吴煜运用清半夏、制天南星、浙贝母为主方治疗肝癌的经验  

Wu Yu’s experience in treating liver cancer with Pinelliae Rhizoma Pra-eparatum Cum Alumine,Arisaematis Rhizoma Preparatum,and Fritillariae Thunbergii Bulbus as main prescriptions

作　　者：梁碧颜[1] 董晓佳 王连美 郝腾腾[4] 吴娇 周芮 赵汉青 吴煜[4] LIANG Biyan;DONG Xiaojia;WANG Lianmei;HAO Tengteng;WU Jiao;ZHOU Rui;ZHAO Hanqing;WU Yu(Traditional Chinese Medicine Center for Acquired Immunodeficiency Syndrome Prevention and Treatment,China Academy of Chinese Medical Sciences,Beijing 100700,China;Department of Retired Cadres,China Academy of Chinese Medical Sciences,Beijing 100700,China;Department of Medical,Fangshan Hospital Beijing University of Chinese Medicine,Beijing 102499,China;Department of Oncology,Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijing 100091,China;College of Traditional Chinese Medicine,Hebei University,Hebei Province,Baoding 071000,China)

机构地区：[1]中国中医科学院中医药防治艾滋病研究中心,北京100700 [2]中国中医科学院离退休干部处,北京100700 [3]北京中医药大学房山医院医务科,北京102499 [4]中国中医科学院西苑医院肿瘤科,北京100091 [5]河北大学中医学院,河北保定071000

出　　处：《中国医药导报》2023年第21期151-153,196,共4页China Medical Herald

基　　金：国家重点研发计划课题(2017YFC1700606);河北省高等学校科学技术研究项目(QN2020272);中国中医科学院科技创新工程重大攻关项目(CI2021A01803)。

摘　　要：“痰”的发生与先天禀赋和后天多种因素,以及由此产生的精血津液等物质,津液停积凝聚的水饮有关。痰的形成过程由于脏腑气化功能受阻影响津液的运行与排泄。肝癌与痰生成有密切关系。吴煜教授认为,“痰”是肝癌中医病因一个重要的致病因素,“痰”是肝癌的发展及转移等过程中必要因素和自始至终的参与者,化痰法是肝癌中医治疗中贯穿始终的治疗原则。肝癌发生以痰浊为邪,内有坚癖,津液留结便可形成痰浊,痰浊郁结,气血运行不畅,久则成结形成癌肿,治疗上宜化痰散结消癌肿。结合临床治疗经验,提出清半夏、制天南星、浙贝母为治疗肝癌的主方,其中清半夏、制天南星燥湿化痰,消有形之癌块,浙贝母化痰散结,攻有形之癌毒。The occurrence of“phlegm”is related to congenital endowments and acquired multiple factors,as well as the resulting substances such as essence,blood,and body fluid,and the retained fluid caused by accumulation of body fluid.The process of phlegm formation affects the movement and excretion of body fluid due to the obstruction of the qi transformation function of the zang-fu viscera.Liver cancer is closely related to phlegm production.Professor Wu Yu believes that“phlegm”is an important pathogenic factor of liver cancer in Chinese medicine.“phlegm”is a necessary factor in the deve-lopment and metastasis of liver cancer and a participant from beginning to end.Eliminating phlegm method is a consistent principle in the treatment of liver cancer in traditional Chinese medicine.Liver cancer occurs with phlegm turbidities as evil,there is a strong lump in body,body fluid retention can form phlegm turbidities,phlegm turbidities stagnation,qi and blood operation is not smooth,a long time into the formation of cancer lumps,the treatment should dissipate phlegm and resolve masses and eliminate cancer lumps.Combining with the clinical treatment experience,the main prescription for the treatment of liver cancer is put forward,which includes Pinelliae Rhizoma Praeparatum Cum Alumine,Arisaematis Rhizoma Preparatum,and Fritillariae Thunbergii Bulbus.Among them,Pinelliae Rhizoma Praeparatum Cum Alumine,Arisaematis Rhizoma Preparatum eliminate dampness and phlegm,eliminate the visible cancer lumps,Fritillariae Thunbergii Bulbus dissipates phlegm and resolves masses,attack the visible cancer lumps.

关 键 词：肝癌 清半夏 制天南星 浙贝母 吴煜 

分 类 号：R735.7[医药卫生—肿瘤]