| 摘要: |
| 王晞星教授基于多年临证，结合《黄帝内经》“水道理论”，提出膀胱癌各发病阶段均与水道失司、肺脾肾三脏功能失调、三焦决渎失司相关，并创新性地提出以当归贝母苦参丸为主方，通调水道，并紧扣西医“围手术期、灌注期、复发/晚期”3个阶段，动态施治。术前通利水道、清热利湿，术后通利解毒、滋补肝肾；灌注期治疗通泄解毒；复发/晚期以通补兼施。文章通过系统阐述其治疗膀胱癌的经验，并附验案1则加以佐证，为中医治疗膀胱癌提供新思路。 |
| 关键词: 膀胱癌 水道理论 分阶段 当归贝母苦参丸 王晞星 |
| DOI：10.11656/j.issn.1672-1519.2026.09.02 |
| 分类号:R737.14 |
| 基金项目:第四届国医大师传承工作室（国中医药办人教函〔2022〕245号1123-04）；国家中医药传承创新中心的建设（202203）；山西省中医临床医学研究中心（培育）（晋科社发〔2019〕61号）；山西省卫健委山西省医学科技创新团队项目（2020TD04）。 |
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| Experience of national traditional Chinese medicine master WANG Xixing in treating bladder cancer by stages based on the waterway theory |
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YANG Zixi1, GAO Yu2, GUO Yuyan1, WU Hang1, WANG Xixing2
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1.First Clinical College, Shanxi University of Traditional Chinese Medicine, Taiyuan 030024, China;2.Department of Oncology, Shanxi Provincial Hospital of Traditional Chinese Medicine, Taiyuan 030012, China
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| Abstract: |
| Based on years of clinical practice and integrating the“waterway theory”from the Huangdi Neijing，Professor WANG Xixing proposes that all stages of bladder cancer are related to dysfunction of the waterway，imbalance of the lung，spleen and kidney，and failure of the triple energizer’s regulating and draining functions. Innovatively，he recommends Danggui Beimu Kushen Pill as the main prescription to regulate the waterway，aligning with Western medicine’s three phases：Perioperative，perfusion，and recurrence/advanced stages，for a dynamic treatment approach. Before surgery，the waterway is regulated，heat cleared，and dampness removed； after surgery，detoxification is facilitated and the liver and kidney are nourished；during the perfusion phase，treatment focuses on promoting drainage and detoxification；for recurrence/ advanced stages，both clearing and tonifying methods are applied. This paper systematically describes his experience in treating bladder cancer，supported by a representative case to provide new insights for traditional Chinese medicine treatment of bladder cancer. |
| Key words: bladder cancer waterway theory staged treatment Danggui Beimu Kushen Pill WANG Xixing |
