北京中医药2026，Vol.45Issue(5)：615-619,5.DOI:10.16025/j.1674-1307.2026.05.010
吴煜基于李东垣"元气论"辨治癌性发热经验
WU Yu's experience in differentiating and treating cancerous fever based on the theory of original qi by LI Dongyuan
摘要
Abstract
Cancerous fever is a common clinical symptom in patients with malignant tumors.Its prolonged course and recurrent episodes severely impair patients'quality of life.Based on Li Dongyuan's theory of original qi,Professor WU Yu considers spleen and stomach weakness to be the core pathogenesis of cancerous fever.In the early stage,the main pathological mechanisms involve insufficiency of original qi,internal generation of yin fire,and heat transformation due to stagnation.In the middle and late stages,disharmony between qi and fire may occur,with cold affecting the middle energizer in the terminal stage,resulting in the concurrent manifestation of cold and heat symptoms.During treatment,the early stage emphasizes replenishing original qi,raising yang qi,and reducing yin fire.In the middle and late stages,warming kidney yang is incorporated as needed.The approaches of resolving phlegm and dissipating masses,as well as removing toxin and eliminating blood stasis,are applied throughout the entire course of treatment.Satisfactory clinical outcomes have been achieved.关键词
癌性发热/元气论/肿瘤/中医辨治/名医经验Key words
cancerous fever/Theory of original qi/cancer/differentiation and treatment in traditional Chinese medicine/experience of famous doctors引用本文复制引用
连花,吴煜,李韬芝,徐勤,谷珍珍,周芮,徐晓华,郝腾腾..吴煜基于李东垣"元气论"辨治癌性发热经验[J].北京中医药,2026,45(5):615-619,5.基金项目
国家重点研发计划项目(2017YFC1700606) （2017YFC1700606）
中国中医科学院创新工程项目(CI2021A01803) （CI2021A01803）
中国中医科学院西苑医院能力提升专项(XYZX0101-13) （XYZX0101-13）
山西省肿瘤医院博士启航计划项目(QH2023033) （QH2023033）
