精准医疗是新型医学概念与医疗模式.肝癌的中医精准治疗属于宏观精准治疗.精准治疗使用最小医疗资源,发挥最大医疗效果.目前尚无肝癌的中医精准治疗体系.临床中我们总结出肝癌中医宏观精准治疗路径:一是中医与西医紧密结合,以西医不同治疗方式为依据,制定相应的"中医治疗目标",既符合临床实际,又使中西医结合更紧密;二是医师辨证内容与疾病真实偏性完全"合身",在辨证上同时满足"偏性数量相等、内容一致、强度对等"的要求;三是治法与证型精准对应,体现在治法与证型一一对应、动态变化和个体差异三个方面;四是药物偏性与人体偏性恰好"中和",并在草药种类的选择上,优先使用肝癌临床草药数据库中的药物.在这四个环节做好质控.任何一个环节出现较大偏差,都会影响中医药疗效.%The precision treatment of liver cancer in TCM belongs to macroscopic precision treatment. Precision treatment uses minimal medical resources to maximize medical outcomes. At present, there is no precision treatment system of TCM for liver cancer. In clinical, we summed up the precision treatment route of TCM for liver cancer: TCM and Western medicine are closely integrated, and the dialectical content fits perfectly with nature of disease, accurate correspondence between the treatment method and the syndrome type, the nature of drug and human body nature are just "neutralizing". Make good quality control in these four aspects. Any big deviation in any aspect will affect the curative effects.
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