李秀惠教授从五积致病辨治肝癌经验  

Professor Li Xiuhui′s experience in the differentiation and treatment of liver cancer from the perspective of five types of stagnation as pathogenesis

作　　者：尹东豪 李杨 杨雪梦 李秀惠 YIN Dong-hao;LI Yang;YANG Xue-meng;LI Xiu-hui(Integrative Traditional Chinese and Western Medicine Center Beijing You'an Hospital,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 [2]北京丰台右安门医院中医科

出　　处：《中西医结合肝病杂志》2025年第3期364-366,共3页Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases

基　　金：深圳市“医疗卫生三名工程”项目资助(SZZYSM202411013)。

摘　　要：总结李秀惠教授治疗肝癌的临证经验。李秀惠教授提出肝癌“五积内结,虚损生积”的致病特点,认为肝癌为慢病久病,外邪侵袭(食、疫、酒、药、气五邪)是发病之因,外毒促生内毒,耗损肝脾肾,正虚无力驱邪,终生为肝积,可有“食、气、寒、痰、瘀”五积。在治疗上,其继承钱英教授“和血法”诊治肝病的思想,在肝癌治疗中善用“体用同调法”,使脏腑气血调和,阴阳平衡,肝积稳定,甚或消积。This article summarizes Professor Li Xiuhui's clinical experience in treating liver cancer.Professor Li proposed that liver cancer is characterized by the pathogenic pattern of"internal accumulation of five types of stagnation leading to disease,"with the belief that liver cancer is a chronic and long-standing illness.The external invasion of five pathogens(food,epidemic,alcohol,drugs,and qi)is the primary cause of onset.External toxins promote the development of internal toxins,depleting the liver,spleen,and kidneys,leading to the failure of the body's resistance against pathogens.This results in liver stagnation,with the five types of stagnation:"food,qi,cold,phlegm,and blood stasis".In treatment,Professor Li inherits the concept of"harmonizing blood"from Professor Qian Ying′s approach to liver disease,and skillfully applies the"concurrent regulation of both the body and function"method in liver cancer treatment.This approach harmonizes the organs'qi and blood,balances yin and yang,stabilizes liver stagnation,and even eliminates accumulation.

关 键 词：肝癌 五积致病 体用同调 

分 类 号：R256.4[医药卫生—中医内科学]