浙江中医药大学学报2025，Vol.49Issue(4)：438-443,6.DOI:10.16466/j.issn1005-5509.2025.04.007
浅谈沈敏鹤"心治为君,药治为将,食治为相"之肿瘤治疗观
An Insight into Professor SHEN Minhe's Tumor Treatment Concept"Heart Governs as Sovereign,Medicine Acts as General and Diet Functions as Minister"
摘要
Abstract
[Objective]To summarize Professor SHEN Minhe's clinical experience in treating tumors under the guidance of the therapeutic concept of"heart governs as sovereign,medicine acts as general and diet functions as minister".[Methods]By studying with the teacher,sorting out and summarizing Professor SHEN Minhe's clinical tumor cases,this paper expounds in detail the unique treatment concept of"heart governs as sovereign,medicine acts as general and diet functions as minister",and verifies it with medical records.[Results]Professor SHEN Minhe thinks that the treatment of tumor should pay attention to the organic combination of mind,medicine and food.Heart governs as sovereign means:emphasizing the compatibility between doctors and patients,attaching importance to spirit,and coordinating form and mind;Medicine acts as general:emphasizing chronic diseases,keeping the body safe from evil,eliminating evil at the right time,and adding and subtracting herbs with the syndrome;Diet functions as minister:emphasizing that if diet is self-doubling,stomach will be injured,reasonable diet and three-factor adaptation are suitable.The attached medical record was a case with lung cancer,which was mainly caused by stagnation of liver-Qi and phlegm.The case was treated by soothing the liver and clearing heat,reconciling Shaoyang,resolving phlegm and dredging collaterals,regulating Qi and dredging Fu-organs,calming the heart and the nerves,with revised Chaihu and Longgu Muli Decoction,Little Chaihu Decoction and Weijing Decoction,and instructed to eat and live regularly,adjust breathing and standing as stake in the morning,and follow the way of healthy preservation,finally the patient returned to balance,with good effect.[Conclusion]Professor SHEN treats tumors with the concept of"heart governs as sovereign,medicine acts as general and diet functions as minister",which has remarkable curative effect and certain clinical guiding significance.关键词
心治为君/药治为将/食治为相/肿瘤治疗观/形神并调/名医经验/沈敏鹤/医案Key words
heart governs as sovereign/medicine acts as general/diet functions as minister/tumor treatment concept/integration of body and mind regulation/experience of eminent physicians/SHEN Minhe/medical records分类
医药卫生引用本文复制引用
徐海虹,宋巧玲,黄宏,阮善明,余旭彪,朱滔,陶方方..浅谈沈敏鹤"心治为君,药治为将,食治为相"之肿瘤治疗观[J].浙江中医药大学学报,2025,49(4):438-443,6.基金项目
国家自然科学基金项目(82474460) （82474460）
浙江省名老中医专家传承工作室建设计划项目(GZS2020018) （GZS2020018）
浙江省中医药科技计划重点研究项目(2021ZZ007)National Natural Science Foundation Projec(82474460) （2021ZZ007）
Zhejiang Province Famous Old Traditional Chinese Medicine Experts Inheritance Studio Construction Plan Project(GZS2020018) （GZS2020018）
Zhejiang Province Traditional Chinese Medicine Science and Technology Key Research Project(2021ZZ007) （2021ZZ007）
