1.安徽中医药大学,安徽省合肥市梅山路103号,230038
2.安徽省芜湖市中医医院
3.安徽中医药大学第一附属医院
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收稿:2026-05-01,
修回:2026-09-23,
录用:2026-08-03,
纸质出版:2026-10-17
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杨勤军,高雨晨,孙萌等.韩明向从“虚、痰、瘀、毒”论治肺癌经验[J].中医杂志,2026,67(20):2166-2172.
YANG Qinjun,GAO Yuchen,SUN Meng,et al.HAN Mingxiang's Clinical Experience in Treating Lung Cancer Based on the Theory of "Deficiency-Phlegm-Stasis-Toxin"[J].Journal of Traditional Chinese Medicine,2026,67(20):2166-2172.
杨勤军,高雨晨,孙萌等.韩明向从“虚、痰、瘀、毒”论治肺癌经验[J].中医杂志,2026,67(20):2166-2172. DOI: 10.13288/j.11-2166/r.2026.20.004.
YANG Qinjun,GAO Yuchen,SUN Meng,et al.HAN Mingxiang's Clinical Experience in Treating Lung Cancer Based on the Theory of "Deficiency-Phlegm-Stasis-Toxin"[J].Journal of Traditional Chinese Medicine,2026,67(20):2166-2172. DOI: 10.13288/j.11-2166/r.2026.20.004.
总结韩明向教授从“虚、痰、瘀、毒”论治肺癌的临证经验。认为正气亏虚、痰瘀互结成毒是肺癌发生发展的核心病机,提出以扶正、化痰、祛瘀、解毒为核心治则分证论治。肺脾气虚证,运用自拟健脾化痰止咳汤,健脾益气以扶正;气阴两虚证,运用自拟参麦玉竹汤,养阴润肺以清源;痰湿蕴肺证,运用自拟四子温肺汤,温肺化痰以宣肺;气滞血瘀证,运用自拟益气逐瘀汤,活血祛瘀以通络;痰瘀互结证,运用自拟结节方,化痰破瘀以散结;气虚毒结证,运用自拟芪玉三龙汤,扶正解毒以抗癌。随证灵活用药,注重扶正祛邪,兼顾脏腑功能与气血阴阳平衡。
This article summarizes Professor HAN Mingxiang's clinical experience in treating lung cancer based on the theory of "deficiency-phlegm-stasis-toxin". It is believed that depletion of healthy
qi
, together with binding of phlegm and stasis forming into toxin is the core pathogenesis of lung cancer occurrence and development. In clinical practice, the core treatment principle should be reinforcing healthy
qi
, resolving phlegm, removing stasis, and relieving toxins. The treatment should be given based on syndrome differentiation. For the syndrome of lung-spleen
qi
deficiency, the self-formulated
Jianpi Huatan Zhike Decoction
(健脾化痰止咳汤) can be applied to fortify the spleen and replenish
qi
, thereby reinforcing healthy
qi
. For the syndrome of deficiency of both
qi
and
yin
, the self-formulated
Shenmai Yuzhu Decoction
(参麦玉竹汤) is used to nourish
yin
and moisten the lungs, thereby clearing the source. For the syndrome of phlegm-dampness accumulating in the lungs, the self-formulated
Sizi Wenfei Decoction
(四子温肺汤) is applied to warm the lungs and resolve phlegm, thereby diffusing the lung
qi
. For the syndrome of
qi
stagnation and blood stasis, the self-formulated
Yiqi Zhuyu Decoction
(益气逐瘀汤) is used to activate blood and resolve stasis, thereby unblocking the collaterals. For the syndrome of binding of phlegm and stasis, the self-formulated
Jiejie Decoction
(结节方) is utilized to resolve phlegm and remove stasis, thereby dissipating nodules. For the syndrome of lung deficiency with toxin accumulation, the self-formulated
Qiyu Sanlong Decoction
(芪玉三龙汤) is applied to reinforce healthy
qi
and remove toxins, thereby combating cancer. Medications are flexibly prescribed based on syndrome differentiation, with an emphasis on reinforcing healthy
qi
and eliminating pathogenic factors, and maintaining the balance of
zang
-
fu
(脏腑) organ functions as well as
qi
, blood,
yin
and
yang
.
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