1.湖北中医药大学,湖北省武汉市武昌区昙华林188号,430061
2.湖北时珍实验室
3.湖北省直属机关医院
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收稿:2023-11-05,
修回:2024-03-28,
纸质出版:2024-09-02
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黄硕,刘松林,周贤等.梅国强运用小陷胸汤加减治疗肺癌经验[J].中医杂志,2024,65(17):1753-1756.
HUANG Shuo,LIU Songlin,ZHOU Xian,et al.MEI Guoqiang's Experience in Treating Lung Cancer with Modified Xiaoxianxiong Decoction (小陷胸汤)[J].Journal of Traditional Chinese Medicine,2024,65(17):1753-1756.
黄硕,刘松林,周贤等.梅国强运用小陷胸汤加减治疗肺癌经验[J].中医杂志,2024,65(17):1753-1756. DOI: 10.13288/j.11-2166/r.2024.17.003.
HUANG Shuo,LIU Songlin,ZHOU Xian,et al.MEI Guoqiang's Experience in Treating Lung Cancer with Modified Xiaoxianxiong Decoction (小陷胸汤)[J].Journal of Traditional Chinese Medicine,2024,65(17):1753-1756. DOI: 10.13288/j.11-2166/r.2024.17.003.
总结梅国强教授运用小陷胸汤加减治疗痰热阻肺型肺癌的临证经验。认为痰热阻肺型肺癌的关键病机为痰热毒蕴,并根据气滞、瘀血、毒邪、痰湿、气虚、阴虚等在疾病发生发展过程中的不同致病作用,治疗主张在清热化痰的基础上配合宣肺止咳、解毒散结、理气活血、祛湿、补益气阴等法,多法并用,灵活配伍。临证以清热化痰之小陷胸汤为基础方进行加减,对于肺系症状轻微者,常用小陷胸汤加味;对于肺系症状明显者,常用自拟麻杏陷胸汤加减;对于病涉少阳者,常用柴胡陷胸汤加减。
This article summarized the clinical experience of MEI Guoqiang in treating lung cancer of phlegm-heat obstructed in the lung syndrome with modified
Xiaoxianxiong Decoction
(小陷胸
汤). It is believed that the key pathogenesis of lung cancer with phlegm-heat obstructed in the lung syndrome is the phlegm-heat toxin accumulation. According to the different pathogenic effects of
qi
stagnation, blood stasis, pathogenic toxin, phlegm-damp,
qi
deficiency,
yin
deficiency in the occurrence and development of the disease, it is advocated to clear heat and resolve phlegm, and additionally the methods of diffusing the lung and relieving cough, resolving toxins and dissipating masses, rectifying
qi
and activating blood, dispelling dampness, supplementing and boosting
qi
and
yin
are used if necessary. Multiple methods are used together and flexibly matched. In clinical practice,
Xiaoxian
-
xiong Decoction
with the function of clearing heat and relieving phlegm is recommended as the basic formula for further modification. For patients with mild lung symptoms, modified
Xiaoxianxiong Decoction
is commonly used, while for those with obvious symptoms, self-made
Maxing Xianxiong Decoction
(麻杏陷胸汤) in modifications is suggested. For patients with
Shaoyang
(少阳) diseases, modified
Chaihu Xianxiong Decoction
(柴胡陷胸汤) is often used.
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