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孙桂芝辨治鼻咽癌经验琐谈

SUN Gui-zhi’s experience in treatment on nasopharyngeal carcinoma based on syndrome differentiation

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【作者】 何立丽顾恪波陈兰羽吕文良

【Author】 HE Li-li;GU Ke-bo;CHEN Lan-yu;LYU Wen-liang;Guang’anmen Hospital, China Academy of Chinese Medical Sciences;

【通讯作者】 顾恪波;

【机构】 中国中医科学院广安门医院

【摘要】 鼻咽癌的发病率在耳鼻咽喉恶性肿瘤中居首位,大多对放疗中度敏感。孙桂芝教授认为鼻咽癌的关键病机是:先有正气不足,而后邪毒内生,凝结成癌,久之气血阴阳俱衰而致死。鼻咽癌放疗后的并发症,主要应予"清热生津"法治之;鼻咽癌临证时变证多样,临床须灵活变通、随证施治。其辨治鼻咽癌的特色药对,主要包括卷柏-石上柏-鹅不食草,天龙-僵蚕和冬凌草-重楼3对,临床应用40余年,效果显著,值得学习传承。

【Abstract】 The incidence of nasopharyngeal carcinoma in the otorhinolaryngologic malignant tumors is in the first, and most series of them are moderate sensitivity to radiotherapy. Professor SUN Gui-zhi considers that the key pathogenesis of nasopharyngeal carcinoma is that is lack of vital energy first, with endogenous toxin then congeal into cancer. In the course of time, both yin, yang, qi and blood decay, resulting in death. The key complications of nasopharyngeal carcinoma after radiotherapy should be treated by the method of clearing away heat and promoting body fluid. Nasopharyngeal carcinoma has a variety of clinical time-varying syndromes, and it is necessary to be flexible and treat according to the syndrome. The characteristic couplet medicines of treatment nasopharyngeal carcinoma based on syndrome differentiation mainly include Herba Selaginellaecymbidium stellarum-Herba Centipedae, Tianlong-Bombyx Batryticatus, Herba Rabdosiae-Herba barbatae. It has been clinically used for more than 40 years, with remarkable results, and it is worth learning and inheriting.

  • 【文献出处】 中华中医药杂志 ,China Journal of Traditional Chinese Medicine and Pharmacy , 编辑部邮箱 ,2021年02期
  • 【分类号】R249;R273
  • 【下载频次】190
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