梅国强运用小陷胸汤加减治疗肺癌经验  

MEI Guoqiang's Experience in Treating Lung Cancer with Modified Xiaoxianxiong Decoction(小陷胸汤)

作　　者：黄硕 刘松林[1,2] 周贤 许乐思[1,2] 赵开政 柯友兰[1] 逯慧怡 HUANG Shuo;LIU Songlin;ZHOU Xian;XU Lesi;ZHAO Kaizheng;KE Youlan;LU Huiyi(Hubei University of Chinese Medicine,Wuhan,430061;Hubei Shizhen Laboratory;The Affiliated Hospital of Hubei Provincial Government)

机构地区：[1]湖北中医药大学,湖北省武汉市430061 [2]湖北时珍实验室 [3]湖北省直属机关医院

出　　处：《中医杂志》2024年第17期1753-1756,共4页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局国医大师传承工作室建设项目(国中医药办人教函[2018]119号);湖北省中医药重点学科建设项目(鄂中医通[2023]2号)。

摘　　要：总结梅国强教授运用小陷胸汤加减治疗痰热阻肺型肺癌的临证经验。认为痰热阻肺型肺癌的关键病机为痰热毒蕴,并根据气滞、瘀血、毒邪、痰湿、气虚、阴虚等在疾病发生发展过程中的不同致病作用,治疗主张在清热化痰的基础上配合宣肺止咳、解毒散结、理气活血、祛湿、补益气阴等法,多法并用,灵活配伍。临证以清热化痰之小陷胸汤为基础方进行加减,对于肺系症状轻微者,常用小陷胸汤加味;对于肺系症状明显者,常用自拟麻杏陷胸汤加减;对于病涉少阳者,常用柴胡陷胸汤加减。This article summarized the clinical experience of MEI Guoqiang in treating lung cancer of phlegmheat obstructed in the lung syndrome with modified Xiaoxianxiong Decoction(小陷胸汤).It is believed that the key pathogenesis of lung cancer with phlegm-heat obstructed in the lung syndrome is the phlegm-heat toxin accumulation.According to the different pathogenic effects of qi stagnation,blood stasis,pathogenic toxin,phlegm-damp,qi deficiency,yin deficiency in the occurrence and development of the disease,it is advocated to clear heat and resolve phlegm,and additionally the methods of diffusing the lung and relieving cough,resolving toxins and dissipating masses,rectifying qi and activating blood,dispelling dampness,supplementing and boosting qi and yin are used if necessary.Multiple methods are used together and flexibly matched.In clinical practice,Xiaoxian-xiong Decoction with the function of clearing heat and relieving phlegm is recommended as the basic formula for further modification.For patients with mild lung symptoms,modified Xiaoxianxiong Decoction is commonly used,while for those with obvious symptoms,self-made Maxing Xianxiong Decoction(麻杏陷胸汤)in modifications is suggested.For patients with Shaoyang(少阳)diseases,modified Chaihu Xianxiong Decoction(柴胡陷胸汤)is often used.

关 键 词：肺癌 小陷胸汤 痰热阻肺 名医经验 梅国强 

分 类 号：R273[医药卫生—中西医结合] R249[医药卫生—中医肿瘤科]