李佩文教授从肺肾相生治疗晚期肺癌的临证经验

Professor Li Peiwen′s Clinical Experience in Treating Advanced Lung Cancer from the Perspective of Mutual Promotion Between Lung and Kidney

晚期肺癌证候表现多样,病机复杂,总属本虚标实,论其本虚多指肺肾亏虚。李佩文教授对从肺肾相生论治晚期肺癌有深入的见解,认为晚期肺癌的核心病机为肺肾两虚、邪毒内聚,中医治疗上重视协调肺肾相生,调补阴阳,根据西医治疗、调养的不同特点进行调整,分辨晚期肺癌的整体和局部征象,配合肺肾的生理特性用药。现总结李佩文教授从肺肾相生论治晚期肺癌的学术思想,对其分阶段、辨部位辨证论治的治疗思路以及临床遣方用药的经验进行探析。

Advanced lung cancer features diverse symptoms and complex pathogenesis.The general pathogenesis is deficiency in origin and excess in superficiality,and the former mainly refers to deficiency of lung and kidney.Professor Li Peiwen has a deep insight into the treatment of advanced lung cancer from lung and kidney.He thinks that the core pathogenesis of advanced lung cancer is deficiency of lung and kidney and accumulation of pathogenic toxin.Traditional Chinese medicine(TCM)emphasizes coordination of lung and kidney and regulating and tonifying of yin and yang.It adjusts the therapy based on the characteristics of western medicine treatment stage,complication stage,and recuperation stage,distinguishes the overall and local signs of advanced lung cancer,and applies medicinals according to the physiological characteristics of lung and kidney.This paper summarizes Professor Li Lao′s academic thought of treating advanced lung cancer from the perspective of mutual promotion between lung and kidney and analyzes his treatment ideas for different stages,different parts,and different syndromes,as well as his experience in clinical prescription and medication.