彭成教授基于益火补土理论治疗消化系统肿瘤合并顽固性腹泻的临床经验总结

Professor Peng Cheng’s Clinical Experience Summary in Treating Digestive System Tumors Complicated with Intractable Diarrhea Based on the Theory of Benefiting the Fire and Replenishing the Earth

摘要: 益火补土理论根植于《黄帝内经》五行相生学说。彭成教授在传承经典学术思想的基础上，将“系统中药学”思想与益火补土理论深度结合。彭成教授指出，消化系统肿瘤并发顽固性腹泻的核心病机在于“脾肾阳虚，火不暖土，水湿下注”，病位虽在肠道，病根却源于脾肾，且病机演变遵循脾胃气虚、脾阳虚、脾肾阳虚的渐进规律。据此，彭成教授将益火补土法灵活运用于肿瘤相关性腹泻的治疗，以附子理中汤为基本方，随证配伍四神丸、参苓白术散等方剂加减化裁，并将有关附子“毒–效多维评价”的研究成果转化为临床用药策略。丰富了中医辨治肿瘤并发症的学术内涵，为临床处理此类复杂病症提供了范例，兼具重要的学术价值与实践意义。

Abstract: The theory of “Benefiting the Fire and Replenishing the Earth” is rooted in the theory of the five elements generating each other in the “Yellow Emperor’s Classic of Internal Medicine”. Based on inheriting classical academic thoughts, Professor Peng Cheng deeply integrated the idea of “systemic Chinese materia medica” with the theory of benefiting the fire and replenishing the earth. Professor Peng Cheng pointed out that the core pathogenesis of digestive system tumors complicated with refractory diarrhea lies in “deficiency of yang in the spleen and kidney, fire not warming earth, and water-dampness descending”. Although the disease location is in the intestines, the root cause lies in the spleen and kidney, and the evolution of pathogenesis follows a gradual pattern of qi deficiency in the spleen and stomach, yang deficiency in the spleen, and yang deficiency in both spleen and kidney. Based on this, Professor Peng Cheng flexibly applied the method of benefiting the fire and replenishing the earth to the treatment of tumor-related diarrhea, using Fuzi Lizhong Decoction as the basic formula, supplemented with prescriptions such as Sisun Pills and Shenling Baizhu Powder according to the symptoms, and transformed the research results on the “toxicity-efficacy multidimensional evaluation” of aconite into clinical medication strategies. This has enriched the academic connotation of traditional Chinese medicine in treating tumor complications, provided a paradigm for clinical management of such complex conditions, and holds significant academic value and practical significance.