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蒋益兰教授基于“络病理论”治疗鼻咽癌经验

Professor Jiang Yilan’s Clinical Experience in Treating Nasopharyngeal Carcinoma Based on “Collateral Disease” Theory

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【作者】 刘欢叶子玉唐蔚宋程

【Author】 Liu Huan;Ye Ziyu;Tang Wei;Song Cheng;Hunan University of Chinese Medicine;Hunan Cancer Hospital;Hunan Hospital of Integrated Traditional Chinese and Western Medicine/The Affiliated Hospital of Hunan Academy of Traditional Chinese Medicine;

【通讯作者】 宋程;

【机构】 湖南中医药大学湖南省肿瘤医院湖南省中西医结合医院/湖南省中医药研究院附属医院

【摘要】 中医药治疗鼻咽癌放疗后的不良反应有一定优势。蒋益兰教授认为,鼻咽癌放疗后常出现多种毒副反应,严重影响患者生活质量,基于中医络病学说,提出核心病机为气阴两虚而络不荣是其本,痰瘀毒互阻而络瘀滞是其标,临证中治以益气养阴、扶正通络为主,兼以清热解毒、化痰祛瘀、畅通络脉,研创益气养阴方进行灵活加减,临床验之有效。

【Abstract】 Traditional Chinese medicine(TCM) has certain advantages in treating adverse reactions after radiotherapy for nasopharyngeal carcinoma.Professor Jiang Yilan holds that patients with nasopharyngeal carcinoma often experience various toxic side effects after radiotherapy, which seriously affect their quality of life.Based on the TCM theory of collateral disease, she proposes that the core pathogenesis is as follows: the root cause is Qi-Yin deficiency(deficiency of both Qi and Yin) leading to malnourishment of the collaterals, while the symptomatic cause is the mutual obstruction of phlegm, blood stasis, and toxin resulting in collateral stagnation.In clinical practice, the primary treatment principles are to replenish Qi and nourish Yin, and strengthen the body to unblock collaterals.It is also supplemented by clearing heat and removing toxins, resolving phlegm and dispelling blood stasis, and smoothing the collaterals.Professor Jiang has developed the Yiqi Yangyin Decoction(a TCM formula for replenishing Qi and nourishing Yin) and applies it with flexible modifications in clinical practice, which has been proven effective.

【基金】 湖南省自然科学基金项目(2025JJ50717,2025JJ0812)
  • 【文献出处】 亚太传统医药 ,Asia-Pacific Traditional Medicine , 编辑部邮箱 ,2026年03期
  • 【分类号】R249;R273
  • 【下载频次】61
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