基于“同气相求”理论探讨山楂治疗原发性肝癌

Discussion on the Treatment of Primary Liver Cancer by Hawthorn Based on the Theory of“Seeking the Same Qi”

原发性肝癌的治疗应以辨证论治为核心,需紧扣气滞血瘀、脾土虚弱的病机,谙熟药物性味为临床服务。依据“同气相求”理论,同形相趋,五脏各主其味,五味各归所喜而入脏,山楂味酸入肝补肝,畅气机,活血止血而不留瘀;味甘入脾,健脾助运,补虚扶正,利水消痰,培土以荣木,且引导方药与肝、脾两脏更快、更便捷的发生“相求”效应,一药多效,补偏救弊,调和脏腑。临证宜避免“味过于酸,肝气以津,脾气乃绝。”“五味调和、不可偏胜”,才能达到“阴平阳秘、精神乃治”的目的,同时注重结合现代药理以确保疗效,临床验效甚著。

The treatment of primary liver cancer should be based on syndrome differentiation,focusing on the pathogenesis of qi stagnation and blood stasis,weakness of spleen.Doctors need to be familiar with the taste of drugs to serve the clinic.According to the theory of“seeking the same qi”(the same substance attracts each other),each organ has its own favorite taste.On one hand,hawthorn which is sour enters the liver to feed the liver,promoting qi and blood circulation and stopping bleeding without leaving blood stasis;On the other hand,hawthorn which is sweet enters the spleen,boosting digestion and immunity,promoting diuresis and phlegm,nourishes the spleen to make the liver better and guides drugs into the liver and spleen.Hawthorn,a drug effective,repairs defects and harmonizes the internal organs.Clinical use should avoid too sour taste,so as not to damage the spleen.Only by harmonizing the five flavors,can we achieve the goal of“the balance of Yin and Yang,and peace of mind”.Meanwhile,we pay attention to the combination of modern pharmacology to ensure the therapeutic effect and the clinical results are very significant.