何世东顾护脾胃辨治原发性肝癌术后

Clinical experience of Professor HE Shidong(何世东) in treatment of primary liver cancer

何世东教授认为原发性肝癌手术及术后化疗,严重损伤正气,正虚为主,扶正兼以祛邪;未经手术及放化疗,邪实为主,祛邪兼以扶正。何教授强调"正气存内,邪不可干",凡为肿瘤者,皆存内虚之象,肝癌以正气虚弱为重,常在脾肾亏虚基础上因虚致实,虚实夹杂,虚实当先辨,见肝之病、当先实脾,肝肾同源、重视补肾,情志调节、活血化瘀;初期多以气郁脾虚湿阻为主,进一步湿热毒瘀互结,耗伤阴血,终致正虚邪实,病情恶化,甚则阴阳离决;毒、虚、瘀、热是肝癌的基本病变,邪毒化火,瘀毒互结,肝肾亏虚,表现为肝肾阴虚及脾肾阳虚,多个脏腑正虚,尤以脾肾亏虚为主,多有正气亏虚,饮食不节、脾胃受损,情志郁怒,外邪侵犯,治疗时需顾护脾胃后天之本,不可一味选择大剂量寒凉或攻伐类中药。附肝癌术后验案一则。

Professor HE Shidong stressed that Vital Qi would be seriously damaged for Primary liver cancer after surgery and postoperative chemotherapy, syndrome differentiation is the deficiency of vital QI, Strengthening the body resistance is the main treatment and Qu xie for adjuvant treatment. Excessive pathogen would be the nuain contradiction if surgery and postoperative chemotherapy would not performed. Qu xie is the main treatment and Strengthening the body resistance for adjuvant treatment.Professor He stressed that the so-called ＂zheng qi curt nei, xie bu ke gan＂ , for the tumor, who had an image of the virtual, Primary liver cancer With vital qi weakness, gived priority to the deficiency of spleen and kidney, so lead to weak because of shi, weak mixed in with shi, considering the actual situation first, see ing disease of liver, spleen ought to be considered first, Liver and kidney homologous, attachesed great importance to the kidney, regulated modern, Invigorated the circulation of blood. First was given priority to with qi depression wet resistance spleen deficient, further damp heat mixed in with poison and blood stasis, Yin blood were consumeded, lead to the weakness viscera, especially in the spleen and kidney deficiency. Many were the deficiency of vital qi, diet not festival, spleen and stomach was damaged, modern of melancholy and angry, invaded assault. So treatment should regard the protection of spleen and stomach, did not choose a big dose of cold or attack class Chinese traditional medicine. Attach a experience in medical record of liver cancer after surgery.