王玥 王笑民 赵维哲 栗枭杰 侯丽

    摘要 《黄帝内经·素问·经脉别论》中记载：“脉气流经，经气归于肺，肺朝百脉。”肺朝百脉，肺通机体各经脉，助心行血，对气血的运行起到关键作用。而张机在《金匮要略》中对于“百合病”病因有明确描述“百合病者，百脈一宗，悉致其病也”。肺癌癌毒伤肺，肺阴、血脉受损，严重者可致百脉皆伤，进而可出现肺癌相关性抑郁，其状似“百合病”。肺癌相关性抑郁可由虚热伤血，内扰心神所致，其最常见的中医证型为肺阴虚，这与“百合病”心肺阴虚的核心病机十分相符。故可基于“肺朝百脉，百脉一宗，悉致其病也”理论，将百脉损伤所致的百合病补肺养阴治法古为今用，用于肺癌相关抑郁的治疗。经临床实践证实，应用百合地黄汤、百合知母汤等治疗百合病的基础方剂病证结合，加减化裁，可对证型相符的肺癌肿瘤相关性抑郁患者产生良好的治疗效果，为肺癌相关抑郁的证治提供新思路。

    关键词 百合病;肺癌相关抑郁;《金匮要略》;郁证;肺朝百脉;情志;肺癌

    Treatment of Lung Cancer-Related Depression and Lily Disease Based on the Theory of “Lung Being Connected with All Vessels”

    WANG Yue1，WANG Xiaomin2，ZHAO Weizhe1，LI Xiaojie1，HOU Li3

    (1 Beijing University of Chinese Medicine，Beijing 100029，China; 2 Beijing Hospital of Traditional Chinese Medicine，Capital Medical University，Beijing 100010，China; 3 Dongzhimen Hospital，Beijing University of Chinese Medicine，Beijing 100700，China)

    Abstract Accoring to Special Discussion on Channels and Vessels，Plain Questions，vessel qi flows in the channels and channel qi flows to the lung.The lung is connected with all the vessels.Being connected with all meridians of the body ......