方斌从“阳化气,阴成形”理论论治骨肉瘤经验介绍
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R249

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广东省本科高校教学质量与教学改革工程建设项目(粤教高函〔2024〕9号-70)


Introduction to FANG Bin's Experience in Treating Osteosarcoma Based on the Theory of "Yang Transforms Qi , Yin Constitutes Form"
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    摘要:

    介绍方斌教授从“阳化气,阴成形”理论论治骨肉瘤的临床经验。方斌教授以《黄帝内经》“阳 化气,阴成形”理论为指导,提出骨肉瘤的核心病机以肾阳虚衰为本,以阴寒痰瘀癌毒互结为标。基于此形 成分期辨治体系:早期法取温通防变,主用阳和汤化裁;进展期强调温阳解毒、攻补兼施,选用自拟温阳解 毒方治疗;术后及放化疗后注重扶正托毒,常用附子理中汤合八珍汤化裁;终末期则转为顾护胃气、缓痛安 神。用药以重用附子、善用虫类药为特色,形成温阳化气、解毒消癥的学术思想。

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    Abstract:This article introduces Professor FANG Bin's clinical experience in treating osteosarcoma based on the theory of "yang transforms qi,yin constitutes form" from the Huang Di Nei Jing (The Yellow Emperor's Inner Classic). Professor FANG proposes that the core pathogenesis of osteosarcoma is rooted in kidney yang deficiency as the foundation,manifested superficially by the intermingling of yin cold,phlegm,stasis,and cancerous toxins. Based on this,he has established a stage-based differentiation and treatment system:in the early stage,the principle focuses on warming and unblocking to prevent progression, primarily using modified Yanghe Decoction; in the progressive stage, emphasis is placed on warming yang, resolving toxins, and simultaneously reinforcing healthy qi and eliminating pathogens, treated with a self-formulated Wenyang Jiedu Prescription; in the post-operative period and after radiotherapy/chemotherapy,attention is given to supporting healthy qi and expelling toxins,often using modified Fuzi Lizhong Decoction combined with Bazhen Decoction;in the end stage,the focus shifts to protecting stomach qi, alleviating pain,and calming the mind. His medication features the heavy dosage of Aconiti Lateralis Radix Praeparata and skillful use of insect drugs,embodying the academic thought of warming yang to transform qi and resolving toxins to eliminate masses.

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何欣,漆宇杭,李若愚,蓝鋆,指导:方斌.方斌从“阳化气,阴成形”理论论治骨肉瘤经验介绍[J].新中医,2026,58(10):147-152

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  • 在线发布日期: 2026-05-28
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