章永红教授治疗颅脑肿瘤经验举隅
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摘要
[目的]探讨章永红教授治疗颅脑肿瘤的临床经验。[方法]通过临床跟师学习,收集并整理相关资料和病历,从颅脑肿瘤的病因病机、治法治则等方面具体分析和探讨章老治疗本病的学术观点和临床经验,归纳其遣方用药的规律,并予病案佐证,通过定期随访,观察治疗效果。[结果]章老认为颅脑肿瘤的病机可概括为正气亏虚、痰瘀内阻、肝风内动、清窍受蒙、络脉不通,其病理因素多与风、火、痰、瘀、毒有关。治疗颅脑肿瘤主张益气养阴以匡扶正气,攻毒散结以拔除癌毒。常在健脾护胃的选方基础上,合理运用补气补阴药物配合攻毒散结药物,以达扶正抗癌的目的。所举两例病案治以扶正补虚、解毒散结,均获得较好效果。[结论]章老强调颅脑肿瘤的治疗以扶正补虚为主,攻毒散结为辅,顾护脾胃贯穿治疗始终,同时需关注生活与情志的调摄,对指导中医治疗颅脑肿瘤有重要的意义。
[Objective」To explore and analyze Professor ZHANG Yonghong's clinical experience in treating cerebral tumor. [Methods]Through the clinical study with the teacher to collect and collate the relevant information and medical records, from the etiology and pathogenesis of cerebral tumor,governance and other aspects of the specific analysis and discussion on Professor ZHANG Yonghong's treatment of this disease, academic point of view and clinical experience,it summed up the law of condemnation, and to the case of evidence,through regular follow-up, observing the treatment effect.[Results]Professor ZHANG Yonghong views that the pathogenesis of cerebral tumor can be summarized as Qi deficiency, phlegm and blood stasis, internal movement of the liver, and confusion of the body. Its pathologic factors are related to wind, fire, phlegm, blood stasis and poison. In the treatment of cerebral tumors, it is advocated to improve Qi, nourish Yin, promote positive Qi, and break loose to remove cancer toxins. On the basis of the selection of invigorating the spleen and protecting the stomach, the rational use of invigorating the Qi and nourishing the Yin and combining with the drugs of eliminating evils and removing toxin, in order to achieve the goal of strengthening the anti-cancer. The two cases both achieved good results by strengthening the body resistance, eliminating evils and removing toxin. [Conclusion]Professor ZHANG Yonghong stressed that strengthening of the body resistance is a primary treatment when the treatment for cerebral tumor. We should pay attention to replenishing Qi and nourishing Yin, eliminating evils and removing toxin are adjuvant therapy. The spleen and stomach should be protected throughout the treatment, and patient 's mood are also important. It is of great significance to instruct TCM to treat cerebral tumor.
[Objective」To explore and analyze Professor ZHANG Yonghong's clinical experience in treating cerebral tumor. [Methods]Through the clinical study with the teacher to collect and collate the relevant information and medical records, from the etiology and pathogenesis of cerebral tumor,governance and other aspects of the specific analysis and discussion on Professor ZHANG Yonghong's treatment of this disease, academic point of view and clinical experience,it summed up the law of condemnation, and to the case of evidence,through regular follow-up, observing the treatment effect.[Results]Professor ZHANG Yonghong views that the pathogenesis of cerebral tumor can be summarized as Qi deficiency, phlegm and blood stasis, internal movement of the liver, and confusion of the body. Its pathologic factors are related to wind, fire, phlegm, blood stasis and poison. In the treatment of cerebral tumors, it is advocated to improve Qi, nourish Yin, promote positive Qi, and break loose to remove cancer toxins. On the basis of the selection of invigorating the spleen and protecting the stomach, the rational use of invigorating the Qi and nourishing the Yin and combining with the drugs of eliminating evils and removing toxin, in order to achieve the goal of strengthening the anti-cancer. The two cases both achieved good results by strengthening the body resistance, eliminating evils and removing toxin. [Conclusion]Professor ZHANG Yonghong stressed that strengthening of the body resistance is a primary treatment when the treatment for cerebral tumor. We should pay attention to replenishing Qi and nourishing Yin, eliminating evils and removing toxin are adjuvant therapy. The spleen and stomach should be protected throughout the treatment, and patient 's mood are also important. It is of great significance to instruct TCM to treat cerebral tumor.
