摘要
总结梅国强教授运用小陷胸汤加减治疗痰热阻肺型肺癌的临证经验.认为痰热阻肺型肺癌的关键病机为痰热毒蕴,并根据气滞、瘀血、毒邪、痰湿、气虚、阴虚等在疾病发生发展过程中的不同致病作用,治疗主张在清热化痰的基础上配合宣肺止咳、解毒散结、理气活血、祛湿、补益气阴等法,多法并用,灵活配伍.临证以清热化痰之小陷胸汤为基础方进行加减,对于肺系症状轻微者,常用小陷胸汤加味;对于肺系症状明显者,常用自拟麻杏陷胸汤加减;对于病涉少阳者,常用柴胡陷胸汤加减.
Abstract
This article summarized the clinical experience of MEI Guoqiang in treating lung cancer of phlegm-heat obstructed in the lung syndrome with modified Xiaoxianxiong Decoction(小陷胸汤).It is believed that the key pathogenesis of lung cancer with phlegm-heat obstructed in the lung syndrome is the phlegm-heat toxin accumulation.According to the different pathogenic effects of qi stagnation,blood stasis,pathogenic toxin,phlegm-damp,qi defi-ciency,yin deficiency in the occurrence and development of the disease,it is advocated to clear heat and resolve phlegm,and additionally the methods of diffusing the lung and relieving cough,resolving toxins and dissipating masses,rectifying qi and activating blood,dispelling dampness,supplementing and boosting qi and yin are used if necessary.Multiple methods are used together and flexibly matched.In clinical practice,Xiaoxian-xiong Decoction with the func-tion of clearing heat and relieving phlegm is recommended as the basic formula for further modification.For patients with mild lung symptoms,modified Xiaoxianxiong Decoction is commonly used,while for those with obvious symp-toms,self-made Maxing Xianxiong Decoction(麻杏陷胸汤)in modifications is suggested.For patients with Shaoyang(少阳)diseases,modified Chaihu Xianxiong Decoction(柴胡陷胸汤)is often used.
基金项目
国家中医药管理局国医大师传承工作室建设项目(国中医药办人教函[2018]119号)
湖北省中医药重点学科建设项目(鄂中医通[2023]2号)
维普
万方数据