国医大师王晞星巧用对药角药治疗膀胱癌经验探析  

Discussion on the clinical experience of National TCM Master Wang Xixing in the treatment of bladder cancer with herbal pairs and trios

作　　者：石智尧 孙祎濛 孟祥聚 凡晓菲 高宇[2] 郭智[2] 王晞星(指导) SHI Zhiyao;SUN Yimeng;MENG Xiangju;FAN Xiaofei;GAO Yu;GUO Zhi;WANG Xixing(Shanxi University of Chinese Medicine,Taiyuan 030024;Shanxi Institute of Traditional Chinese Medicine;不详)

机构地区：[1]山西中医药大学,太原030024 [2]山西省中医药研究院 [3]不详

出　　处：《现代中医临床》2025年第2期83-87,共5页Modern Chinese Clinical Medicine

基　　金：国医大师传承工作室(No.2022245);国家中医药传承创新中心的建设(No.202203);第二批国家中医临床研究基地建设单位(No.2018 131);山西省中医临床医学研究中心(培育)(No.[2019]61);山西省卫健委山西省医学科技创新团队项目(No.2020TD04);山西省卫健委山西省医学重大科技攻关专项(No.2022XM10)。

摘　　要：膀胱癌是指发生于膀胱黏膜上的恶性肿瘤,以间歇性、无痛性全程肉眼血尿为首发症状,可见尿频、尿急、尿痛等膀胱刺激症状,是泌尿系统最常见的恶性肿瘤之一。王晞星教授认为膀胱癌的核心病机为本虚标实。基于整体观念及辨证论治思想,以药物归经、性味、七情等为配伍原则,遵循审因论治、守理遵道、兼而治之、因机而变之思想,灵活运用对药与角药治疗膀胱癌本症、兼症及并发症。并结合临床病案介绍王教授治疗膀胱癌的诊疗方法与用药经验。Bladder cancer is a malignant tumor that occurs on the bladder mucosa, with intermittent, painless hematuria as the first symptom, often accompanied by symptoms such as frequent urination, urgency, and dysuria. It is one of the most common malignant tumors of the urinary system. Professor Wang Xixing believes that the core pathogenesis of bladder cancer lies in the combination of deficiency and excess. Based on the holistic view and the principles of syndrome differentiation and treatment, he utilizes the principles of drug compatibility, including meridian tropism, flavor, and the Seven Emotions. His approach follows the ideas of examining the cause and treating the disease accordingly, adhering to the principles and method, treating both the root and the branch, and changing treatment according to the condition. He flexibly uses herbal pairs and trios to treat the root condition, associated syndromes, and complications of bladder cancer. This article introduces Professor Wang's commonly used medicinal herbs and analyzes his clinical diagnostic and treatment method through case studies.

关 键 词：国医大师 王晞星 对药 角药 膀胱癌 名医经验 

分 类 号：R273[医药卫生—中西医结合]