恶性肿瘤确诊后与食药物质中西医结合的临床非药物干预应用观察

                                                上海长海医院 影像医学科/介入治疗科 孙高峰

【摘要】恶性肿瘤确诊后，患者普遍存在代谢紊乱、免疫功能抑制、慢性低度炎症及脏腑功能失调等病理状态，单纯放化疗、靶向治疗等西医手段虽可抑制肿瘤增殖，但易造成机体损耗、正气亏虚，影响治疗耐受性与预后恢复。食药物质作为中医药食同源理论的核心载体，兼具食疗养护与药性调理双重价值，是肿瘤临床重要的非药物干预手段。本文通过临床应用观察，探讨恶性肿瘤确诊后，采用食药物质开展中西医结合非药物干预的临床价值、作用机制与应用优势，分析当前临床应用存在的问题与优化路径。研究表明，规范化、个体化的食药物质中西医结合干预，可有效调和机体脏腑气血、改善肿瘤异常代谢、减轻治疗毒副反应、提升患者生存质量，是肿瘤综合治疗体系的重要补充。

【关键词】恶性肿瘤 食药物质 中西医结合 非药物干预 肿瘤康复

【论述研讨】

恶性肿瘤属中医“癥瘕”“积聚”范畴，发病核心为正气亏虚、痰瘀毒结，西医则定义为细胞异常增殖与代谢重编程疾病，中西医发病机制认知具备高度互补性。肿瘤确诊初期，患者尚未进入高强度治疗阶段，机体损耗较轻，此时介入非药物营养调理，能够提前纠正机体失衡状态，为后续抗肿瘤治疗筑牢体质基础。食药物质中西医结合干预区别于普通营养补充，遵循中医辨证施食、西医精准营养的双重原则。依托药食同源物质的温和药性，可实现健脾益气、扶正固本、祛湿解毒的调理效果，有效改善肿瘤患者气血不足、脾胃虚弱、食欲低下等典型症状；从现代医学角度，食药物质中含有的多糖、黄酮、多酚等活性成分，可调控机体炎症通路、调节肠道菌群、修复免疫屏障，抑制肿瘤微环境恶性进展，实现辅助控瘤、减毒增效的作用。结合临床观察发现，当前干预应用仍存在短板：一是临床干预多缺乏辨证分型，多采用通用食补方案，未结合患者体质、肿瘤分型、病程阶段差异化施策；二是大众存在食补误区，盲目进补易造成痰湿淤积、加重机体代谢负担；三是食药物质的临床循证应用标准尚不统一，中西医结合干预体系尚未形成规范化流程。

【总结】在恶性肿瘤全程管理中，药物治疗主攻病灶祛除，食药物质中西医结合非药物干预主攻体质调理与免疫修复，二者相辅相成、协同增效。食药物质依托安全、温和、可持续的应用优势，适配肿瘤确诊后早期干预、治疗期辅助调理、康复期固本养护全周期场景。未来临床应建立辨证施食+精准营养的标准化干预方案，规范食药物质适应症与应用边界，完善中西医结合非药物干预体系，以科学药食干预赋能肿瘤患者全程康复，进一步丰富肿瘤综合防治的中西医融合诊疗路径。

                                                         地址：上海食文化研究会会议室   会议时间：2026 年 9 月 17 日

Shanghai Social Science Federation 2026 Academic Cooperation Project

Scientific diet empowers health

The 3rd "Diet, Nutrition and Health Expert Forum and Nutrition and Disease Prevention and

Control" Academic Conference

Clinical non-drug intervention application observation combined with traditional Chinese and

Western medicine after the diagnosis of malignant tumour

Department of Imaging Medicine/Interventional Therapy Department, Shanghai Changhai Hospital

