黄向春 曹国立

〔摘要〕 中医药是肺癌综合治疗的重要组成部分。国家级名中医曹国立教授认为正虚邪结是肺癌的基本病机，中医药治疗肺癌注重守正强基，将扶正培本贯穿肿瘤治疗全过程;强调病证结合，在辨证论治的基础上结合辨病治疗，自创辨病治疗肺癌专方“龙马攻积散”以破血化瘀、解毒蚀疮、软坚散结;创新组方思路，提出以西医之放化疗、手术等抗癌手段为君，配伍中药方为臣佐使，辅君以中西医融合治疗肺癌;注重内外同治、身心同调的治疗。

〔关键词〕 肺癌;正虚邪结;病证结合;创新组方;内外同治;曹国立;龙马攻积散

〔中图分类号〕R249;R734.2       〔文献标志码〕B       〔文章编号〕doi：10.3969/j.issn.1674-070X.2021.04.018

〔Abstract〕 Traditional Chinese medicine （TCM） is an important part of the comprehensive treatment of lung cancer. Cao Guoli， a famous national TCM doctor， considers that the basic pathogenesis of lung cancer is the deficiency of healthy energy and aggregation of pathogen. The treatment of lung cancer with TCM should pay attention to maining healthy and strong foundation， and strengthening the body through the whole process of tumor treatment. He emphasizes the combination of disease and syndrome， invents a special prescription "Longma Gongji San" for the treatment of lung cancer to break blood stasis， detoxify sores， soften and disperse lumps on the basis of syndrome differentiation and treatment combined with disease differentiation treatment. He innovates the idea of formulating prescriptions and puts forward that western medicine's radiotherapy and chemotherapy and other cancer-killing treatments should be the monarch， and Chinese medicine should be the ministers and assistants， which integrated Chinese and western treatment for lung cancer medical treatment. He focus on internal and external treatment， physical and mental treatment.

〔Keywords〕 lung cancer; deficiency of healthy energy and aggregation of pathogen; combination of disease and syndrome; innovative formula; internal and external treatment; Cao Guoli; Longma Gongji Powder

肺癌是嚴重危害人类生命及健康的恶性肿瘤之一，我国肺癌患者的发病率和死亡率高居世界首位[1]。 随着吸烟、空气污染、人口老龄化等因素的影响，其发病率将继续上升[2]。目前，主要的西医治疗手段为手术、放化疗、靶向、免疫等。而中医药作为我国的传统治疗方式，是抗肿瘤综合治疗中的一种重要方法，尤其在治疗肺癌中发挥着独特的作用，其减轻放化疗、免疫、靶向等治疗的毒副作用和缓解肺癌相关症状、提高患者生存质量的优势正受到越来越多的关注[3]。

曹国立教授是全国第六批名老中医药专家学术经验继承工作指导老师，湖南省名老中医药专家传承工作室建设项目专家，湖南省名中医，湖南省卫生厅跨世纪人才班成员，益阳市名中医，从事中医药临床、科研工……