基于“肝本温,虚则清”理论辨治原发性肝癌的思路  

A treatment approach for primary liver cancer based on the theory of"the liver′s nature is warm,deficiency leads to coolness"

作　　者：郑鑫卓 武璇 牛作虎 徐春军[2] ZHENG Xin-zhuo;WU Xuan;NIU Zuo-hu;XU Chun-Jun(Graduate School of Beijing University of Chinese Medicine(Beijing,100029),China)

机构地区：[1]北京中医药大学研究生院,北京100029 [2]首都医科大学附属北京中医医院

出　　处：《中西医结合肝病杂志》2025年第2期230-233,共4页Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases

基　　金：北京中医医院院级课题暨两院合作课题(LYZD202205)。

摘　　要：基于“肝本温,虚则清”理论,从肝脏本身出发,阐述肝之本气当温,“温”体现了肝脏主升主动、兼具柔缓与刚直的生理特性;肝气不足则为“清”,表现为肝脏升散不及、刚柔失调。肝气生于肝阴,受肝阳调控,肝阴、肝阳合而生肝气,三者调和有序是肝脏发挥正常生理功能的基础。提出肝阴受损、肝阳无制、肝气失常为肝癌发生的基本病机,补肝阴以复肝气之源、平肝阳使肝气化生有力、复肝气以恢复肝脏生理功能为法来论治肝癌,以期为原发性肝癌的临床诊治提供新思路。Starting from the liver itself,the intrinsic qi of the liver should be"warm."This"warmth"reflects the liver′s physiological characteristics of governing upward movement and dynamic activity,balancing both flexibility and resoluteness.When liver qi is deficient,it manifests as"coolness",characterized by insufficient ascending and dispersing functions,as well as an imbalance between rigidity and softness.Liver qi originates from liver yin and is regulated by liver yang.The harmonious coordination among liver yin,liver yang,and liver qi serves as the foundation for the liver′s normal physiological functions.The study proposes that impaired liver yin,unregulated liver yang,and dysfunctional liver qi constitute the fundamental pathogenesis of hepatocellular carcinoma(HCC).The therapeutic strategy focuses on replenishing liver yin to restore the source of liver qi,moderating liver yang to strengthen the generation of liver qi,and rehabilitating liver qi to recover the liver′s physiological functions.This approach aims to provide new insights for the clinical diagnosis and treatment of primary hepatocellular carcinoma.

关 键 词：肝本温 虚则清 原发性肝癌 补肝阴 平肝阳 复肝气 

分 类 号：R735.7[医药卫生—肿瘤]