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王金环教授“剖源通运促补”理论治疗放化疗后骨髓抑制经验

Experience of Professor Wang Jinhuan in treating bone marrow suppression after radiotherapy and chemotherapy with the theory of “analysing the source and dredging transportation to promote tonifying”

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【作者】 何丹迪赵齐王金环谷梦宇史文萱孙凤孙伟正

【Author】 HE Dandi;ZHAO Qi;WANG Jinhuan;GU Mengyu;SHI Wenxuan;SUN Feng;SUN Weizheng;Graduate School,Heilongjiang University of Chinese Medicine;Department of Hematology,First Affiliated Hospital,Heilongjiang University of Chinese Medicine;

【通讯作者】 王金环;

【机构】 黑龙江中医药大学研究生院黑龙江中医药大学附属第一医院血液病科

【摘要】 放化疗后骨髓抑制可表现为一系甚至多系血细胞减少,严重时须中断治疗。王金环教授通过学习及临证总结,主张四诊合参以剖源,着重于调养肾脏及纠正毒、郁、淤、结的病理状态,助生新的生境;通利三焦,健运中气以通而促补,运以活源;中西并重,以平为期:急者须借助现代医学支持疗法,维持患者生命体征,为中医药治疗抢留效应时间;中医介入辅助继续放化疗方案。最终构建恢复协调的脏腑生态及机体环境,以期阴平阳秘,稳复而愈,疗效确切。

【Abstract】 After radiotherapy and chemotherapy, bone marrow suppression may manifest as single even multiple lineage cytopenia which may result in treatment interruption in severe cases. Through learning and clinical summary, Professor Wang Jinhuan advocating that the four diagnostic methods should be combined to dissect the reason and emphasizing on recuperating the kidney and correcting the pathological state of toxin, depression, stasis, and knot, so as to generate new niche. It can promote replenishing by making the sanjiao unobstructed, bring the source alive by gastrosplenic invigorating.Chinese and western medicine are integrated to ensure the steady balance of the body. The critically ill patients must rely on modern medical support therapy to maintain the vital signs so as to seize the effective time for Chinese medicine treatment,and next radiotherapy and chemotherapy protocol can be assisted by traditional Chinese medicine intervention. Finally, the harmonious zang-fu ecology and organism environment are restored to achieve the purpose of protecting the yin and yang in a balanced and stable situation. It has been proved to have definite effects.

【基金】 国家自然科学基金资助项目(81673968);全国中医临床特色技术传承骨干人才培训项目(国中医药人教函[2019]36号)
  • 【文献出处】 中国医药导报 ,China Medical Herald , 编辑部邮箱 ,2023年11期
  • 【分类号】R249;R273
  • 【下载频次】39
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