王彦晖“象症辨证”治疗肿瘤的临床经验探析

Analysis on the clinical experience of WANG Yan-hui in the treatment of tumor by syndrome differentiation based on Xiang thinking

王彦晖教授从事肿瘤中医治疗30余年,积累了丰富的临床诊疗经验。认为中医辨证论治思维的关键在于病机指导下的象症辨证。气滞、痰湿、瘀血等病理产物贯穿肿瘤病机的始终。病理产物必须除之而后快,而正气和脏腑的调理是祛邪的保障。病机的轻重缓急,应以象的变化为凭证。病机不变,象不变,临床上即应守方用药。王教授在临证中强调据象诊断、据象治疗、据象的变化反馈调整处方用药的中医诊疗思想颇具特色。

Professor WANG Yan-hui has accumulated a wealth of clinical experience in the treatment of tumor for more than 30 years. He thinks that the key point of treatment based on syndrome differentiation is according to Xiang thinking that under the guidance of pathogenesis. Qi stagnation, phlegm-damp, static blood and other pathological products are always complicated throughout the tumor pathogenesis. The pathological products must be wiped out, while the regulation of vital qi and zang-fu viscera is the insurance for eliminating pathogen. The order of priority of pathogenesis should be according to the changes of Xiang. As the pathogenesis and Xiang remains unchanged, the prescription of clinical medication should be keeping the same. Professor WANG emphasizes that diagnosis and treatment should be according to Xiang in the clinical. The prescription adjustment by feeding back from the changes of Xiang is a special characteristic of traditional Chinese medicine in diagnosis and treatment.