基于内生“五邪”理论探讨肝癌中医辨治思路

[关键词］肝癌；病因病机；五邪致病法；审因论治；治法方药

[中图分类号］R256.42 [文献标志码］A [文章编号]0256-7415（2025）04-0082-05

DOl：10.13457/j.cnki.jncm.2025.04.014

Exploration on Chinese Medicine Diagnosis and Treatment Approach for Liver Cancer Based on the Theory of Endogenous "Five Pathogens"

YUPeiwen，LI Shuning²，TANG Yu1 ，YANGHuiting1，YUWei1 1.TheSecondHspitalofJing，JingZng4oa；.Expitaleseachenteriacadeyofeical Sciences，Beijing 100091，China

Abstract：The endogenous "five pathogens" refers to the comprehensive pathological changes caused by abnormal physiological functionsofthe visceraand bowels，meridianandcolateral，qi，blood，fluid，and humor.Itis closely relatedto the pathogenesisand pathological changesof liver cancer.Therefore，explaining the Chinesemedicine pathogenesisandtreatment methodsof livercancer from the perspectivesof internal wind，internal fire，internalcold， internal dryness，and internal dampnessis of great significance.Forlivercancer patients with impaired dispersing and draining functionand internal stiringof iver wind，the treatmentshould focusontranquilizing the liver，extinguishing wind，enriching yinandsubduing yang.Forthose with internal blazingof stagnantfireandheat toxin accumulation，the treatment should focus on relieving depresion，subduing fire，clearing heat，and resolving toxins.For those with internal coldand phlegm-stasis interlocking，the treatment should focus on warming the kidneys，benefiting yang， resolving phlegm，and dissipating stasis.For those with yin essence depletion and blood dryness with meridian stasis， thetreatment should focus on nourishing yin，replenishing essence，moistening dryness，and resolving stasis.For those with spleen deficiency，debilitationof yang and internal acumulationof damp toxin，the treatmentshould focus on warming yang，strengthening the spleen，removing dampness，and expelling turbidity.In clinical practice，liver cancer maynotbecaused bya single pathogenesis.If it involvesacombination of the "five pathogens，"treatment should be based on the specific syndrome.

Keywords：Liver cancer；Etiologyand pathogenesis；Five pathogens inducing diseases；Syndrome diferentiation and treatment； Treatment methods and prescriptions

肝癌是常见的恶性肿瘤之一，发生与病毒性肝炎、黄曲霉毒素暴露、肝硬化、长期大量饮酒、非酒精性脂肪肝及遗传等因素密切相关。（剩余6134字）