胡作为教授中医药治疗恶性肿瘤的用药规律

Professor Hu Zuowei’s medication rule of TCM treatment of malignant tumor

胡作为教授在中医药治疗恶性肿瘤方面提倡整体观念,辨证遣方,辨病用药,对症选药的治疗大法。胡教授认为人体是一个有机整体,肿瘤属于整体属虚,局部为实的病理变化结果,其病机为气血阴阳失衡,导致气滞、血瘀、痰凝、毒蕴等病理变化,癌成日久,亦可加重正气亏虚,故病机总体不外乎正虚邪实,正虚为主。其中,正虚以脾肾气虚、气阴两虚为主要证型,故在补益正气时多采取益肾健脾、益气养阴之品。邪实无外乎气滞、血瘀、痰湿、毒蕴,故驱邪之品多具有活血行气、化痰祛湿、攻毒散结之效。在治则方面,胡教授主张扶正为主,抗癌为辅的治疗原则,君药选取益气扶正之品,臣以抗癌驱邪,君臣相配,共奏扶正驱邪之效。恶性肿瘤所处不同部位,不同阶段以及患者的症状均可影响选药拟方。故胡教授通过长期的医疗实践,形成独特的遣药组方个体化辨治经验。

Professor Hu,as a professor of traditional Chinese medicine in the treatment of malignant tumors,advocates the overall concept,distinguishing the evidence,the use of drugs,and the treatment of symptomatic drugs.Professor Hu believes that the human body is an organic whole.The tumor is a virtual and localized pathological change.The pathogenesis is qi and yin(气阴)and yang imbalance,leading to qi stagnation,blood stasis,phlegm,poisonous and other pathological changes.For a long time,it can also aggravate the righteousness and deficiency,so the overall pathogenesis is nothing more than the deficiency.Among them,Zhengxu(正虚)is mainly characterized by spleen and kidney qi deficiency and qi and yin deficiency.Therefore,when replenishing qi,drugs of kidney and spleen and qi and nourishing yin are preferred.Evil is nothing more than qi stagnation,blood stasis,dampness,poisonous accumulation,so the drugs of exorcism often have the effect of promoting blood circulation,phlegm and dampness,and attacking and dispersing.In terms of governance,Professor Hu advocates the principle of strengthening the righteousness and supplementing the anti-cancer treatment.Drugs of benefiting Qi and strengthening the righteousness,and the anti-cancer exorcism plays a role in helping the positive and exorcism.The different parts of the malignant tumor,the different stages and the symptoms of the patient can affect the prescription.Therefore,Professor Hu has formed a unique experience in individualized differentiation and treatment through long-term medical practice.