1.湖北中医药大学,湖北省武汉市洪山区黄家湖西路16号,430061
2.武汉市中医医院
3.武汉市第一医院
huzuowei@sohu.com
收稿:2022-05-03,
修回:2022-11-29,
纸质出版:2023-02-02
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齐淯,徐波,李佩等.李家庚运用六经辨证结合脏腑辨证治疗原发性肝癌经验[J].中医杂志,2023,64(03):231-235.
QI Yu,XU Bo,LI Pei,et al.LI Jiageng's Experience in Treating Primary Liver Cancer based on Six-channel and Zang-fu (脏腑) Pattern Differentiation[J].Journal of Traditional Chinese Medicine,2023,64(03):231-235.
齐淯,徐波,李佩等.李家庚运用六经辨证结合脏腑辨证治疗原发性肝癌经验[J].中医杂志,2023,64(03):231-235. DOI: 10.13288/j.11-2166/r.2023.03.003.
QI Yu,XU Bo,LI Pei,et al.LI Jiageng's Experience in Treating Primary Liver Cancer based on Six-channel and Zang-fu (脏腑) Pattern Differentiation[J].Journal of Traditional Chinese Medicine,2023,64(03):231-235. DOI: 10.13288/j.11-2166/r.2023.03.003.
总结李家庚教授运用六经辨证结合脏腑辨证治疗原发性肝癌的经验。认为肝癌的发生发展可表现为六经病证,临证以六经辨证为主,提出肝癌发病本于少阳经、厥阴经,治宜通利枢机,常用小柴胡汤、四逆散、双合汤、鳖甲煎丸合乌梅丸;并病太阳经,治宜解表散邪,常用柴胡桂枝汤、小柴胡汤合银翘散或加减葳蕤汤、麻黄升麻汤;并病阳明、太阴经,治宜补虚泻实,常用五味消毒饮、大柴胡汤、茵陈蒿汤、柴胡六君子汤、柴胡桂枝干姜汤;并病少阴经,治宜调和阴阳,常用六味地黄丸合一贯煎、八味地黄丸合右归丸。同时以脏腑辨证为辅,通过辨舌脉判别脏腑虚实,用药补不足而损有余,截断脏腑传变之势。
This paper summarized LI Jiageng's experience in treating primary liver cancer based on six-channel and
zang
-
fu
(脏腑) pattern differentiation. It is believed that the occurrence and progression of liver cancer conforms to the characteristics of six-channel diseases, therefore, six-channel pattern differentiation is mainly used in clinical practice. As liver cancer is initially rooted in
shaoyang
(少阳) and
jueyin
(厥阴) channels, the treatment principle is unblocking the cardinal of
qi
movement, commonly with
Xiaochaihu Decoction
(小柴胡汤),
Sini Powder
(四逆散),
Shuanghe Decoction
(双合汤), or
Biejiajian Pill
and
Wumei Pill
(鳖甲煎丸合乌梅丸). If
taiyang
(太阳) channel is involved as well, it is recommended to release the exterior and dissipate pathogen, using
Chaihu Guizhi Decoction
(柴胡桂枝汤),
Xiaochaihu Decoction
with
Yinqiao Powder
or
modified Weirui Decoction
(小柴胡汤合银翘散或加减葳蕤汤), or
Mahuang Shengma Decoction
(麻黄升麻汤). If
yangming
(阳明) and
taiyin
(太阴) channel diseases are accompanied, the treatment should be supplementing deficiency and draining excess, commonly with
Wuwei Xiaodu Beverage
(五味消毒饮),
Dachaihu Decoction
(大柴胡汤),
Yinchenhao Decoction
(茵陈蒿汤),
Chaihu Liujunzi Decoction
(柴胡六君子汤), or
Chaihu Guizhi Ganjiang Decoction
(柴胡桂枝干姜汤). For the condition accompanied with
shaoyin
(少阴) diseases, it is advised to regulate and harmonize
yin
and
yang
, and the commonly used formulas were
Liuwei Dihuang Pill
with
Yiguan Decoction
(六味地黄丸合一贯煎), or
Bawei Dihuang Pill
with
Yougui Pill
(八味地黄丸合右归丸). Simultaneously,
zang
-
fu
pattern differentiation is used as supplement, where the deficiency and excess of
zang
-
fu
organs is judged by tongue and pulse manifestations. The treatment principle is to curb a surplus and supplement deficiency, thereby cutting off the transmission and change of the
zang
-
fu
organs.
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