益气养阴、凉血散瘀法防治放射性肺炎的临床经验
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摘要
吴勉华教授在继承国医大师周仲瑛的"癌毒""瘀热"理论基础之上,根据多年临床经验,提出放射性肺炎的中医病机为气阴两伤、瘀热相搏,当以益气养阴、凉血散瘀为治疗法则。同时强调治未病的思想,在放疗伊始就配合中药治疗可减毒增效,提前预防和减轻放疗不良反应的发生,提高患者生存质量。
Professor WU Mianhua inherited the theory of "cancer poisoning" and "dispelling fever" based on ZHOU Zhongying, the master of traditional Chinese medicine. Based on his accumulated rich clinical experience, he proposed that the pathogenesis of radiation pneumonia is deficiency of Qi and Yin, blood stasis, and it should be nourishing Qi and Yin, cooling blood and dispersing stasis for the treatment law. At the same time, emphasis on the idea of treating undiagnosed diseases will reduce toxicity and increase efficiency, prevent and reduce the occurrence of side effects of radiotherapy,and improve the quality of life of patients at the beginning of radiotherapy with traditional Chinese medicine treatment.
Professor WU Mianhua inherited the theory of "cancer poisoning" and "dispelling fever" based on ZHOU Zhongying, the master of traditional Chinese medicine. Based on his accumulated rich clinical experience, he proposed that the pathogenesis of radiation pneumonia is deficiency of Qi and Yin, blood stasis, and it should be nourishing Qi and Yin, cooling blood and dispersing stasis for the treatment law. At the same time, emphasis on the idea of treating undiagnosed diseases will reduce toxicity and increase efficiency, prevent and reduce the occurrence of side effects of radiotherapy,and improve the quality of life of patients at the beginning of radiotherapy with traditional Chinese medicine treatment.
引文
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[13] 周仲瑛,吴勉华,周学平,等.“瘀热相搏证”的研究[J].世界中医药,2010,5(4):232-235.
[14] 王锡恩,江皓.自拟清肺养阴方治疗急性放射性肺炎33例临床观察[J].浙江中医杂志,2008,43(8):450.
[15] 陈建华,王逊.肿瘤良方-孙桂芝治验精要[M].广州:广州科技出版社,2013:18-19.
[16] 赵欣,白伟,房涛,等.中药抗肿瘤机制的研究进展[J].广东医学,2014,35(3): 466-469.
[17] 李守山,周雪梅,熊化萍.沙参麦冬汤加减治疗肿瘤放射性肺炎临床研究[J].中医学报,2015,30(3):328-329.
[18] 雍履平.放射性肺炎如何辨病与辨证结合治疗[J].中医杂志,2003(8):634.
[19] 施杞,张重华,张应文,等.现代中医药应用与研究大系(第14卷)[M].上海:上海中医药大学出版社,1998:23-32.
[20] 杨明会,窦永起,刘哲峰.活血化瘀药物防治放射性肺损伤的实验研究[J]. 中国中西医结合杂志,2005(12):1096-1099.
[2] Marks LB, Bentzen SM, Deasy Jo, et al.Radiation dose-volume effects in the lung[J].Int JR adiat Oncol Biol Phys,2010,76(3):70-76.
[3] 王跃珍.放射性肺炎研究进展[J].中国肿瘤,2007,16(1):39-43.
[4] 么金凤,周晋华.放射性肺炎中医药治疗研究进展[J].中医药临床杂志,2017,29(7):1129-1133.
[5] 江杰雯.益气养阴、凉血散瘀法同步防治头颈部肿瘤放疗副反应的临床研究[D].南京:南京中医药大学,2017:36.
[6] 周学平,吴勉华,潘裕辉,等.瘀热病机研究述评[J].南京中医药大学学报,2008,24(4):217-219.
[7] 吴勉华,过伟峰,周学平,等.研究周仲瑛“瘀热”学说的思路与方法[J].中华中医药杂志,2009,24(10):1319-1321.
[8] 周仲瑛.瘀热论-瘀热相搏证的系列研究[M].北京:人民卫生出版社,2007:22-33.
[9] 肖俐,何秀兰.“治未病”理论在治疗放疗副反应中的临床应用[J].中国中医基础医学杂志,2007,13(1):66-67.
[10] 潘改燕,郭明.“治未病”对中医药治疗放射性肺损伤的启示[J].现代中医药,2009,29(3):50-51.
[11] 王文成.放射性肺炎中医辨识初探[J].浙江中医药大学学报,2006(5):482-483.
[12] 燕忠生.放射性肺炎中医病机、治法及用药规律分析[J].现代中西医结合杂志,2013,22(36):4053-4055.
[13] 周仲瑛,吴勉华,周学平,等.“瘀热相搏证”的研究[J].世界中医药,2010,5(4):232-235.
[14] 王锡恩,江皓.自拟清肺养阴方治疗急性放射性肺炎33例临床观察[J].浙江中医杂志,2008,43(8):450.
[15] 陈建华,王逊.肿瘤良方-孙桂芝治验精要[M].广州:广州科技出版社,2013:18-19.
[16] 赵欣,白伟,房涛,等.中药抗肿瘤机制的研究进展[J].广东医学,2014,35(3): 466-469.
[17] 李守山,周雪梅,熊化萍.沙参麦冬汤加减治疗肿瘤放射性肺炎临床研究[J].中医学报,2015,30(3):328-329.
[18] 雍履平.放射性肺炎如何辨病与辨证结合治疗[J].中医杂志,2003(8):634.
[19] 施杞,张重华,张应文,等.现代中医药应用与研究大系(第14卷)[M].上海:上海中医药大学出版社,1998:23-32.
[20] 杨明会,窦永起,刘哲峰.活血化瘀药物防治放射性肺损伤的实验研究[J]. 中国中西医结合杂志,2005(12):1096-1099.