从张锡纯治肝思想浅谈肝癌的中医治疗  

Brief Discussion on Liver Cancer Treatment of Traditional Chinese Medicine from the Perspective of ZHANG Xichun’s Liver Treatment Thought

作　　者：薛洋洋 葛凯莉 黄菊惠 魏春山[1,2] XUE Yangyang;GE Kaili;HUANG Juhui;WEI Chunshan(The Fourth Clinical Medical College,Guangzhou University of Chinese Medicine,Shenzhen 518033 Guangdong,China;Department of Hepatopathy,Shenzhen Traditional Chinese Medicine Hospital,Shenzhen 518033 Guangdong,China)

机构地区：[1]广州中医药大学第四临床医学院,广东深圳518033 [2]深圳市中医院肝病科,广东深圳518033

出　　处：《中医肿瘤学杂志》2025年第2期49-56,共8页Journal of Oncology in Chinese Medicine

基　　金：国家自然科学基金项目(编号:82074384);深圳市“医疗卫生三名工程”项目(编号:SZZYSM202411013)。

摘　　要：原发性肝癌(primary liver cancer,PLC)特别是肝细胞癌(hepatocellular carcinoma,HCC)作为全球常见癌症之一,其治疗手段常常受限,预后不佳。中医药治疗以其整体观念和辨证论治的特点,在临床治疗的多个方面显示出独特优势。清末医家张锡纯的治肝思想对现代肝癌的治疗颇有指导意义,在其著述《医学衷中参西录》中共涉及了疏肝法、清肝法、柔肝法、补肝法等多种治肝之法,为肝癌的攻邪补虚治则提供了参考。本文详细论述散瘀攻邪(如疏肝、清肝、柔肝)和补虚扶正(如补肝气、温肝阳、实脾胃、补肝肾)的基本治法,同时强调了中西医结合的重要性,在肝癌治疗中实现中医整体调理与西医局部治疗的优势互补,对现代中医辨治肝癌提供借鉴和指导作用。Primary liver cancer(PLC),particularly hepatocellular carcinoma(HCC),is one of the most common cancers worldwide,with limited treatment options and poor prognosis.Traditional Chinese Medicine(TCM),characterized by its holistic approach and syndrome differentiation,has demonstrated unique advantages in various aspects of clinical treatment.The liver treatment thought of ZHANG Xichun,a renowned physician in the late Qing Dynasty,held significant guiding value for the modern treatment of liver cancer.In his seminal work Records of Traditional Chinese and Western Medicine in Combination,he elaborated on various liver treatment methods,including liver-soothing,liver-clearing,liver-nourishing,and liver-tonifying,providing references for the treatment of both eliminating pathogenic factors and reinforcing deficiency in liver cancer.This article provided a detailed discussion on the basis treatments of dispersing stasis and attacking pathogenic factors(such as liversoothing,liver-clearing,and liver-nourishing)and supplementing deficiency and supporting healthy qi(such as tonifying liver qi,warming liver yang,strengthening spleen and stomach,and nourishing liver and kidney).Meanwhile,it emphasized the importance of integrating TCM and western medicine,achieving the complementary advantage of TCM’s holistic regulation and western medicine’s localized treatment in liver cancer therapy,providing reference and guidance for modern TCM differentiation and treatment of liver cancer.

关 键 词：肝癌 张锡纯 医学衷中参西录 

分 类 号：R735.7[医药卫生—肿瘤] R273[医药卫生—临床医学] R730.52