国医大师王晞星从肝脾肾三脏功能失调辨治Burkitt淋巴瘤经验探析

关键词：Burkitt淋巴瘤；肝郁气滞；脾胃虚弱；肝肾不调；柴胡散结汤；补中益气汤；补肾调肝汤；王晞星中图分类号：R273.34 文献标志码：A 文章编号：1007-3213（2025）08-2043-06DOI：10.13359/j.cnki.gzxbtcm.2025.08.031

Abstract：As a type of non-Hodgkin lymphoma，Burkitt lymphoma ischaracterizedbyunfixed location of disease，rapid progression，diverse symptoms，and clinical complexity in diagnosis and treatment.Professor Wang Xixing posits that Burkit lymphoma manifestsasa tangible mass，and its formation isassociated with the invasion of exogenous pathogens，internal injury induced by seven emotions，and deficiency of healthy qi . The fundamental pathogenesis involves dysfunction of the liver，spleen and kidney，leading to liver qi stagnation， spleen-stomach deficiency in the middle energizer，and liver-kidney disharmony.The secondary manifestations were caused bythe binding of phlegm-damp，toxin，and stasis.In general，thepathogenesis of Burkitlymphoma presented deficiency in the origin and excess in the superficiality，and deficiency interweaved with excess.In clinical practice，Professor Wang emphasizes the regulationof the functions of liver，spleen and kidney，and maintains the body’syin-yang balance on thebasis of thecombinationof disease differentiation and syndrome differentiation.Therapeutic strategies focus on soothing liver qi ，replenishing qi to strengthen the spleen，and tonifying the kidney to regulate the liver，separately throughthe utilizationof Chaihu Sanjie Decoction，Buzhong Yiqi Decoction，and Bushen Tiaogan Decoction.In this way，significant clinical effcacy is usually achieved.

Keywords：Burkitt lymphoma；liver qi stagnation；spleen-stomach deficiency；liver-kidney disharmony： Chaihu Sanjie Decoction； Buzhong Yiqi Decoction； Bushen Tiaogan Decoction；Wang Xixing

Burkitt淋巴瘤（Burkittlymphoma）起源于成熟B淋巴细胞，为非霍奇金淋巴瘤（non-Hodgkinlymphoma）的一种亚型，约占成年人淋巴瘤的 1% ～2% ，好发于青少年和儿童，其病情进展较快，侵袭度高，且预后相对较差。（剩余8703字）