“癌毒”理论指导下的肝癌分阶段治疗  

Staged Treatment of Liver Cancer Guided by the“Cancer Toxin”Theory

作　　者：王静芳 程思谟 翟笑枫 WANG Jing-fang;CHENG Si-mo;ZHAI Xiao-feng(The First Clinical Medical College of Shaanxi University of Chinese Medicine,Xianyang 712000 Shaanxi,China;Department of Traditional Chinese Medicine Oncology,the First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)

机构地区：[1]陕西中医药大学第一临床医学院,陕西咸阳712000 [2]海军军医大学第一附属医院中医肿瘤科,上海200433

出　　处：《中医肿瘤学杂志》2024年第2期81-85,共5页Journal of Oncology in Chinese Medicine

基　　金：国家自然科学基金面上项目(编号:82374540);上海市科委医学创新研究专项项目(编号:22Y11921200);全国名中医凌昌全学术经验传承创新提质升级项目(编号:沪卫中发便函〔2023〕6号);国家中医药管理局第二届凌昌全全国名中医传承工作室建设项目(编号:国中医药办人教函〔2022〕245号)。

摘　　要：癌毒理论是中医治疗恶性肿瘤的重要理论之一,癌毒是肝癌等恶性肿瘤发生发展的核心病机,相对于同时存在的常规病机而言,癌毒盛衰与邪正消长决定了中医治疗肝癌的理、法、方、药,同时决定了肝癌不同阶段的主要治疗策略:肝癌早期,手术后侧重清余毒防复发;肝癌中期,中西医并重、协同解毒增效;肝癌晚期,中医药扶正为主、辅以攻邪。The theory of cancer toxin is one of the important theories in traditional Chinese medicine(TCM)treatment of malignant tumors.Cancer toxin is the core pathogenesis of the occurrence and development of malignant tumors such as liver cancer.Compared with the conventional pathogeneses that coexist,the rise and fall of cancer toxin and the growth and decline of pathogenic factors determine the principles,methods,formulas,and medicines of TCM in treating liver cancer.At the same time,they determine the main treatment strategies in different stages of liver cancer.In the early stage of liver cancer,clearing residual toxins to prevent recurrence after operation is focused on.In the mid-term of liver cancer,both Chinese and western medicine should be emphasized to enhance efficacy and reduce toxicity synergistically.In the late stage,TCM mainly focuses on nourishing the body and attacking pathogenic factors supplemently.

关 键 词：癌毒 防复清毒 攻补兼施 扶正减毒 

分 类 号：R273[医药卫生—中西医结合] R730.52[医药卫生—中医肿瘤科]