中医肿瘤学杂志2026，Vol.8Issue(3)：20-28,9.DOI:10.19811/j.cnki.ISSN2096-6628.2026.05.004
肝癌共病心血管疾病的辨治
Differentiation and Treatment of Hepatic Cancer Comorbid with Cardiovascular Disease
摘要
Abstract
With the prolongation of tumor survival and the long-term duration of anti-tumor therapies,hepatic cancer comorbid with cardiovascular disease(CVD)has emerged as a complex clinical challenge urgently requiring resolution.The comorbidity of hepatic cancer and CVD presents dual clinical features characterized by the"coexistence of pre-existing diseases"and the"superposition of new injuries".Based on traditional Chinese medicine(TCM)theory of"heart-liver correlation",this paper systematically elucidates the physiological maintenance of heart and liver in terms of visceral manifestations,five phases,meridians,and qi,blood,and spirit.It reveals that the core pathogenesis of hepatic cancer comorbid with CVD is characterized by"deficiency in the root and excess in the branch,intertwining of toxin and stasis,and imbalance between wood and fire",along with its dynamic evolutionary rules.Aiming at this pathological process,this paper establishes the holistic therapeutic principle of"simultaneous treatment of heart and liver",and constructs a clinical syndrome differentiation and treatment system involving"distinguishing primary and secondary to determine priorities,focusing on chief symptoms to establish core therapeutic methods,and adapting to seasonal,regional,and individual factors for flexible modifications".This system aims to achieve dual management of tumor progression and multi-source cardiovascular risks by harmonizing qi,blood,yin,and yang while applying both attacking and tonifying methods,thereby supporting high-quality"survival with tumor"in patients with hepatic cancer.关键词
肝癌/心血管疾病/心肝相关/心肝同治/共病/辨证论治Key words
hepatic cancer/cardiovascular disease/heart-liver correlation/simultaneous treatment of heart and liver/comorbidity/syndrome differentiation and treatment分类
医药卫生引用本文复制引用
刘紫凤,李晏龙,余玲,陈昫,陈壮忠,庞润华,曾江涛..肝癌共病心血管疾病的辨治[J].中医肿瘤学杂志,2026,8(3):20-28,9.基金项目
第五批全国中医临床优秀人才研修项目(编号:国中医药人教函[2022]1号) （编号:国中医药人教函[2022]1号）
广东省医学科学技术研究基金项目(编号:A2024636) （编号:A2024636）
广州市科技计划项目(编号:2023A03J0289) （编号:2023A03J0289）
2025年中国科协青年科技人才培育工程博士生专项计划. （）
