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从益气解毒祛瘀法论治原发性肝癌

郭化磊,殷宏振,裴颖,黄峰   

  1. 陕西中医药大学,陕西中医药大学,陕西中医药大学,陕西中医药大学
  • 收稿日期:2019-08-12 修回日期:2019-08-27 出版日期:2019-08-30 发布日期:2019-08-30
  • 基金资助:
    陕西省自然科学基础研究计划项目(项目编号:2019-YS05/2014JM4175/13/DC016;项目名称:消化道肿瘤创新团队/癌毒清方抗肝癌模型大鼠血管生成及促血管正常化的作用机制研究/基于浊瘀论治的加味苓桂术甘颗粒对NAFLD大鼠TNF-α、leptin影响的实验研究)

Theoretical Study on the Treatment of Primary Liver Cancer by Supplementing Qi,Detoxification and Eliminating Stasis

GUO Hualei,YIN Hongzhen,PEI Ying and HUANG Feng   

  1. Shaanxi University of Chinese Medicine,Shaanxi University of Chinese Medicine,Shaanxi University of Chinese Medicine,Shaanxi University of Chinese Medicine
  • Received:2019-08-12 Revised:2019-08-27 Online:2019-08-30 Published:2019-08-30

摘要: 原发性肝癌(primary liver cancer,PLC)是常见的消化道恶性肿瘤之一,由于其早期不易诊断且病情进展迅猛,在全球癌症死因中高居第3。我国PLC发病仍呈上升趋势,其侵袭和转移成为导致肝癌患者治疗效果差的关键因素。目前,西医对PLC的治疗采用肝脏切除术、肝移植术、介入和放射治疗、消融疗法、药物治疗及生物免疫等疗法,但西医对于肝癌复杂的发病机制与临床治疗尚无清晰的思路,依旧存在众多短板而且将面临巨大的挑战,而中医药在抑癌、增强人体免疫力、缓解症状、延长生存期方面具有显著临床效果,并且可降低西医治疗的毒副作用。正气不足是肝癌发生发展的基础,气血瘀滞,邪毒内生是肝癌发病的基本病理因素, 因此益气、解毒、祛瘀治法正切合肝癌正气不足、气血瘀滞、邪毒内生的病机本质。本文从益气解毒祛瘀立论,分析原发性肝癌的病因病机、治法方药以及临床研究,总结益气解毒祛瘀法防治肝癌的优势。

Abstract: Primary liver cancer is one of the most common malignant tumors of the digestive tract. PLC is still the third leading cause of cancer death worldwide because it is not easily diagnosed early and the disease progresses rapidly. The incidence of PLC is still on the rise in China. Its invasion and metastasis have become the key factors leading to poor treatment of liver cancer patients. At present, western medicine mainly use hepatectomy,liver transplantation,interventional therapy, radiotherapy, ablation therapy,drug therapy,and biological immunity in the treatment of PLC. It is still unclear about the complex pathogenesis and clinical treatment of PLC. There are still numerous shortcomings and many huge challenges. Supplementing qi, detoxifying and eliminating stasis throughout the treatment of PLC have significant effect in controlling the growth rate of tumors, alleviating symptom, boosting immunity and prolonging survival.This article is based on the theory of supplementing qi, detoxification and eliminating stasis, analyzing the pathogenesis, therapeutic method and prescriptions,and then summarizes the advantages of supplementing qi, detoxifying and eliminating stasis to prevent and treat PLC.