黎月恒教授以人为本论治小细胞肺癌的经验  

Professor LI Yueheng's experience in treating small cell lung cancer based on people-oriented theory

作　　者：邓振中 李东芳[2] 李玉明[2] 吴鸿[2] 焦蕉[2] DENG Zhenzhong;LI Dongfang;LI Yuming;WU Hong;JIAO Jiao(School of Integrated Chinese and Western Medicine,Hunan University of Chinese Medicine,Changsha,Hunan 410208,China;Hunan Cancer Hospital,Changsha,Hunan 410013,China)

机构地区：[1]湖南中医药大学中西医结合学院,湖南长沙410208 [2]湖南省肿瘤医院,湖南长沙410013

出　　处：《湖南中医药大学学报》2024年第3期450-454,共5页Journal of Hunan University of Chinese Medicine

基　　金：国家中医药管理局“黎月恒全国名老中医药专家传承工作室”建设项目;湖南省科药联合基金项目(2022JJ80077);湖南省中医药科研计划项目重点课题(C2022007);湖南省中医药管理局湖南省中医药领军人才和学科带头人培养项目(湘中医药2022:4号)。

摘　　要：小细胞肺癌(small cell lung cancer,SCLC)是一种异质性强、恶性程度高的肿瘤。黎月恒教授认为,其主要病机为气阴两虚、邪毒郁肺,治以益气养阴、化痰散瘀解毒,临证中强调以人为本、身心同调。疗人之疾,先医其心:补肺为医心之本,常用黄芪、党参;养心为医心之主,常用百合、合欢花;健脾为医心之基,常用党参、鸡内金;疏肝为医心之要,常用柴胡、白芍;调肾为医心之佐,常用龙骨、牡蛎。以自拟经验方肺复方加减分阶段治疗SCLC:手术后,补气生血,培一身之本;放疗期,益气养阴,护周身津液;化疗期,补脾益肾,固先天后天;维持治疗期,祛瘀散结,先安未受邪之地。总结黎月恒教授以人为本论治SCLC的临床经验,并附医案一则加以佐证。Small cell lung cancer(SCLC)is a highly heterogeneous and malignant tumor.Professor LI Yueheng believes that the main pathogenesis of this disease is deficiency of both qi and yin,and the stagnation of pathogenic toxins in the lungs.It can be treated by tonifying qi and nourishing yin,transforming phlegm,dissipating blood stasis,and removing toxins.Furthermore,in clinical practice,emphasis should be placed on people-oriented theory and simultaneous physical and mental regulation.That is to give priority to healing people’s heart(mind)when treating the diseases:Tonifying the lungs is the root of healing the heart(mind),and Huangqi(Astragali Radix)and Dangshen(Codonopsis Radix)are commonly used;nourishing the heart is the key to healing the heart(mind),and Baihe(Lilii Bulbus)and Hehuanhua(Albiziae Flos)are frequently used;strengthening the spleen is the foundation of healing the heart(mind),and Dangshen(Codonopsis Radix)and Jineijin(Galli Gigerii Endothelium Corneum)are often used;soothing the liver is essential for healing the heart(mind),and Chaihu(Bupleuri Radix)and Baishao(Paeoniae Radix Alba)are often used;and regulating the kidney contributes to healing the heart(mind),and Longgu(Os Draconis)and Muli(Ostreae Concha)are usually used.Professor LI also proposes using modified self-drafted Feifu Formula for staged treatment of SCLC:tonifying qi and generating blood,and cultivating the foundation of the body after surgery;nourishing qi and yin,and protecting the body’s fluids during the radiotherapy;tonifying the spleen and kidney,and consolidating the prenatal and postnatal foundation during the chemotherapy;as well as eliminating blood stasis and dissipating nodules,and taking preventing measures on the location that has not been affected during the maintenance treatment.This paper summarized Professor LI Yueheng’s clinical experience in treating SCLC with people-oriented theory with an attached medical case as evidence.

关 键 词：黎月恒 小细胞肺癌 以人为本 肺复方 身心同调 

分 类 号：R273[医药卫生—中西医结合]