护场理论在原发性肝癌治疗中的应用探析  

Application of Huchang (Protective Field) theory in the treatment of primary liver cancer

作　　者：张恺悦 魏莱 黄源鹏 ZHANG Kaiyue;WEI Lai;HUANG Yuanpeng(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700;Xiamen Hospital,Beijing University of Chinese Medicine)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]北京中医药大学厦门医院

出　　处：《现代中医临床》2025年第2期93-97,共5页Modern Chinese Clinical Medicine

基　　金：国家自然科学基金项目(No.82074508);福建省自然科学基金项目(青创项目)(No.2023J05282);福建省自然科学基金面上项目(No.2023J011627);福建省厦门市扶持中医药发展专项重点项目(No.XWZY-2023-0603);福建省名老中医药专家传承工作室(闽卫中医函[2023]697号)。

摘　　要：原发性肝癌(primary liver cancer, PLC)是临床常见的难治恶性肿瘤。护场理论源于中医外科学的疮疡治疗。中医学认为肿瘤是全身疾病的局部表现,现代医家将护场理论应用至包括PLC的肿瘤疾病中并取得良好效果。在微观层面,护场的概念与肿瘤微环境相联系。基于护场理论的PLC治疗策略包括:依据疮疡半阴半阳证“阳变阴者多死,阴变阳者多生”的原则,进行平调阴阳和动态攻补;通过调补宗气来促进整体护场的形成以及先安未受邪之地,重视从肺论治;重视疏肝利胆、通利二便使邪有出路。通过调节机体正气与癌邪之间的关系,促进整体与局部护场的形成,为PLC的防治提供新的思路和方法。Primary liver cancer(PLC) is a common and difficult-to-treat malignant tumor. The concept of Huchang(Protective Field) originates from the treatment of ulcers in TCM surgery. According to Traditional Chinese Medicine(TCM), tumors are seen as localized manifestations of systemic diseases. Modern TCM practitioners have applied the field protection theory to various tumors, including PLC, achieving promising results. On a microscopic level, the concept of Huchang is related to the tumor microenvironment. PLC treatment strategies based on the field protection theory include: balancing yin and yang according to the principle from ulcer treatment—“yang turning to yin leads to death, while yin turning to yang leads to life”—with dynamic approaches of supplementation and purging;tonifying the vital qi to promote the formation of the overall protective field and securing areas that have not been invaded;focusing on treating the lungs;emphasizing liver regulation and gallbladder support, and ensuring smooth bowel movements to expel pathogens. By regulating the relationship between the body's vital qi and cancerous pathogens, this approach aims to promote both the overall and local protective fields, providing new ideas and method for the prevention and treatment of PLC.

关 键 词：原发性肝癌 护场理论 中医药 治疗策略 

分 类 号：R273[医药卫生—中西医结合]