治未病思想下肿瘤防治辨证模式运用  

Application Strategy of Syndrome Differentiation Model for Prevention and Treatment of Tumor Based on Preventive Treatment of Disease

作　　者：吴籽良 孙进波 WU Ziliang;SUN Jinbo(Health Management Center,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Sichuan Province,Chengdu 610075,China)

机构地区：[1]成都中医药大学附属医院健康管理中心,四川成都610075

出　　处：《光明中医》2025年第4期803-805,共3页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：成都中医药大学附属医院科技发展基金(No.22XZ03)。

摘　　要：治未病思想是中医特色的全程管理策略,以辨体-辨症-辨病-辨证为主的辨证体系理论是中医防治疾病的核心思维。如何将其运用于肿瘤疾病的预防、治疗、康复,是一个值得深思与探索的问题。基于治未病分期论治的思想路径,可将肿瘤防治的全过程分为未病态、隐病欲病态、病而未传态、传而已变态、愈后未复态5个阶段。依据4种辨治方法各自的优势、缺陷及适用范围,以肺癌为实例,阐述其在5个不同阶段的灵活配伍应用,以探讨治未病思想与辨证模式在肿瘤疾病中的结合运用策略。The concept of preventive treatment of disease represents a characteristic strategy of comprehensive management in traditional Chinese medicine(TCM).The theoretical framework of syndrome identification,which organically combines the identification of constitution,disease,syndrome and symptoms,is the core philosophy of TCM in preventing and treating diseases.The critical inquiry lies in how to perfectly integrate these concepts for the prevention,treatment,and rehabilitation of cancer.Based on the idea of stage-based treatment in preventive treatment of disease,the entire process of cancer management can be divided into five stages as follows:the healthy pre-disease state,latent disease state,diseased but non-metastatic state,metastatic state,and post-recovery non-relapse state.Utilizing lung cancer as an example and considering the respective advantages,limitations,and applicability of four different syndrome identification methods,this paper explored their flexible combination and application across these five stages to discuss the integration strategies of the concept of preventive treatment of disease and syndrome identification in cancer management.

关 键 词：肿瘤 治未病 辨证模式 全程管理 

分 类 号：R273[医药卫生—中西医结合]