国医大师潘敏求治疗肠癌的经验总结  

National CM Master PAN Minqiu's experience in treating colorectal cancer

作　　者：陈坚[1] 梁慧[2] 潘博[3] 潘敏求[3] CHEN Jian;LIANG Hui;PAN Bo;PAN Minqiu(Hunan University of Chinese Medicine,Changsha,Hunan 410208,China;Hunan Cancer Hospital,Changsha,Hunan 410013,China;Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine(The Affiliated Hospitalof Hunan Academy of Traditional Chinese Medicine),Changsha,Hunan 410006,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南省肿瘤医院,湖南长沙410013 [3]湖南省中西医结合医院(湖南省中医药研究院附属医院),湖南长沙410006

出　　处：《湖南中医药大学学报》2025年第2期191-195,共5页Journal of Hunan University of Chinese Medicine

基　　金：国医大师潘敏求传承工作室项目(国中医药办人教函[2022245]);湖南省自然科学基金科药联合基金专项(2023JJ60463);湖南省中医药管理局湖南省“十四五”第二批中医药领军人才、学科带头人项目(湘中医药[2024]3号)。

摘　　要：肠癌是常见的消化道恶性肿瘤,机体内正邪交争的状态贯穿于肠癌发生发展的始终,不同的阶段表现为不同的状态。国医大师潘敏求教授擅长从“正邪理论”辨治肠癌,其认为肠癌由虚、湿、滞(气滞、血瘀)、毒多因致病,内外合邪,病机特点为正虚邪实,治以扶正祛邪为主,确立了健脾、益气、补血、益胃、养肝、补肾、祛湿、理气、化瘀、解毒等常用的扶正祛邪治法及辨证论治体系,并自拟具有健脾理气、祛湿化瘀解毒作用的专病专方——肠复方。在临证施治中强调中西协同治疗,优势互补。从病因病机、治法用药、证治体系、专病专方、中西协同等方面对国医大师潘敏求教授治疗肠癌的经验进行阐述,并附医案一则加以佐证。Colorectal cancer is a common malignant tumor of the digestive tract.In Chinese medicine theory,the state of struggle between healthy qi and pathogenic factors in the body persists throughout the onset and development of colorectal cancer,exhibiting different manifestations at various stages.Professor PAN Minqiu,a renowned National CM Master,is skilled in distinguishing and treating colorectal cancer based on the theory of"healthy qi and pathogenic factors".He believes that colorectal cancer is caused by multiple factors such as deficiency,dampness,stagnation(qi stagnation and blood stasis),and toxins,resulting from the combined action of internal and external pathogenic factors.The pathogenesis is characterized by the deficiency of healthy qi and excess of pathogenic factors.His treatment approach focuses on reinforcing healthy qi to eliminate pathogenic factors,and he has established a pattern identification-based treatment system that includes common methods for strengthening the spleen,tonifying qi,nourishing blood,benefiting the stomach,nourishing the liver,tonifying the kidney,eliminating dampness,regulating qi,transforming stasis,and removing toxins.In addition,he has developed a specialized formula—Changfu Formula—which is designed to strengthen the spleen and regulate qi,eliminate dampness,transform stasis,and remove toxins,In clinical practice,he emphasizes a combined treatment approach of Chinese and western medicine,leveraging their complementary strengths.This article expounds on the National CM Master PAN Minqiu's clinical experience in treating colorectal cancer through aspects such as etiology and pathogenesis,treatment methods and medications,pattern identification and treatment systems,formulas for specific diseases,and the integration of Chinese and western medicine.A case study is also provided to support these insights.

关 键 词：潘敏求 肠癌 正邪理论 扶正祛邪 肠复方 

分 类 号：R273[医药卫生—中西医结合]