Professor LIN Shengyou's experience in differentiating and treating pancreatic cancer from liver and spleen based on the theory of Tongjiang
Pancreatic cancer,as a prevalent malignant tumor of digestive system,is characterized by high malignancy and low early diagnosis rate,with high incidence and mortality rates,resulting in poor survival and limited therapeutic options,which raises concerns about the quality of life of patients.Although modern medical treatments are available,clinical management is still confronted with challenges such as high rate of disease recurrence,high level of drug resistance,and numerous medication adverse reactions.Professor LIN Shengyou,with extensive experience in the prevention and treatment of malignant tumors,offers unique insights into the application of traditional Chinese medicine in treating pancreatic cancer.In clinical experience,Professor LIN often treats pancreatic cancer through stratifying differentiation of liver and spleen,utilizing the Tongjiang(通降)theory.The professor emphasizes the importance of changes in symptoms before and after modem multidisciplinary treatments in the diagnosis and treatment of pancreatic cancer.The main pathogenesis involves Qi(气)disorder in the viscera,characterized by liver Qi stagnation and spleen Qi deficiency,along with phlegm stagnation,blood stasis,and dampness-heat.Professor LIN suggests distinguishing the extent of liver stagnation and spleen deficiency accurately based on the Tongjiang theory,which is the physiological characteristics of the six Fu(腑)organs.The professor prioritizes the integrated treatment of addressing both the symptoms and the root cause,proposing the use of the three methods of soothing the liver,three methods of strengthening the spleen,and liver-spleen co-regulation as principal therapeutic guidelines,implementing a personalized treatment protocol with a core focus on liver-soothing and spleen-strengthening.The primary goal is to maintain unblocked,purged,and balance viscera,accompanied by symptomatic treatment such as addressing phlegm,dampness,blood circulation,collaterals,and dampness-heat.The professor also highlights the significance of recognizing excess and deficiency in disease status,combining disease treatment with reinforcement and elimination,and addressing both symptoms and root causes,which can be used to leverage the therapeutic and detoxifying effects of traditional Chinese medicine.We further illustrate the experience of precisely stratifying and treating pancreatic cancer from the perspectives of the liver and spleen based on the Tongjiang theory through clinical cases.This approach aims to provide clinical insights for alleviating clinical symptoms,slowing the progression,and enhancing patients'quality of life.
Pancreatic cancerThe theory of TongjiangSoothing the liver and fortifying the spleenClinical experience