基于气滞血瘀与肺脾肾虚的理论探讨肺癌的中医辨证论治OA
Theoretical Exploration of Traditional Chinese Medicine Diagnosis and Treatment of Lung Cancer Based on Qi Stagnation,Blood Stasis and Lung-Spleen-Kidney Deficiency
肺癌的发生与机体正气虚弱以及外界邪气过剩密切相关.中医将肺癌按照不同特征细分为气血运行不畅型、痰湿蕴肺型、肺阴虚型、肺肾两虚型及肺脾肾虚型,并依据患者的具体状况制定个性化的调理策略.调理的主要目标在于增强体质以排除病邪,针对不同分型,采取相应治则和方剂,如气血运行不畅型以行气活血等为主,用四君子汤加味;肺脾肾虚型以补脾肺等为治,用黄芪、党参等药物;肺阴虚型滋养肺阴,用沙参麦冬汤;肺肾两虚型补肾固本,用生黄芪、太子参等;痰湿蕴肺型化痰利湿、理气宽胸,用相关药材及用量.同时构建综合治疗体系,特色食疗方案如虫草炖鸡汤等可滋养肺阴、增强免疫等;非药物疗法应用针灸、按摩等可缓解肺癌相关症状.通过精心挑选的方剂与多种辅助疗法(针灸、推拿),旨在帮助病人恢复健康状态,减轻症状负担,改善其生活质量.
The occurrence of lung cancer is closely related to the weakness of the body's positive energy and the excess of ex-ternal evil energy.In traditional Chinese medicine,lung cancer is classified into three types based on different characteristics:Qi stagnation and blood stasis syndrome,phlegm-dampness accumulation in lung,Yin deficiency and internal heat syndrome,and lung-spleen-kidney deficiency type syndrome.Personalized adjustment strategies are developed according to the specific condi-tion of the patient.The main goal of regulation is to enhance physical fitness to eliminate pathogenic factors.Corresponding treat-ment principles and formulas are adopted for different types,such as promoting Qi and blood circulation in cases of poor Qi and blood circulation,choosing Modified Sijunzi Decoction(四君子汤加味).The lung-spleen-kidney deficiency type is treated with tonifying spleen and lung method,using drugs such as Huangqi(Astragali Radix)and Dangshen(Codonopsis Radix);nouris-hing lung Yin with lung Yin deficiency type,using Shashen Maidong Decoction(沙参麦冬汤);tonifying kidney and strengthening the foundation for both deficiency of spleen and kidney syndrome,using Huangqi(Astragali Radix)and Taizishen(Pseudostellariae Radix);resolving phlegm and eliminating dampness as well as regulating Qi and widening the chest methods for phlegm-damp-ness accumulation in lung syndrome,using relevant medicinal herbs and dosage.At the same time,a comprehensive treatment sys-tem should be established,and characteristic dietary therapy programs such as Cordyceps stewed chicken soup can nourish lung Yin and enhance the immunity.The use of acupuncture and moxibustion,Tuina and other non drug therapies can alleviate lung cancer related symptoms.Through carefully selected prescriptions and various auxiliary therapies(acupuncture and moxibustion and Tuina),the aim is to help patients recover their health,reduce the burden of symptoms and improve their quality of life.
姚亚轩;关徐涛;刘桃林;张子玥;高萍
河南中医药大学,河南郑州 450000||河南中医药大学第一附属医院,河南郑州 450000河南中医药大学,河南郑州 450000||河南中医药大学第一附属医院,河南郑州 450000河南中医药大学,河南郑州 450000河南中医药大学,河南郑州 450000河南中医药大学第一附属医院,河南郑州 450000
医药卫生
肺癌中医辨证论治气滞血瘀肺脾肾虚中医辨证分型
lung cancertraditional Chinese medicinesyndrome differentiation and treatmentQi stagnation and blood stasislung-spleen-kidney deficiencyTCM syndrome differentiation typing
《辽宁中医杂志》 2026 (6)
56-59,4
国家中医药管理局张仲景传承与创新专项(GZY-KJS-2022-0371-1)河南省教育厅重点科研项目(24A360006)河南省卫生健康委国家中医药传承创新中心科研专项(2023ZXZX1016)河南省高等学校青年骨干教师项目(2023GGJS083)河南省科技发展计划项目(252102310481)
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