基于"治未病"理论探讨茯苓在原发性肝癌全周期防治中的应用OA
Application of Fuling(Poria)in the whole-cycle prevention and treatment of primary liver cancer based on the theory of"preventing a disease before it arises"
基于"治未病"理论,系统探讨药食同源物质茯苓在原发性肝癌防治中的应用.茯苓性味平和,具有健脾、祛湿、宁心之效,其作用特点契合肝癌"虚、瘀、毒"的核心病机.围绕"未病先防、欲病救萌、既病防变、瘥后防复"四个阶段,梳理茯苓的干预策略及代表方剂,从而构建贯穿肝癌发生发展全过程的防治框架.文献计量学分析进一步证实,茯苓研究已从临床应用、前驱病变干预延伸至肝癌本体及分子机制,形成与"治未病"各阶段相对应的研究格局.另外,茯苓的多糖与三萜类活性成分在肿瘤各阶段分别发挥抑制启动、阻断增殖、抗转移及诱导凋亡等作用,精准对应"治未病"四阶段的核心内涵,形成了贯穿肝癌全病程的多靶点协同干预网络.本研究为"治未病"理念指导下的茯苓在肝癌全程防治中的应用提供了理论依据与实践路径.
Based on the theory of"preventing a disease before it arises,"this paper systematically explores the application of the food-medicine homologous substance Fuling(Poria)in the prevention and treatment of primary liver cancer.Fuling(Poria)is neutral in nature,with the effects of strengthening the spleen,eliminating dampness,and calming the heart.Its action characteristics align with the core pathogenesis of liver cancer,which involves"deficiency,blood stasis,and toxin."Focusing on the four stages of"preventing disease before its onset,arresting the nascent disease,preventing progression after disease onset,and preventing recurrence after recovery,"this paper reviews the intervention strategies and representative formulas employing Fuling(Poria),thereby constructing a prevention and treatment framework that runs through the entire process of liver cancer occurrence and development.Bibliometric analysis further confirms that research on Fuling(Poria)has extended from clinical application and precursor lesion intervention to the study of liver cancer itself and its molecular mechanisms,forming a research landscape corresponding to the various stages of"preventing a disease before it arises."Moreover,its active ingredients including polysaccharide and triterpenoid play roles in inhibiting initiation,blocking proliferation,anti-metastasis,and inducing apoptosis at different tumor stages,precisely corresponding to the core connotations of the four stages of"preventing a disease before it arises,"thereby establishing a multi-target synergistic intervention network throughout the entire course of liver cancer.This study provides a theoretical basis and practical pathway for the application of Fuling(Poria)in the whole-course prevention and treatment of liver cancer under the guidance of the concept of"preventing a disease before it arises."
郭芷瑜;王雅静;唐昱;肖亚轩;张银花;张雪
湖南中医药大学,湖南 长沙 410208湖南中医药大学,湖南 长沙 410208湖南中医药大学,湖南 长沙 410208湖南中医药大学,湖南 长沙 410208湖南中医药大学,湖南 长沙 410208湖南中医药大学,湖南 长沙 410208
医药卫生
治未病茯苓原发性肝癌全周期防治
preventing a disease before it arisesFuling(Poria)primary liver cancerwhole-cycle prevention and treatment
《药食同源杂志》 2026 (3)
189-197,9
2024年湖南省大学生创新创业训练计划项目(S202410541061)湖南中医药大学校级科研项目(2024XJZC014)湖南省教育厅优秀青年项目(22B0397).
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