章慧，李东芳，梁慧，田惠中，周萍，王云启*指导黎月恒

（1.湖南省肿瘤医院，湖南长沙410013；2.湖南中医药大学，2008/2009级七年制本硕连读研究生班，湖南长沙410208）

·名医撷华·

黎月恒教授运用中医药治疗肺癌经验

章慧1，李东芳1，梁慧1，田惠中2，周萍2，王云启1*指导黎月恒1

（1.湖南省肿瘤医院，湖南长沙410013；2.湖南中医药大学，2008/2009级七年制本硕连读研究生班，湖南长沙410208）

目的总结黎月恒教授运用中药治疗肺癌的用药经验。方法选取黎月恒教授2010～2014年湖南省肿瘤医院中医科门诊确诊为“肺癌”的处方156张，所有药物依据《中药学》和《中药大辞典》分类、性味及归经进行整理，使用Epidata 3.1软件建立数据库，运用统计学方法进行数据统计，归纳用药频次、频率，总结其用药经验。结果收集的处方中涉及中药93种，总用药次数3 315次；其中使用频率最高的治法是益气养阴、清热解毒、化痰止咳、理气活血；药味以甘、苦、辛为主；药性以寒、温、平为主；药物归经以肺、心、脾、肝为主；治疗肺癌核心单味中药为百合、麦冬、西洋参、黄芪、桑白皮、瓜蒌、白术、茯苓、陈皮、丹参、枳壳（实）、五味子、延胡索、重楼、白花蛇舌草等。结论黎月恒教授治疗肺癌的经验值得临床参考。

肺癌；辨证论治；益气养阴；清热解毒；药味；药性；经验总结；黎月恒

〔Abstract〕Objective To study experiences from Professor Li Yueheng in using traditional Chinese medicine to treat lung cancer.Methods A Selection of 156 cases of patients who were diagnosed as lung cancer by Professor Li Yueheng in department of TCM clinic of Hunan cancer hospital from 2010 to 2014.All medicines were classified by Chinese Materia Medica and Dictionary of Medicinal Plant.Then a database was built with Epidata 3.1 software using statistical methods to make a data statistics.The experiences and the frequency of drugs were concluded.Results Collecting 156 prescriptions in all，including 93 kinds of traditional Chinese medicine，the total number of drug using was 3315 times.Among them，the most frequently used kinds are tonifying qi and nourishing yin，clearing heat and toxic material，resolving phlegm and relieving coughing，and promoting qi and activating blood.The main flavors of the drugs include sweet，bitter and acrid.The main channel tropisms are to lung，heart，spleen and liver.The keydrugsusedtotreatlungcancerbyProfessorLiYuehengarelily，ophiopogonroot，ginseng，astragalus root，mulberrybark，atractylodes，poria，snakegourdfruit，salviamiltiorrhiza，pericarpiumcitrireticulatae，fructus aurantii，schisandra chinensis，rhizoma corydalis，Paris polyphylla，hedyotis diffusa and so on.Conclusion Professor Li Yueheng's experiences on treatment of lung cancer supply references for the clinic.

〔Keywords〕lung cancer；syndrome differentiation and treatment；tonifying qi and nourishing yin；clearing heat and toxic material；flavor of a drug；drug properties；summary of experiences；Li Yueheng

肺癌是临床高发病率和高死亡率的肿瘤之一。近年来发病率逐年增高。黎月恒教授作为全国名老中医药专家学术经验传承工作指导老师，倾力于中医治疗肿瘤40余年，集临床、科研于一身，学识经验丰富，尤其对肺癌研究已形成自己独特的学术思想，取得好的临床疗效。……