Sun Gaofeng

【Abstract】After the diagnosis of malignant tumours, patients generally have pathological conditionssuch as metabolic disorders, immunosuppression, chronic low-grade inflammation and visceraldisfunction. Although Western medical methods such as simple radiochemotherapy and targetedtherapy can inhibit tumour proliferation, they are easy to cause body loss and deficiency of righteousqi, affecting treatment tolerance and prognosis recovery. As the core carrier of the theory of foodhomology in traditional Chinese medicine, the substance of food and medicine has the dual value of food treatment and medical conditioning, and it is an important non-drug intervention in tumour

clinical practice. Through clinical application observation, this paper explores the clinical value,mechanism of action and application advantages of non-drug intervention combined with traditional Chinese and Western medicine after the diagnosis of malignant tumours, and analyses the problems and optimisation paths of the current clinical application. Research shows that the combined intervention of standardised and individualised food and medicine with traditional Chinese and Western medicine can effectively harmonise the body's internal organs, qi and blood, improve the abnormal metabolism of tumours, reduce the side effects of treatment, and improve the quality of life of patients. It is an important supplement to the comprehensive treatment system of tumours.

【Keyword】Malignant tumours, food and drug quality, combination of traditional Chinese and Western medicine, non-drug intervention, tumour rehabilitation

【Discussion】Malignant tumours belong to the category of "episy" and "accumulation" in traditional Chinese

medicine. The core of the onset of the disease is the deficiency of righteous qi, phlegm stasis and toxic knots. Western medicine defines it as abnormal cell proliferation and metabolic reprogramming diseases. The perception of the pathogenesis of traditional Chinese and Western medicine is highly complementary. In the early stage of tumour diagnosis, the patient has not yet entered the stage of high-intensity treatment, and the body loss is relatively light. At this time, non-drug nutrition conditioning can correct the imbalance of the body in advance and lay a solid physical foundation for subsequent anti-tumour treatment. The combination of traditional Chinese and Western medicine intervention in food and medicine is different from ordinary nutritional supplements, and follows the dual principles of differential feeding in traditional Chinese medicine and precise nutrition in Western medicine. Relying on the mild

medicinal properties of medicinal and food homogeneous substances, it can achieve the conditioning  effect of strengthening the spleen and benefitting qi, supporting and fixing the original, dispelling moisture and detoxifying, and effectively improve the typical symptoms of tumour patients such as qi and blood deficiency, spleen and stomach weakness, and low appetite. From the perspective of modern medicine, polysaccharides, flavonoids, polyphenols and other active ingredients contained in food and medicinal substances can regulate the body. Inflammatory pathway, regulating intestinal flora, repairing immune barriers, inhibiting malignant progression in the tumour microenvironment, and achieving the effect of auxiliary tumour control, reducing toxicity and enhancing efficacy.

Combined with clinical observations, it is found that there are still shortcomings in the current intervention application: first, the clinical intervention lacks discrimination and type, and more general food tonic schemes are adopted, and differentiated policies are not combined with the patient's constitution, tumour type and course stage; second, there is a misunderstanding of food supplement in the public, and blind supplementation is easy to cause phlegm and sedimentation and aggravate the metabolic burden of the body; Third, the clinical evidence-based application standards of food and drug quality are not yet unified, and the combined intervention system of traditional Chinese and

Western medicine has not yet formed a standardised process.

【Summary】In the whole process of malignant tumour management, drug treatment mainly focuses on the removal of lesions, and the combination of traditional Chinese and Western medicine and non-drug intervention in food and medicine mainly focus on physical conditioning and immune repair. The two complement each other and synergize. Relying on the advantages of safe, gentle and sustainable application, food and medicinal substances are suitable for the whole cycle scenarios of early intervention after tumour diagnosis, auxiliary conditioning during treatment, and consolidation and maintenance during rehabilitation. In the future, clinical practice should establish a standardised

58intervention plan for identifying and giving food + precise nutrition, standardise the quality indications and application boundaries of food, improve the non-drug intervention system combining traditional Chinese and Western medicine, empower the whole-process rehabilitation of tumour patients with scientific drug and food intervention, and further enrich the integrated diagnosis and treatment path of traditional Chinese and Western medicine for comprehensive tumour prevention and treatment.

Address: Conference Room of Shanghai Food Culture Research Association Meeting

Time: September 17, 2026

审撰 ：食药物质 健康中国栏目组  愚晏

摄影 ：冯赟超  陈金宝

翻译 ：国际食药物质与健康产业联盟 执行秘书长  孙丽

校对：国际疾病非药物干预科学应用联盟（中国代表处）执行秘书长 吴玲