论痰在多发性骨髓瘤中医病因病机中的作用
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摘要
[目的]从痰的角度探析多发性骨髓瘤病(multiple myeloma,MM)的中医病因病机,以期更全面地认识MM,扩宽临床诊治思路,提高疗效。[方法]系统整理痰的形成、致病特点及现代医学对痰的认识,结合诸多医家对MM病因病机的认识,总结浙江中医药大学附属第一医院50多年临床经验,探析痰与MM病因病机的关系,并附典型病案一则。[结果]MM以肝肾两虚为病理基础,进而可发展为痰瘀互结,临床表现特点与痰病特点相一致,痰在MM的起病过程中形成,又推动了MM的疾病发展,在MM的发生发展中占据了极为关键的地位。所举病案MM患者肝肾两虚、痰瘀互结,予滋补肝肾、化痰逐瘀治疗,获得良效。[结论]痰在MM病因病机中有重要临床意义,根据痰的发生发展及特点来认识MM,能够更好地把握疾病的本质,为MM的临床诊治提供了新的思路。
[Objective] To analyze the etiology and pathogenesis of multiple myeloma(MM) from the perspective of hemorrhoids in order to understand MM more comprehensively, broaden the clinical diagnosis and treatment ideas, and improve curative effect. [Methods] Systematic review of the formation of sputum, pathogenic characteristics and modern medical knowledge of sputum, combined with the understanding of many physicians on the etiology and pathogenesis of MM, summed up more than 50 years of clinical experience in our hospital, and explored the relationship between sputum and MM's etiology and pathogenesis, and attached with a typical case. [Results] MM was based on the pathological basis of liver and kidney deficiency, and then developed into a paralysis. The clinical manifestations were consistent with the characteristics of hemorrhoids. The hemorrhoids formed during the onset of MM and promoted the development of MM. Occupy an extremely critical position in the development of MM. This medical case achieved good results based on nourishing the liver and kidney, eliminating phlegm and blood stasis. [Conclusion] According to the occurrence and development of sputum and its characteristics to understand MM, to grasp the nature of the disease better, it has important clinical significance in the etiology and pathogenesis of MM, and provides new ideas for clinical diagnosis and treatment.
[Objective] To analyze the etiology and pathogenesis of multiple myeloma(MM) from the perspective of hemorrhoids in order to understand MM more comprehensively, broaden the clinical diagnosis and treatment ideas, and improve curative effect. [Methods] Systematic review of the formation of sputum, pathogenic characteristics and modern medical knowledge of sputum, combined with the understanding of many physicians on the etiology and pathogenesis of MM, summed up more than 50 years of clinical experience in our hospital, and explored the relationship between sputum and MM's etiology and pathogenesis, and attached with a typical case. [Results] MM was based on the pathological basis of liver and kidney deficiency, and then developed into a paralysis. The clinical manifestations were consistent with the characteristics of hemorrhoids. The hemorrhoids formed during the onset of MM and promoted the development of MM. Occupy an extremely critical position in the development of MM. This medical case achieved good results based on nourishing the liver and kidney, eliminating phlegm and blood stasis. [Conclusion] According to the occurrence and development of sputum and its characteristics to understand MM, to grasp the nature of the disease better, it has important clinical significance in the etiology and pathogenesis of MM, and provides new ideas for clinical diagnosis and treatment.
引文
[1]李琤,李达.梁冰老中医诊治多发性骨髓瘤经验拾遗[J].中华中医药杂志,2013,28(7):2023-2025.
[2]戴媺,于天启,陈亚勇.补肾活血、祛痰解毒法中药联合化疗治疗多发性骨髓瘤疗效观察[J].新中医,2013,45(8):141-142.
[3]余雪,章亚成,季建敏,等.中医药治疗多发性骨髓瘤[J].吉林中医药,2015,35(5):442-445.
[4]黄智莉,于天启,陈亚勇,等.补肾强骨方治疗多发性骨髓瘤临床观察[J].北京中医药大学学报,2016,39(6):520-523,528.
[5]郭飘婷,吴晴,王松坡.张镜人教授治疗多发性骨髓瘤的经验[J].世界中医药,2015,10(10):1549-1551,1554.
