李仝教授基于伏寒理论治疗肺癌的经验

Professor LI Tong′s Experience in Treating Lung Cancer Based on the Theory of “Latent Cold”

肺癌在中国有较高的发病率和死亡率,早期常常通过影像学发现并确诊,其隐匿性较强,若早期无咳嗽、咳痰、咯血等症状,常常不能引起重视,导致部分患者确诊时病情往往处于中晚期,失去了早期治疗的良机。因此,探索肺癌早期的相关病因,对预防和治疗肺癌具有重要意义。李仝教授根据多年的临床经验总结出“伏寒”是肺癌的重要发病因素,先、后天之寒邪伏于人体肺脏,在肺阳不足之时于人体中潜藏下来,等待时机而发病,其积聚性、隐匿性、多变性、伤阳性的特点与该病关系密切。李仝教授在治疗上提出“未病先防、调理体质”“既病防变、祛邪攻毒”“久病补虚、扶正固本”3个原则,及时针对病情的不同阶段采取有效的干预。对未病者调理体质以减少肺癌的潜在发病因素,对早期既病者及时清热解毒、消肿散结,防止病情进一步发展;中后期扶正固本,固护胃气,临床取得了一定疗效。

Lung cancer has a high incidence and mortality in China.It is often detected and diagnosed by imaging in the early stage,and it is more latent.If there is no cough,sputum production,hemoptysis and other symptoms in the early stage,it often cannot be paid attention to.As a result,the condition of some patients is often in the middle and late stage when diagnosed,and the opportunity for early treatment is lost.Therefore,it is of great significance to explore the early etiology of lung cancer for prevention and early treatment.According to many years of clinical experience,Professor LI Tong pointed out that “latent cold” is an important pathogenic factor of lung cancer,through the innate cold and acquired cold crouching in the human lung.When the lung yang is insufficient,it is hidden in the human body,waiting for the opportunity to develop.Its characteristics of gathering,stealthiness,variability and damaging yang is closely related to the disease.So,professor LI proposed three therapeutic principles on its treatment,“preventing before disease onset,regulating constitution”,“preventing the progress of disease,eliminating pathogenic poison attack”,“tonifying deficiency for long illness,supporting the healthy energy”.The effective interventions to treat the disease should be taken timely according to different stages of illness.Regulating the constitution of non-sick people is used to reduce the potential risk factors of lung cancer.For those who are sick in the early stage of the disease,it is timely to clear away heat and detoxify the poison,eliminate swelling and dissipate lumps to prevent the further development of the disease.In the middle and late period,supporting the healthy energy and strengthening the stomach qi are applied.Some clinical effect has been achieved.