引文
[1]陈慧华,杨兰平.中药鸦胆子油乳注射液治疗脑转移瘤24例疗效观察[J].新中医,2011,43(9):45-46.
[2]刘宏伟,卞志远,刘宝琴.升白汤治疗脑瘤放化疗后血细胞减少症的临床研究[J].中国实用医药,2013,8(5):195-196.
[3]滕钰浩,陶肖馨,张进,等.章永红治疗颅脑肿瘤用药分析[J].山东中医杂志,2013,32(5):358-359.
[4]司富春,刘亚丽.脑瘤的中医用药分析[J].河南中医,2010,30(7):709-710.
[5]凌汶静.常用抗肿瘤中药的临床应用与规律探讨[D].北京:北京中医药大学,2015:22-64.
[6]蒋勇,张存钧,蒋振明.中药灵芝与黄精抗衰老作用的实验研究[J].浙江中西医结合杂志,2002,12(7):59-60.
[7]刘小燕,许新华.恶性肿瘤与血液高凝状态的研究进展[J].广东医学,2013,34(8):1295-1296.
[8]刘声,何立丽,孙桂芝,等.孙桂芝教授运用动物类药治疗肿瘤经验谈[J].中医药学报,2012,40(5):108-109.
[9]章永红,叶丽红,彭海燕,等.论癌症治疗的三大原则[J].南京中医药大学学报,2011,27(1):4-6.
[10]吴泽宇,孙晋民,王俭,等.蚯蚓提取物作用的研究进展[J].山西医学杂志,2015,44(13):1505-1507.
[11]林铭靖.《神农本草经》对研发抗肿瘤中药的贡献[D].广州:广州中医药大学,2011:50.
[12]马瑞,章永红.章永红运用动物类药治疗恶性肿瘤经验探析[J].上海中医药杂志,2011,45(12):15-17.
[13]许海玉,王松松,杨洪军,等.基于网络药理学探析复方阿胶浆辅助治疗肿瘤的作用机制研究[J].中国中药杂志,2014,39(16):3148-3151.
[14]童晔玲,杨锋,戴关海,等.猫爪草总皂苷体外抗人非小细胞肺癌A549细胞活性研究[J].中华中医药学刊,2013,31(10):2181-2183.
[2]刘宏伟,卞志远,刘宝琴.升白汤治疗脑瘤放化疗后血细胞减少症的临床研究[J].中国实用医药,2013,8(5):195-196.
[3]滕钰浩,陶肖馨,张进,等.章永红治疗颅脑肿瘤用药分析[J].山东中医杂志,2013,32(5):358-359.
[4]司富春,刘亚丽.脑瘤的中医用药分析[J].河南中医,2010,30(7):709-710.
[5]凌汶静.常用抗肿瘤中药的临床应用与规律探讨[D].北京:北京中医药大学,2015:22-64.
[6]蒋勇,张存钧,蒋振明.中药灵芝与黄精抗衰老作用的实验研究[J].浙江中西医结合杂志,2002,12(7):59-60.
[7]刘小燕,许新华.恶性肿瘤与血液高凝状态的研究进展[J].广东医学,2013,34(8):1295-1296.
[8]刘声,何立丽,孙桂芝,等.孙桂芝教授运用动物类药治疗肿瘤经验谈[J].中医药学报,2012,40(5):108-109.
[9]章永红,叶丽红,彭海燕,等.论癌症治疗的三大原则[J].南京中医药大学学报,2011,27(1):4-6.
[10]吴泽宇,孙晋民,王俭,等.蚯蚓提取物作用的研究进展[J].山西医学杂志,2015,44(13):1505-1507.
[11]林铭靖.《神农本草经》对研发抗肿瘤中药的贡献[D].广州:广州中医药大学,2011:50.
[12]马瑞,章永红.章永红运用动物类药治疗恶性肿瘤经验探析[J].上海中医药杂志,2011,45(12):15-17.
[13]许海玉,王松松,杨洪军,等.基于网络药理学探析复方阿胶浆辅助治疗肿瘤的作用机制研究[J].中国中药杂志,2014,39(16):3148-3151.
[14]童晔玲,杨锋,戴关海,等.猫爪草总皂苷体外抗人非小细胞肺癌A549细胞活性研究[J].中华中医药学刊,2013,31(10):2181-2183.