摘要
我国肺癌发病率居于癌症首位,中医药干预可明显改善患者生命质量。国医大师刘尚义教授对于肺癌的治疗承古创新,根据患者局部病灶、全身症状与病程阶段的不同将肺癌膜病分为膜痒、膜疮、膜烂出血3个阶段,提出外风证、痰湿证、湿热证、阳虚证、风痰互结证、痰瘀互结证、阴虚内热证、血热妄行证、气阴两虚证等9个证型。临证以“肺主皮毛”为病机根本,以“风、痰、瘀、毒”为病理因素,以自拟抗肿瘤经验方“甲术二草汤”为基础。从膜论治,用药独具特色,临床疗效显著,极大地丰富了肺癌这一疑难疾病的中医临证思路。
Lung cancer has the highest incidence among cancers in China,and traditional Chinese medicine(TCM) interventions can significantly improve patients′ quality of life.Professor LIU Shangyi,a TCM master,has developed an innovative approach to the treatment of lung cancer based on classical principles.Prof.LIU categorizes lung cancer “membrane disease” into three progressive stages,i.e.,membrane itching,membrane ulceration,and membrane erosion with bleeding,based on local lesions,systemic symptoms,and the course of the disease.He proposes nine TCM syndromes,namely external wind syndrome,phlegm-dampness syndrome,dampness-heat syndrome,yang deficiency syndrome,combined wind-phlegm syndrome,combined phlegm-blood stasis syndrome,yin deficiency with internal heat syndrome,reckless movement of blood due to blood heat syndrome,and qi and yin deficiency syndrome.In clinical practice,he regards “lung governing the skin and hair” as the fundamental pathogenesis,with wind,phlegm,stasis,and toxin as key pathological factors.His treatment is based on the self-formulated anti-tumor decoction Jiashu Ercao Decoction,characterized by syndrome differentiation from the perspective of the lung membrane,unique herbal selection,and remarkable clinical efficacy.This approach has greatly enriched the TCM clinical strategies for treating lung cancer,a complex and challenging condition.
作者
李沅音
张少望
李高
杨兵
陈果
黄雯琪
唐东昕
LI Yuanyin;ZHANG Shaowang;LI Gao;YANG Bing;CHEN Guo;HUANG Wenqi;TANG Dongxin(Guizhou University of Traditional Chinese Medicine,Guiyang 550002,China;The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang 550001,China)
出处
《世界中医药》
北大核心
2025年第6期994-998,共5页
World Chinese Medicine
基金
国家自然科学基金项目(82260957,82274610)
贵州省高等学校中医药民族医药防治肿瘤医学转化工程研究中心黔教技[2023]37号
贵州省科技计划项目(黔科合支撑[2021]一般095)
贵州省中医肿瘤传承与科技创新人才基地(黔人领发[2018]3号)。
关键词
名医经验
肺癌
中医药治疗
@刘尚义
从膜论治
黏膜
分型论治
用药特点
Experience of famous doctor
Lung cancer
Traditional Chinese medicine treatment
@LIU Shangyi
Treatment from membrane
Mucosa
Syndrome-based therapy
Features of prescription
