摘要
王晞星教授认为,胃癌患者癌因性疲乏发生病机为脏腑功能失常、气血阴阳不足,具体可划分早期"脾胃两伤"、进展期"痰瘀互结"、末期"肾虚精亏".针对此过程,提出不同阶段治法为早期"固本培元、清热解毒"、进展期"化瘀消痰、攻补兼施"、末期"抗癌托毒、滋补肝肾".选用补中益气汤、六君子汤、血府逐瘀汤、桂枝茯苓丸、滋水清肝饮、三棱、莪术、浙贝母、蜈蚣等方药.临证治疗时注重"和"法思维,病证结合,效果显著.
Abstract
Professor Wang Xixing believes that the pathogenesis of cancer-related fatigue in gastric cancer patients is the malfunction of zang-fu viscera and deficiency of qi,blood,yin and yang,which can be divided into the early stage of"spleen and stomach injuries",the advanced stage of"intermin-gled phlegm and blood stasis",and the last stage of"deficiency of kidney and essence".To deal with this process,the treatment methods of different stages are proposed,including"consolidating body resistance and cultivating the primordial spirit,clearing heat and removing toxicity"at the early stage,"expelling blood stasis and eliminating phlegm,reinforcement and elimination in combination"at the advanced stage,and"resisting cancer and drawing toxins,nourishing the liver and kidneys"at the last stage.Professor Wang chooses prescriptions such as Buzhong Yiqi Decoction,Liujunzi Decoction,Xuefu Zhuyu Decoction,Guizhi Fuling Pill,Zishui Qinggan Decoction,common buried rubber,zedoary rhizome,thunberbg fritillary bulb,centipede and so on.Clinical treatment emphasizes"harmony"thinking and combination of disease and syndrome,resulting in significant therapeutic effect.
基金项目
第四届国医大师传承工作室(国中医药办人教函[2022]245号1123-04)
国家中医药传承创新中心的建设(202203)
山西省中医临床医学研究中心(培育)(晋科社发[2019]61号)
山西省卫健委山西省医学科技创新团队项目(2020TD04)
山西省卫健委山西省医学重大科技攻关专项(2022XM10)
山西省中医药研究院院内项目(202306)