体用理论及整体观对中晚期肝癌“带瘤生存”的实践指导

Essence-function Theory and Holistic View in Guiding the Practice of “Tumor-bearing Survival” in Middle and Advanced Liver Cancer

近年来,肝癌的发病率及死亡率仍居高不下,且大多患者确诊已属中晚期,无法根治。对于中晚期肝癌患者的治疗,中医学提出了“带瘤生存”的理念,旨在提高其生命质量及延长中晚期肝癌患者的生存期。最大限度地保存并维持肺脾肾三脏气化活动是肝癌患者带瘤生存的根本。现主要从中医“体用理论”和“整体观”认识肝癌发生发展及治疗,“体用理论”及“整体观”在不同分期及肝癌现代医学治疗手段中的结合应用,以及“体用理论”及“整体观”指导下肝癌常见合并病症的治疗,阐述如何在中西医结合治疗条件下更好实现中晚期肝癌患者“带瘤生存”。

In recent years,the incidence rate and mortality rate of liver cancer remain persistently high,and most of the patients are diagnosed in the middle and late stages,and can not be cured.For the treatment of patients with middle and advanced liver cancer,traditional Chinese medicine(TCM) has put forward the concept of “tumor-bearing survival”,which aims to improve the quality of life and prolong the survival period of the patients.The fundamental premise for the tumor-bearing survival of liver cancer patients lies in the maximization of preserving and maintaining the qi activities of the lungs,spleen,and kidneys.This article mainly focus on the understanding of the occurrence,development and treatment of liver cancer from the perspective of “essence-function theory” and “holistic view”,the combined application of “essence-function theory” and “holistic view” in different stages of liver cancer and modern medical treatment methods,and the treatment of common complications of liver cancer under the guidance of “essence-function theory” and “holistic view”,elucidating how to better achieve the “ tumor-bearing survival” of patients with middle and advanced liver cancer under the condition of integrated traditional Chinese and Western medical treatments.