基层中医药

肺癌属于呼吸系统的恶性肿瘤，目前规范性及个体化的西医治疗方案具有一定的疗效，但因耐药性及毒副作用，只有部分人群获益。贵州省名中医张葵教授认为肺癌主要病机为气虚为本，尤以肺气虚为主，痰浊、瘀血、癌毒交阻于肺络，临诊辨证多为肺脾气虚、肺肾两虚、气阴两虚三个证型，提出补虚化痰祛瘀法，即补虚以补肺健脾益肾为法，兼以活血化瘀、化痰散结为法，疗效显著。现总结张葵教授治疗肺癌的临证经验，并附医案1则以佐证。

Lung cancer is a malignant tumor of the respiratory system. At present, the standardized and individualized Western medicine treatment schemes have certain therapeutic effects, while only part of the patients can benefit from them due to drug resistance and toxic side effects. Professor ZHANG Kui, a famous traditional Chinese medicine(TCM) doctor in Guizhou Province, believes that the main pathogenesis of lung cancer lies in qi deficiency, especially lung qi deficiency. Phlegm turbidity, blood stasis, and cancerous toxins block the lung collaterals. The patients mainly present three syndromes: lung-spleen qi deficiency, lung-kidney deficiency, and qi-yin deficiency. Accordingly, Professor ZHANG Kui proposed the methods of tonifying deficiency, resolving phlegm, and removing stasis. That is, the treatment should focus on tonifying the lung, spleen, and kidney, while also paying attention to activating blood, removing stasis and phlegm, and dissipating mass. This article introduces Professor ZHANG Kui's clinical experience in the treatment of lung cancer, with one medical case for supporting evidence.