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论现代中医治疗肿瘤辨病的重要性OA

Significance of Disease Identification in the Treatment of Tumors with Modern Traditional Chinese Medicine

中文摘要英文摘要

随着现代医学从组织病理到基因分子水平的深入,肿瘤诊疗已进入精准分型时代.中医肿瘤治疗长期以辨证论治为核心,然而在当代临床实践中,单纯的辨证模式面临"同病异证"与"异病同证"交织的复杂局面.本文在回顾中医肿瘤辨治理论源流的基础上,系统阐述辨证、辨病、辨症三者在肿瘤治疗中的不同价值:辨证重在动态把握病机演变,辨症旨在缓解急苦,而辨病则直指肿瘤生物学本质.在辨病的基础上重视中医病因病机,是深化肿瘤中医辨治、把握疾病本质的关键.结合现代病理分型、免疫组化标志物、基因突变检测等诊断技术,提出辨病论治是连接中西医的桥梁,是实现肿瘤精准治疗的前提.中医辨病的现代内涵应涵盖瘤种特性、分子分型及核心病机,从而指导专病专方与靶向用药的结合,提升临床疗效.

With the in-depth development of modern medicine from histopathology to gene and molecular level,the diagnosis and treatment of tumors have entered the era of precise classification.The treatment of tumors with traditional Chinese medicine(TCM)has long been centered on syndrome differentiation and treatment.However,in contemporary clinical practice,the simple syndrome differentiation model is faced with the complex situation of the interweaving of"different syndromes in the same disease"and"the same syndrome in different diseases".On the basis of reviewing the origin of TCM tumor differentiation and treatment theories,this paper systematically expounds the different values of syndrome differentiation,disease differentiation,and symptom differentiation in tumor treatment.Syndrome differentiation focuses on dynamically grasping the evolution of pathogenesis,symptom differentiation aims to relieve acute sufferings,and disease differentiation directly points to the biological essence of tumors.On the basis of disease differentiation,emphasizing TCM disease cause and pathogenesis is the key to deepen the differentiation and treatment of tumors with TCM and grasp the essence of diseases.Combined with modern diagnostic techniques such as pathological classification,immunohistochemical markers,and gene mutation detection,it is proposed that"treatment based on disease differentiation"is a bridge connecting traditional Chinese and Western medicine and a prerequisite for precise tumor treatment.The modern connotation of TCM disease differentiation should cover tumor characteristic,molecular classification,and core pathogenesis,so as to guide the combination of specific prescriptions for specific diseases and targeted medication and to improve clinical efficacy.

吴万垠

广东省中医院肿瘤科,广东 广州 510120

医药卫生

肿瘤中医治疗辨病论治辨证论治精准医学病证结合

tumorstraditional Chinese medicine treatmenttreatment based on disease differentiationtreatment based on syndrome differentiationprecision medicinecombination of disease and syndrome

《中医肿瘤学杂志》 2026 (3)

1-5,12,6

国家自然科学基金资助项目(编号:82274602).

10.19811/j.cnki.ISSN2096-6628.2026.05.001

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