[6]邓庆华,高于英.浅谈对“痰”的认识[J].中国民间疗法,2013,21(4):7-8.
[7]医师资格考试专家组.中医执业医师资格考试应试指南[M].北京:中国中医药出版社,2012:46-47.
[8]许大剑,潘桂娟.《诸病源候论》痰病论括要与发挥[J].中国中医基础医学杂志,2014,20(4):425-427.
[9]魏德源.论中医痰病与肿瘤[J].医学信息,2012,25(8):432-433.
[10]崔祺,王春毅.高黏滞血症病因病机之我见[J].世界中西医结合杂志,2009,4(10):749-750.
[11]廖凌虹,李灿东,汪欣,等.514例体检者生化指标与中医痰证的相关性分析[J].中华中医药杂志,2013,28(7):2078-2080.
[12]黄成宝,廖凌虹,张斐.黏附分子与痰邪相关性的研究进展[J].时珍国医国药,2017,28(8):1977-1979.
[13]石变,袁秀霞,秦志丰,等.论痰浊内阻与肿瘤发生[J].中华中医药杂志,2012,27(9):2389-2393.
[14]段铮,孙宏新.从痰论治癌症的研究探索[J].中医学报,2010,25(3):396-398.
[15]李长洋.恶性肿瘤从痰论治的临床与理论研究[D].济南:山东中医药大学,2012:13-25.
[16]李志鹏,周洁.肿瘤之病由痰所生探析[J].湖南中医杂志,2011,27(4):112-113.
[17]陈灏珠,钟南山,陆再英,等.内科学[M].7版.北京:人民卫生出版社,2013:602-606.
[18]朱曾柏.中医痰病学[M].4版.武汉:湖北科学技术出版社,1995:48-57.
[2]戴媺,于天启,陈亚勇.补肾活血、祛痰解毒法中药联合化疗治疗多发性骨髓瘤疗效观察[J].新中医,2013,45(8):141-142.
[3]余雪,章亚成,季建敏,等.中医药治疗多发性骨髓瘤[J].吉林中医药,2015,35(5):442-445.
[4]黄智莉,于天启,陈亚勇,等.补肾强骨方治疗多发性骨髓瘤临床观察[J].北京中医药大学学报,2016,39(6):520-523,528.
[5]郭飘婷,吴晴,王松坡.张镜人教授治疗多发性骨髓瘤的经验[J].世界中医药,2015,10(10):1549-1551,1554.
[6]邓庆华,高于英.浅谈对“痰”的认识[J].中国民间疗法,2013,21(4):7-8.
[7]医师资格考试专家组.中医执业医师资格考试应试指南[M].北京:中国中医药出版社,2012:46-47.
[8]许大剑,潘桂娟.《诸病源候论》痰病论括要与发挥[J].中国中医基础医学杂志,2014,20(4):425-427.
[9]魏德源.论中医痰病与肿瘤[J].医学信息,2012,25(8):432-433.
[10]崔祺,王春毅.高黏滞血症病因病机之我见[J].世界中西医结合杂志,2009,4(10):749-750.
[11]廖凌虹,李灿东,汪欣,等.514例体检者生化指标与中医痰证的相关性分析[J].中华中医药杂志,2013,28(7):2078-2080.
[12]黄成宝,廖凌虹,张斐.黏附分子与痰邪相关性的研究进展[J].时珍国医国药,2017,28(8):1977-1979.
[13]石变,袁秀霞,秦志丰,等.论痰浊内阻与肿瘤发生[J].中华中医药杂志,2012,27(9):2389-2393.
[14]段铮,孙宏新.从痰论治癌症的研究探索[J].中医学报,2010,25(3):396-398.
[15]李长洋.恶性肿瘤从痰论治的临床与理论研究[D].济南:山东中医药大学,2012:13-25.
[16]李志鹏,周洁.肿瘤之病由痰所生探析[J].湖南中医杂志,2011,27(4):112-113.
[17]陈灏珠,钟南山,陆再英,等.内科学[M].7版.北京:人民卫生出版社,2013:602-606.
[18]朱曾柏.中医痰病学[M].4版.武汉:湖北科学技术出版社,1995:48-57.