谢湘兰 吴煜 郭中宁

    [摘要] 原发性肝癌(以下简称“肝癌”)在我国有较高的发病率及死亡率，是临床难治疾病之一。西医对肝癌的治疗方法虽然多种多样，但基于肝癌的病理特性，未能取得令人满意的治疗效果。在中医治疗方面，单一的辨证论治在肝癌的治疗上存在诸多不足，但其在长期的临床实践中确立了辨病-辨病机-辨证的临床思维模式来探究肝癌的中医治疗，确立了肝癌的基本病机及治则，并例举临床验案1则，以期为肝癌的治疗提供更多的临床诊疗思路，为广大肝癌患者带来福音。

    [关键词] 原发性肝癌；辨病；辨证；辨病机

    [中图分类号] R273.57 [文献标识码] A [文章编号] 1673-7210(2019)04(c)-0138-03

    [Abstract] Primary hepatocellular carcinoma ("liver cancer" for short) has a high incidence and mortality in China， and is one of the clinical refractory diseases. Although the treatment methods of Western medicine for liver cancer are various， it has not achieved satisfactory results based on the pathological characteristics of liver cancer. In the aspect of traditional Chinese medicine treatment， there are many deficiencies in the treatment of liver cancer with single syndrome differentiation， but in the long-term clinical practice， it has established the clinical thinking mode of disease differentiation - pathogenesis differentiation - syndrome differentiation to explore the traditional Chinese medicine treatment of liver cancer ......