摘要
肝细胞癌(Hepatocellular carcinoma,HCC)作为最常见的肝癌类型,其高发病率和致死率对全球公共卫生构成重大威胁。本文基于全国名中医凌昌全教授的临床经验,从“疏气扶正”角度深入探讨肝癌的病因病机及证治思路。凌师认为,肝癌的发生发展与肝失调达、瘀久成积、积久生毒密切相关,同时伴随阴阳失衡、正虚邪积、癌毒内炽等病理变化。在治疗上,其强调疏气扶正、标本兼顾的原则,通过调节脏腑功能、改善气机不畅,同时辅以清热解毒、软坚散结等方法,旨在打破气滞正虚邪生的恶性循环,促进疾病向愈。本文通过具体验案分析,描述了凌昌全教授在肝癌治疗中的以“疏气”而“扶正”、终“抑瘤”的独特见解和显著疗效,为肝癌的中医临床诊疗提供了新的参考和思路。
Hepatocellular carcinoma(HCC),as the most common type of liver cancer,poses a significant threat to global public health due to its high incidence and mortality rates.This paper delves into the etiology,pathogenesis,and syndrome differentiation of liver cancer from the perspective of"dispersing qi and fortifying the body resistance",based on the clinical experience of renowned traditional Chinese medicine(TCM)practitioner,Prof.Changquan Ling.Prof.Ling believes that the development of liver cancer is closely related to the disruption of liver qi flow,the accumulation of blood stasis over time,and the generation of toxin from long-term stagnation,accompanied by pathological changes such as imbalance of yin and yang,deficiency of the body′s vital qi and accumulation of pathogenic factors,and internal blazing of cancer toxins.In terms of treatment,he emphasizes the principles of dispersing qi and fortifying the body resistance,addressing both the root cause and symptoms.This is achieved by regulating the functions of viscera,improving the stagnation of qi flow,and supplemented by methods such as clearing heat and detoxifying,and softening and dispersing hard masses,aiming to break the vicious cycle of qi stagnation,deficiency of vital qi,and pathogenic factor generation,thereby promoting the recovery from the disease.Through detailed analysis of clinical cases,this paper demonstrates Prof.Ling′s unique insights and significant efficacy in treating liver cancer through"dispersing qi"to"fortify the body resistance",ultimately achieving"tumor suppression".This provides new references and perspectives for the clinical diagnosis and treatment of liver cancer in TCM.
作者
朱明星
汪玉倩
杨珏
张羽飞
陈娇娇
罗宇君
周慧灵
韩睿
ZHU Mingxing;WANG Yuqian;YANG Jue;ZHANG Yufei;CHEN Jiaojiao;LUO Yujun;ZHOU Huiling;HAN Rui(Department of Oncology,Anqing 116 Hospital,Anqing 246001,China;Oncology Department of Chinese Medicine,The First Hospital of Naval Medical University,Shanghai 200433,China;LING Changquan National Famous TCM Practitioner Inheritance Studio,Shanghai 200433,China;Department of Chinese Medicine,Naval Medical University,Shanghai 200433,China;Seventh People's Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200137,China)
出处
《世界科学技术-中医药现代化》
北大核心
2025年第3期717-723,共7页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
国家自然科学基金委员会青年项目(82204864):基于HDAC2/HIP1R轴对PD-L1核易位的调控探讨缬草酸对PD-1抗体治疗肝癌的增效作用及机制,负责人:韩睿。
关键词
凌昌全
肝癌
疏气扶正
癌毒理论
验案分析
Changquan Ling
liver cancer
Dispersing qi and fortifying the body resistance
Cancer toxin theory
Case analysis
