刘松江教授治疗结肠癌经验浅谈
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摘要
黑龙江省名中医刘松江教授运用中医药治疗结肠癌,常从病机出发,认为发病根本原因是正气亏虚、阴阳失调,主要病理因素是痰、湿、瘀、毒、虚,强调"肝"及地域饮食因素的影响。治疗从证候要素角度出发,以恢复阴阳平衡为治疗目标,运用复法大方,兼顾全局,使中医药治疗贯穿从"防"到"治"的各个阶段,充分体现了中医药治疗结肠癌的特点和优势,笔者随师侍诊,对刘师诊治该病的要点在本文中进行了总结。
Professor Liu Songjiang thinks that the main cause of colon cancer may be qi deficiency,yin or yang deficiency,in which dampness,blood stasis and toxic would happen,and stresses that the impact of liver qi and regional dietary. Therefore,the treatment,based on syndrome differentiation,is to restore yin-yang balance,using classical formula,holism and traditional Chinese medicine( TCM) through from " prevention" to " cure",and which embody the unique features and advantages of TCM. The author summarizes key points of diagnosis and treatment of the disease in this article.
Professor Liu Songjiang thinks that the main cause of colon cancer may be qi deficiency,yin or yang deficiency,in which dampness,blood stasis and toxic would happen,and stresses that the impact of liver qi and regional dietary. Therefore,the treatment,based on syndrome differentiation,is to restore yin-yang balance,using classical formula,holism and traditional Chinese medicine( TCM) through from " prevention" to " cure",and which embody the unique features and advantages of TCM. The author summarizes key points of diagnosis and treatment of the disease in this article.
引文
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[8]Tao LJ,Ren JL,Chen WT,et al.Discussion on the target of invigorating spleen therapy for colorectal cancer[J].China Medicine Guide,2017,23(16):66-68.[陶灵佳,任建琳,陈文婷,等.健脾法治疗大肠癌靶点探讨[J].中医药导报,2017,23(16):66-68.]
[9]Pang B,Hua BJ,Liu G.A brief account of Piao Bingkui's academic thoughts on the diagnosis and treatment of neoplasms[J].Beijing Traditional Chinese Medicine,2016,35(12):1146-1150.[庞博,花宝金,刘刚.朴炳奎诊治肿瘤“和合”学术思想述要[J].北京中医药,2016,35(12):1146-1150.]
[10]Li ML,You FM,Yan R,et al.Discussion on intervention of precancerous lesions of colon cancer based on countercurrent pull boat method[J].Sichuan Traditional Medicine,2017,35(11):27-29.[李蒙丽,由凤鸣,严然,等.基于逆流挽舟法论结肠癌前病变的干预[J].四川中医,2017,35(11):27-29.]
[11]Zhang LX,Huang YL,Cao Y.Analysis of TCM pathogenesis of liver metastasis of colorectal cancer[J].Jiangsu Traditional Chinese Medicine,2016,48(11):10-12.[张丽霞,黄远良,曹勇.大肠癌肝转移的中医病机探析[J].江苏中医药,2016,48(11):10-12.]
[12]Zhang LH,Ning FL,Gao LX,et al.Intervention of tumor metastasis and recurrence from the combination of phlegm and disease syndrome of"Fu du"[J].Universal Chinese Medicine,2015,8(11):1370-1373.[张立华,宁方玲,高丽霞,等.从“伏毒”痰病证结合干预肿瘤转移复发[J].环球中医药,2015,8(11):1370-1373.]
[2]Hu S,Yu ED.Advances in the treatment of colon cancer[J].Colorectal anal Surgery,2016,22(06):673-675.[胡盛,于恩达.结肠癌治疗方法研究进展[J].结直肠肛门外科,2016,22(06):673-675.]
[3]Wei JL,Zhang S.Progress in clinical treatment of colorectal cancer[J].New Clinical Medicine in China,2018,11(02):202-208.[韦金磊,张森.结直肠癌的临床治疗进展[J].中国临床新医学,2018,11(02):202-208.]
[4]Meng H,Yang Y,Sun X,et al.Wang Xiaomin's experience in the treatment of intestinal cancer[J].World Journal of Integrated Traditional Chinese and Western Medicine,2018,13(02):177-179,228.[孟慧,杨永,孙旭,等.王笑民治疗肠癌经验探析[J].世界中西医结合杂志,2018,13(02):177-179,228.]
[5]Liu NN,Miao WR,Zhu HR,et al.Systematic evaluation of curative effect of traditional Chinese medicine combined with chemotherapy in patients with colorectal cancer after radical operation[J].China Medicine Guide,2017,14(30):151-156.[刘宁宁,苗雯蓉,朱惠蓉,等.中医药联合化疗对大肠癌根治术后疗效的系统评价[J].中国医药导报,2017,14(30):151-156.]
[6]Huang XH,Lin JZ.Professor Wang Changjun's experience in differentiation and treatment of intestinal cancer[J].Modern Hospital,2017,17(11):1699-1701.[黄旭晖,林举择.王昌俊教授中医辨治肠癌经验撷英[J].现代医院,2017,17(11):1699-1701.]
[7]Ma MY,Yang XY,Zhao L,et al.Effect of stagnation of liver Qi on liver metastasis of colon cancer model mice[J].Universal Chinese Medicine,2017,10(06):582-586.[马梦雨,杨晓燕,赵璐,等.肝气郁结对结肠癌模型小鼠肝转移的影响[J].环球中医药,2017,10(06):582-586.]
[8]Tao LJ,Ren JL,Chen WT,et al.Discussion on the target of invigorating spleen therapy for colorectal cancer[J].China Medicine Guide,2017,23(16):66-68.[陶灵佳,任建琳,陈文婷,等.健脾法治疗大肠癌靶点探讨[J].中医药导报,2017,23(16):66-68.]
[9]Pang B,Hua BJ,Liu G.A brief account of Piao Bingkui's academic thoughts on the diagnosis and treatment of neoplasms[J].Beijing Traditional Chinese Medicine,2016,35(12):1146-1150.[庞博,花宝金,刘刚.朴炳奎诊治肿瘤“和合”学术思想述要[J].北京中医药,2016,35(12):1146-1150.]
[10]Li ML,You FM,Yan R,et al.Discussion on intervention of precancerous lesions of colon cancer based on countercurrent pull boat method[J].Sichuan Traditional Medicine,2017,35(11):27-29.[李蒙丽,由凤鸣,严然,等.基于逆流挽舟法论结肠癌前病变的干预[J].四川中医,2017,35(11):27-29.]
[11]Zhang LX,Huang YL,Cao Y.Analysis of TCM pathogenesis of liver metastasis of colorectal cancer[J].Jiangsu Traditional Chinese Medicine,2016,48(11):10-12.[张丽霞,黄远良,曹勇.大肠癌肝转移的中医病机探析[J].江苏中医药,2016,48(11):10-12.]
[12]Zhang LH,Ning FL,Gao LX,et al.Intervention of tumor metastasis and recurrence from the combination of phlegm and disease syndrome of"Fu du"[J].Universal Chinese Medicine,2015,8(11):1370-1373.[张立华,宁方玲,高丽霞,等.从“伏毒”痰病证结合干预肿瘤转移复发[J].环球中医药,2015,8(11):1370-1373.]