Professor YANG Guowang's experience in treating tumor-related kidney diseases based on disease differentiation and staging
Tumor-related kidney disease refers to a group of kidney-damaging diseases secondary to tumors in various organs throughout the body,including kidney damage caused by solid tumors and kidney damage caused by hematological tumors,as well as acute and chronic kidney injury caused by tumor treatment(surgery,chemotherapy,molecular targeting,immunomodulation).The main clinical manifestations are proteinuria,nephrotic syndrome,or renal failure.The prognosis of tumor-related kidney disease mainly depends on the type and location of the tumor,as well as the stage of the disease.According to the characteristics of tumor-related renal damage,it can be classified as diseases such as abdominal mass,accumulation,consumptive disease,and dysuria and frequent vomiting in traditional Chinese medicine.In the treatment of tumor-related kidney diseases in traditional Chinese medicine,it is crucial to first differentiate the primary cause of kidney damage and then proceed with treatment.Professor YANG Guowang advocates the combination of disease differentiation and staging for the treatment of tumor-related kidney diseases.The treatment based on disease differentiation emphasizes first identifying the primary disease that causes kidney damage,and then treating the disease.For example,the core pathogenesis of lung cancer is Qi(气)and Yin(阴)deficiency,phlegm and blood stasis obstructing the lung,and the treatment methods are to nourish Qi and Yin,dissipate phlegm and resolve nodules,and remove blood stasis and detoxify.Lymphoma is rooted in the pathological cause of phlegm,with cold,deficiency,blood stasis,and toxin jointly constituting its core pathogenesis.The treatment are to resolve phlegm and dissipate mass,dissipate cold and detoxify,and strengthen the body's vital energy to eliminate blood stasis.The theory of treatment by stages is based on the stages of deficiency,exhaustion,and decline,and emphasizes the treatment ideas of benefiting the lungs and spleen,strengthening the kidneys and essence,anti-cancer and detoxification,purging the bowels and eliminating turbidity,combining attack and supplement,and addressing both the symptoms and root causes based on the comprehensive treatment of traditional Chinese medicine and Western medicine.This article analyzes Professor YANG Guowang's experience in the treatment of tumor-related kidney diseases based on disease differentiation and staging,and includes one case to provide a reference for clinical treatment.
Tumor-related kidney diseaseDisease differentiation and treatmentStage-based treatmentTraditional Chinese medicine