刍议林丽珠教授从痰论治肺癌

Clinical Experience of Professor Lin Li-zhu in the Treatment of Lung Cancer by Phlegm

中医学认为'肺为贮痰之器,脾为生痰之源,肾为生痰之根',痰乃津液输布失常,水湿停聚所生,其既是致病因素,又是病理产物。随着中医肿瘤理论研究的深入,痰邪是癌瘤发生的重要病理因素这一观点逐渐被业界所认同,痰邪对肺癌的发生、发展及预后的影响越来越受到临床重视,除痰法已成为中医治疗肺癌的基本手段。本文从痰的概念、生理运化特点,痰致肺癌的病理因素方面,结合痰的'流窜性、多样性、杂合性'等特点加以分析,区分了'风痰、寒痰、热痰、燥痰、湿痰、老痰、火痰、食痰、胁痰、四肢痰、痰核、痰癖、窠囊'等多种痰邪分类的临床用药特点,结合辨病论治从'肺郁痰瘀、脾虚痰湿、阴虚痰热、气阴两虚'等常见肺癌四种分型,综合阐述了林丽珠教授从痰辨治肺癌的学术观点。

Traditional Chinese medicine says'lung being reservoir of phlegm,phlegm coming from spleen,kidney being source of phlegm'.Phlegm,which is not only the pathogenic factor,but also the pathological product,means the imbalance between distribution and excretion of the body fluid,causing retention of water.With the theoretical research on cancer of traditional Chinese medicine,the view that phlegm evil is an important pathological factor in the occurrence of cancer is gradually recognized by the medical community,more attention has been paid to the effect of phlegm pathogenic factors on the occurrence,development and prognosis of lung cancer in clinical practice.The method for expelling phlegm has become the basic treatment principle of traditional Chinese medicine in the treatment of lung cancer.Based on the analysis of the concept and physiological characteristics of phlegm,pathological factors of sputum causing lung cance,as well as the characteristics of mobility、diversity and heterozygosity of sputum,this article distinguishes the clinical drug characteristics of various sputum pathogens,such as anemogenous phlegm,cold-phlegm,heat-phlegm,sticky sputum,dampphlegm,lingering phlegm,phlegm-syndrome caused by fire-evil,dyspeptic phlegm,sucutaneous nodule,phlegmatic mass,and so on.Then combined with four common syndrome types of lungcancer depression of lungand stagnation of phlegm type,spleen deficiency with phlegm-damp,deficiency of both qi and yin,yin deficiency and phlegm heat',the academic viewpoint of professor Lin Lizhu is expounded comprehensively on treating lung cancer from sputum pathogens.