赵文霞运用“阴实理论”治疗原发性肝癌  

ZHAO Wenxia Treating Primary Hepatocellular Carcinoma with"Yin Excess Theory"

作　　者：李华华 赵文霞[2] 聂山文[3] LI Huahua;ZHAO Wenxia;NIE Shanwen(The Affiliated Tumor Hospital to Zhengzhou University/Henan Cancer Hospital,Zhengzhou Henan China 450000;The First Affiliated Hospital to Henan University of Chinese Medicine,Zhengzhou Henan China 450000;The Second Affiliated Hospital to Henan University of Chinese Medicine/Henan Provincial Hospital of Traditional Chinese Medicine,Zhengzhou Henan China 450002)

机构地区：[1]郑州大学附属肿瘤医院/河南省肿瘤医院,河南郑州450000 [2]河南中医药大学第一附属医院,河南郑州450000 [3]河南中医药大学第二附属医院/河南省中医院,河南郑州450002

出　　处：《中医学报》2025年第5期1065-1069,共5页Acta Chinese Medicine

基　　金：第七批全国老中医药专家学术经验继承项目{国中医药人教函〔2022〕76号};王琦书院河南分院人才培养项目{豫卫中医药科教〔2024〕3号}。

摘　　要：肝癌的核心发病机制为阳气亏虚导致阳化气不足,阴邪太盛导致阴成形太过,“阴实”的本质为“阳化气不及,阴成形太过”,阳气亏虚是“阴实”内生的始动因素,内生“阴实”又会加重阳气亏虚,阳气越不通达,阴实越凝结。治疗当以“促阳化气,抑阴成形”作为指导,扶阳化气、固本清源以补阳气,推动阳气运动、肝疏泄有序,阳生化得常;抑阴散邪辅以攻伐消除阴翳,从而改善临床症状,延长生存期。The core pathogenesis of hepatocellular carcinoma is that the deficiency of Yang Qi induced insufficiency of Yang transforming Qi and the prevalence of Yin Evil Factors induced over-exuberance of molding function of Yin.The essence of"Yin excess"is that"Yang transforming Qi is not enough and Yin molding function is too much".Yang deficiency is the initiating factor for the internalization of"Yin excess",and vice versa.The less the Yang Qi being active,the more the Yin excess will be congealed.Treatment should be guided by the principle of"promoting Yang Qi and suppressing Yin shaping".Specifically,it is suggested to support Yang Qi,consolidate the root and clear the source of Yang Qi,promote the movement of Yang Qi and help Liver Qi drainage to normalize the producing of Yang Qi;it is also proposed to suppress Yin and disperse the Evil Factors supplementing with attacking method to eliminate Yin Evil Factors,so as to improve the clinical symptoms and prolong the survival period of patients.

关 键 词：原发性肝癌 “阴实理论” 扶阳抑阴 赵文霞 

分 类 号：R249.27[医药卫生—中医临床基础]