茆俊卿教授基于"培土生金"理论治疗肺癌术后经验OA

Primary lung cancer(PLC)is currently the most common malignant tumor in China,with it's morbidity and mortality rates ranking first among all malignant tumors.Western medicine currently adopts treatment methods such as radical surgery,radiotherapy,or chemotherapy,and patients following lung cancer surgery often suffer significant physical and mental trauma.Professor MAO Junqing believes that this disease has a complex etiology,a protracted course,a critical condition,and a general prognosis.Professor MAO proposes that the pathogenesis after lung cancer surgery belongs to"deficiency in root and excess in branch",with lung-spleen Qi(气)deficiency syndrome as the root cause and the intermingling of phlegm,blood stasis,and pathogenic toxins as the branch.The disease stems from congenital defficiency,where the lung and spleen are inherent weakness,subsequently impairing other Zang-Fu(脏腑)organs and causing disharmony among the five Zang-organs and constitutional debility.During the progression of the disease,phlegm and blood stasis intermingle and combine with pathogenic toxins such as tobacco-related toxins,eventually forming cancerous toxins.Surgery,as a traumat injury of"metal blade",impairs the lung collaterals and consumes Qi,blood,and body fluids,further weakening the lung and spleen,leading to the internal accumulation of phlegm-dampness,the retention of static blood and toxins,resulting in a state of"healthy Qi deficiency and lingering of pathogenic factors".In addition,the body's weakness after surgery makes it vulnerable to external pathogenic factors,resulting in various postoperative complications.In treatment,Professor MAO emphasizes the principle of"supporting healthy Qi and eliminating pathogenic factors,"based on the theory of"tonifying the spleen to generate the lung".Professor MAO attaches great importance to invigorating the spleen and tonifying the lung to consolidate the root cause.Professor MAO often uses Liujunzi Tang(六君子汤)as the basic formula,which includes Dangshen(Radix Codonopsis),Baizhu(Rhizoma Atractylodis Macrocephalae),Fuling(Poria Cocos),and Gancao(Radix Glycyrrhizae)to invigorate the spleen and replenish Qi.It is supplemented with Chenpi(Pericarpium Citri Reticulatae),Muxiang(Radix Aucklandiae),and Sharen(Fructus Amomi)to regulate Qi and harmonize the middle energizer,ensuring that tonification does not cause stagnation.For the common postoperative cough,Professor MAO advocates stage-based treatment,combining syndrome differentiation with disease differentiation,and puts forward the principle of"treating the superficial symptoms first in acute cases and the root cause in chronic cases".Based on clinical experience,Professor MAO has formulated a series of self-made anti-cough prescriptions,such as Zhike Yihao Fang(止咳一号方)to clear the lung and resolve phlegm.Professor MAO also emphasizes moderation in diet and regularity in daily life,believing that lifestyle habits play an important role in the rehabilitation and recuperation of patients after lung cancer surgery.An illustrative case is presented below.