恶性肿瘤为正虚邪毒内蕴,肺癌虚证有气阴两虚、肺脾气虚、阴阳两虚;实证有痰湿阻肺、痰热蕴肺、气滞血瘀多为本虚标实,虚实夹杂或数种证型兼杂;初发实证居多,虚证不显;治疗分扶正祛邪两类,扶正常用益气养阴、健脾补肺、益气养血、滋阴温阳等补法,祛邪常用化痰利湿、活血化瘀、清热解毒等治法;分清虚实主次,辨别邪正盛衰,立足扶正祛邪并施,力争以扶正来祛邪,以祛邪来扶正,做到祛邪而不伤正,扶正而不助邪;不可盲目重用有毒峻猛攻逐药物,企图尽快消除肿瘤,势必耗气伤阴,甚至苦寒败胃,损伤正气,造成后续治疗困难;也不可一味扶正补益,不用攻邪药物控制和减缓肿瘤发展,肿瘤得以加速生长。只有辨证精确,用药适当,方能取得良好的效果。中西医结合治疗肺癌要从四个方面着手:辨证论治,分析症状、舌苔、脉象等,根据不同证型选择用药;辨病论治,结合现代医学,明确肿瘤分期,西医治疗及理化检查等,选择相关中药;结合现代中药药理研究,准确揭示药物作用主要成分,有效弥补辨病和辨证不足;参考临床报道和名家经验,有利拓展个人的临床施治思维,整体和局部治疗结合,宏观和微观治疗统一,选择有效抗肿瘤措施,制定治疗方案,提高临床疗效。附肺腺癌(气阴亏虚,瘀痰互结)验案1则。 Malignant tumor is the essence of virtual imaginary evil, lung cancer Deficiency Qi Yin, lung spleen deficiency, yin and yang deficiency; empirical phlegm obstruction of the lung, phlegm and lungs, qi stagnation and blood stasis are mostly virtual real, Mixed actual or mixed syndromes and a variety of syndromes; initial evidence of the majority, deficiency is not significant; treatment points help remove the two categories, Fuzheng Qi commonly used Yin, invigorating the spleen and lungs, Qi and nourishing, yin and yang Remedy, Qu Qing commonly used phlegm dampness, blood circulation, detoxification and other treatment methods; to distinguish the actual situation, identify the evil is the rise and fall, based on the right to remove evil and facilities, and strive to Fuzheng Quxie to Quxie to Fuzheng , So that they can not be used to eliminate evil but not help others. They should not blindly reuse the poisonous drug to attack the drug in an attempt to eliminate the tumor as soon as possible. Do not blindly righting replenishing benefits, do not attack drugs and reduce the development of cancer, the tumor can be accelerated growth. Only accurate dialectical, appropriate medication, can achieve good results. Integrative treatment of lung cancer from four aspects: syndrome differentiation, analysis of symptoms, tongue, pulse, etc., according to different syndromes choose medication; disease differentiation, combined with modern medicine, a clear tumor staging, Western medicine and physical and chemical examination, choose Related Chinese medicine; combined with modern Chinese pharmacological studies, accurately reveal the main components of drug action, effectively make up for disease differentiation and syndrome differentiation; reference to clinical reports and famous experience, conducive to expanding individual clinical thinking, holistic and local treatment combined with macro and micro-treatment Unified, select effective anti-tumor measures, develop treatment options and improve clinical efficacy. With lung adenocarcinoma (qi and yin deficiency, stasis sputum mutual) Case 1 is.