Chinese medicine to explore the mysteries of cancer and contribute wisdom and strength to the cause of human health.
References: Chinese TCM Daily, September 15, 2005. Author: Cao Dongyi, TCM diagnostic methods based on biological evolution.
Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine with an undergraduate degree. He has been engaged in traditional medicine clinical work for 24 years and has accumulated a wealth of clinical experience. Following Chen Yong, chief physician of liver disease at Beijing Traditional Medicine Hospital, affiliated with Capital Medical University, and renowned old Chinese medicine, he has been treated for many years and received great attention. He specializes in the treatment of difficult diseases using "conversational traditional therapy" and special treatments combined with the academic ideas of Jiao Shude and Guan Yubo''s ten-level diagnosis.He is currently a researcher at the Shude Tang TCM Research Institute in Beijing, a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance workstation of Jiao Shude''s protégés (Chen Yong),He is a standing committee member of the International Expert Committee on E-learning and Health Care, a member of the Jiao Shude Academic Heritage Special Committee of the Chinese Association for the Advancement of Chinese Medicine Research, and the first cancer specialist to be included in the chapter of the Chinese Pharmaceutical Culture Research Association. Won the 2020 China Association for the Promotion of Traditional Chinese Medicine Zhongjing Medical Branch held the eighth session of the Medical Saint Zhongjing Nanyang Forum "Classic Prescription Famous Doctor" honorary title. The winner of the first Beijing-Tianjin-Hebei "Pingui Cup" Yanzhao Medical Research Essay Award in 2023. His work was featured in the journal Current Scientist and the journal Chinese Talent.
