摘要：胃肠癌是消化系统最常见的恶性肿瘤之一，属于中医学“肠蕈”，“伏梁”的范畴。中医学认为胃肠癌的形成多因正气内虚，复加饮食不节、情志不随，使脾胃升降失调，气机不畅，痰浊内生，瘀阻大肠，日久邪毒结聚而成。“正虚”与“邪盛”在胃肠癌的病因病机中占有重要地位。“抑木扶土“法是在五行理论指导下的一种治法，目前治疗胃肠癌多从“扶正”入手，对于如何“祛邪”鲜有阐述。通过从“抑木扶土”的角度出发，肝主疏泄功能失常与胃肠癌的形成关系密切，因此探讨从肝论治胃肠癌，可为该病的中医治疗提供新思路。

    关键词：胃肠癌；抑木扶土；肝主疏泄；肠蕈；肿瘤微环境

    中图分类号：R730.5 文献标志码：A 文章编号：1007-2349(2024)11-0031-07

    Discussion on Treating Gastrointestinal Cancer from the Liver Perspective Based on the Theory of “Suppressing Wood and Supporting Earth”

    LI Yong-hao^1，2，HUANG Su-ping^1，3，CAI Hua-zhu4， LIN Jiu-mao^1，2，3

    (1. Institute of Integrated Traditional Chinese and Western Medicine， Fujian University of Traditional Chinese Medicine， Fuzhou 350122， China; 2. Key Laboratory of Basic Integrated Traditional Chinese and Western Medicine of Fujian Institutions of Higher Learning， Fuzhou 350122， China; 3. Key Laboratory for Geriatric Diseases of Fujian Integrated Traditional Chinese and Western Medicine， Fuzhou 350122， China; 4. School of Traditional Chinese Medicine， Fujian University of Traditional Chinese Medicine ......