基于古籍文献的肝癌中医病名考辨  

The identification and analysis of traditional Chinese medicine disease name for liver cancer based on ancient textual sources

作　　者：张雪萍 尹东豪 胡建华 李秀惠 ZHANG Xue-ping;YIN Dong-hao;HU Jian-hua;LI Xiu-hui(Integrated Traditional Chinese and Western Medicine Center,Beijing Youan Hospital of Capital Medical University(Beijing,100069),China.)

机构地区：[1]首都医科大学附属北京佑安医院中西医结合中心,北京100069

出　　处：《中西医结合肝病杂志》2024年第12期1057-1060,1064,共5页Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases

摘　　要：目的:探讨肝癌的中医病名,以期为古籍文献的深度利用及辨病为主的临床经验总结交流提供依据和参考。方法:以第5版《中华医典》为数据来源,检索“癌”“瘤”“积聚”“癥瘕”“肝积”等中医病名,导出并筛选整理相关古籍条文,在厘清肿瘤类疾病病名源流基础上,对肝癌中医病名进行规范化研究。结果:共纳入古籍条文436条,源自153部古籍。结论:积聚类疾病中的“肝积”与“癥瘕”不仅在症状体征、发病过程及预后等方面都高度符合现代肝癌特点,还能体现气机阻滞、瘀血内结的病机,不失为肝癌中医病名内涵科学性、准确性、完整性的统一。Objective:To investigate the traditional Chinese medicine(TCM)disease names for liver cancer,with the aim of providing a basis and reference for the in-depth utilization of ancient texts and the exchange of clinical experience centered on disease differentiation.Methods:The 5th edition of the Chinese Medical Canon served as the data source for retrieving TCM disease names such as"Cancer","Tumor","Accumulation","Gynecologic abdominal lumps"and"Liver accumulation"Relevant excerpts from classical texts were extracted,screened,and organized.This study focuses on standardizing the TCM terminology for liver cancer by clarifying the historical evolution of tumor-related disease names.Results:A total of 436 entries from 153 ancient texts were included.Conclusion:The diseases"liver accumulation"and"Gynecologic abdominal lumps"within the category of accumulation disorders closely align with the characteristics of modern liver cancer,including symptoms,disease progression,and prognosis.These terms also reflect the pathogenesis of qi stagnation and internal blood stasis,effectively unifying the scientific,accurate,and comprehensive nature of TCM disease nomenclature for liver cancer.

关 键 词：肝癌 肝积 癥瘕 中医病名 

分 类 号：R256.4[医药卫生—中医内科学]