六经辨治肝癌临证思路探析

An Analysis of Clinical Thinking of Treating Liver Cancer Based on Syndrome Differentiation of Febrile Diseases in Accordance with the Six Meridians

肝癌的病机阳始于少阳,而阴尽于厥阴,少阳、厥阴贯穿肝癌的发病、病程、传变、结局中。肝癌不同演变期间,易旁涉诸多脏腑,变证丛生,其病机特点和症状表现与太阳、阳明、太阴、少阴病他经颇多吻合之处。肝癌以传变他经论治包括:少阳太阳证、少阳阳明证、少阳太阴证、少阴证。从六经辨证角度分析肝癌的病机演变,提出肝癌的临证辨治以少阳、厥阴为本经,旁涉他经,为肝癌提供新的诊治思路。

The pathogenesis yang of liver eancer begins in Shaoyang Meridian,whereas the pathogenesis yin of liver cancer ends in Jueyin Meridian. Shaoyang Meridian and Jueyin Meridian go through tile occu,＇rence,course, progress and end of liver cancer,and are of great importance. During different stages of liver cancer, many zang-organs and fu-organs are involved,deteriorated cases ap- pear,and the pathogenesis characteristics and symptoms are similar to Taiyang disease, Yangming disease, Taiyin disease, and Shaoyin disease. The syndromes by liver cancer progn＇essing inlo other meridians inelude Shaoyang-Taiyang syndrome, Shaoyang- Yangming sy,Idrome,Shaoyang-Taiyin syndrome, and Shaoyin syndrome. So this article analyzes pathogenesis evolution of liver cancer based on syndrome differentiation of febrile diseases in accordance with the six meridians, points out that practical treat- ment of liver cancer should focus on Shaoyang Meridian and Jueyin Meridian,involving other meridians,which provides new think- ing of diagnosis and treatment for liver cancer.