| 周河燃,黄挺.黄挺教授自拟理气健脾方治疗晚期原发性肝癌经验撷萃[J].浙江中医药大学学报,2022,46(4):428-432. |
| 黄挺教授自拟理气健脾方治疗晚期原发性肝癌经验撷萃 |
| Summary of Professor HUANG Ting's Self-made Liqi Jianpi Decoction in Treating Advanced Primary Liver Cancer |
| DOI：10.16466/j.issn1005-5509.2022.04.014 |
| 中文关键词: 原发性肝癌 病因病机 治法方药 自拟理气健脾方 医案 黄挺 名中医 临证经验 |
| 英文关键词: primary liver cancer etiology and pathogenesis therapeutic prescriptions and medicines self-made Liqi Jianpi decoction medical records HUANG Ting famous Chinese medicine clinical experience |
| 基金项目:浙江省中医药科技计划项目(2021ZB193)；杭州市卫计委资助项目(2017A57)；浙江省“十三五”中医药重点专科(135zdzk2019zlk) |
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| 中文摘要: |
| [目的] 总结探究黄挺教授治疗晚期原发性肝癌的特色经验。[方法] 通过门诊跟师侍诊，收集相关医案，试从病因病机、治法方药等方面探究黄挺教授治疗晚期原发性肝癌的特色经验，并举一医案予以佐证。[结果] 黄挺教授认为晚期原发性肝癌的基本病机为正虚邪实、本虚标实，中焦脾虚、气血羸弱为本，气郁瘀阻、癌毒内盛为标，脾虚肝郁是核心病机，治疗上以健运脾土、行气揉木、解毒抑癌为基本治法，总结创拟理气健脾方，随证加减，其效甚验。所举验案乃脾虚肝郁、癌毒内盛之证，治以健运脾土、行气揉木、解毒抑癌之法，以自拟理气健脾方为底方，随证加减，标本兼顾，患者带瘤生存至今6年余，疗效颇佳。 [结论] 黄挺教授治疗晚期肝癌，紧扣脾虚肝郁之病机，总结创拟理气健脾方，以顾护脾胃为重，兼以适当祛邪，临证知常达变，随证灵活用药，疗效显著，值得借鉴学习。 |
| 英文摘要: |
| [Objective] To summarize and explore Professor HUANG Ting's characteristic experience in the treatment of advanced primary liver cancer. [Methods] This paper collected relevant medical records through outpatient consultation with teachers， tried to explore Professor HUANG Ting's characteristic experience in treating advanced primary liver cancer from the etiology， pathogenesis， treatment methods， etc.， and cited a medical record to support it. [Results] Professor HUANG Ting believes that the basic pathogenesis of advanced primary liver cancer is the syndrome of deficiency of the essence and the excess of the evil， deficiency in origin and excess in superficislity， the deficiency of the spleen in the middle-Jiao， the weak of Qi and blood are the roots， the stagnation of Qi and blood stasis， and the high level of cancer toxin as the superficial syndrome， spleen deficiency and liver depression are the core pathogenesis. In treatment， the basic treatment methods are strengthening the spleen soil， promoting Qi and rubbing the wood， detoxifying and suppressing cancer， therefore self-made Liqi Jianpi decoction has been concluded， with the addition and subtraction of the disease， the effect is significant. The test case cited was the syndrome of spleen deficiency and liver depression and cancer poisoning. The treatment was to strengthen the spleen soil， promote Qi and rub wood， detoxify and inhibit cancer， and used self-made prescriptions for regulating Qi and invigorating the spleen. Taking both superficial and root into consideration， the patient survived with the tumor for more than 6 years， and the curative effect was quite good. [Conclusion] Professor HUANG Ting treats advanced liver cancer， closely focusing on the pathogenesis of spleen deficiency and liver depression， and summarizes the creation of Liqi Jianpi decoction， focusing on protecting the spleen and stomach， and appropriately removing pathogens. The medicine has a remarkable effect and it is worth learning from. |
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