肺癌近代中醫論治文獻回顧

肺癌是國內多年癌症死因之首，目前西醫已發展出多種治療方式，中醫的輔助治療亦日受重視。中醫古籍雖無肺癌病名，但依其臨床表現可歸屬咯血、肺積、癥瘕積聚、肺花瘡等範疇，屬於本虛標實、虛實夾雜之證。而近代也有較多中醫文獻針對肺癌病因病機、辨證論治、醫家治療經驗進行研究與探討，雖然觀點各異，但仍可以從中歸納出共同的病機、證型與相關治則，痰瘀互結，耗氣傷陰是主要的病機，常見的證型包含氣陰兩虛、陰虛內熱、氣血瘀滯、痰瘀互結等，選方用藥在辨證基礎上臨證加減益氣滋陰、滋陰清熱、理氣活血、袪痰化瘀等治法。

關鍵字

肺癌；中醫；中藥

並列摘要

Lung cancer is the leading cause of cancer mortality in Taiwan for many years. At present, modern medicine has developed a variety of treatment methods, and the adjuvant treatment of traditional Chinese medicine is also receiving increasing attention. Although there is no name for lung cancer in ancient Chinese medical books, it can be classified into certain categories according to its clinical manifestations. In terms of traditional Chinese medicine, lung cancer belongs to the syndrome of a mixture of deficiency and excess. In modern times, there are also many Chinese medical literatures on the etiology and pathogenesis of lung cancer, syndrome differentiation and treatment, and doctors' treatment experience. Although there are different opinions, common pathogenesis, syndrome types, and related treatment principles can be summarized. The main pathogenesis involves phlegm and blood stasis, consuming qi, and injuring yin. Common syndrome types include deficiency in both qi and yin, yin deficiency with internal heat, qi stagnation and blood stasis, phlegm and blood stasis, and so on. The clinical selection of prescriptions on the basis of syndrome differentiation is alterable, and the treatment principles include supplementing qi and nourishing yin, nourishing yin and clearing heat, regulating qi and promoting blood circulation, repelling phlegm and transforming stasis, etc.

並列關鍵字

Lung cancer ； Chinese medicine ； Chinese herbs

參考文獻

Karl W Thomas & Michael K Gould (2020). Overview of the initial evaluation, diagnosis, and staging of patients with suspected lung cancer. In Geraldine Finlay (Ed.), UpToDate. Retrieved September 3, 2020, from https://www-uptodate-com.autorpa.cmu.edu.tw/contents/overview-of-the-initial-evaluation-diagnosis-and-staging-of-patients-with-suspected-lung-cancer

Google Scholar

David E Midthun (2020). Overview of the risk factors, pathology, and clinical manifestations of lung cancer. In Sadhna R Vora (Ed.), UpToDate. Retrieved September 3, 2020, from https://www-uptodate-com.autorpa.cmu.edu.tw/contents/overview-of-the-risk-factors-pathology-and-clinical-manifestations-of-lung-cancer