摘要
基于整体观念、辨证论治、治未病等中医理论,倡导防治结合,标本兼治,分阶段、个体化治疗的肿瘤全程管理理念。提出肿瘤治疗前未病先防,顾护正气,以健脾益气为主要治则,选用四君子汤、参苓白术散、香砂六君子汤等,以加强血小板储备;肿瘤治疗中既病防变,扶正祛邪,以健脾疏肝、滋补肝肾,泻火解毒、祛瘀生新为主要治法,辨证选用香砂六君子汤、参苓白术散、附子理中汤、知柏地黄汤、茜根散等,以减轻肿瘤治疗过程中的血小板破坏与减少,扭转恶化趋势;肿瘤治疗后病缓防复,调整阴阳,以温肾、健脾、补肺为主要治法,选用定坤丹、左归丸等加减,以预防血小板减少。分阶段防治肿瘤治疗所致的血小板减少症,发挥中医药治疗优势,使患者获益最大化。
Based on the traditional Chinese medicine(TCM) theories of holism,syndrome differentiation and treatment,and preventive treatment of disease,the concept of whole course management of tumors throughout the treatment process is advocated.The strategy includes preventive treatment before tumor therapy,focusing on protect-ing the body's vital qi and strengthening the spleen and Qi.TCM formulas such as Sijunzi Decoction (四君子汤),Shenling Baizhu San (参苓白术散) and Xiangsha Liujunzi Decoction(香砂六君子汤) are used to enhance platelet reserves.The main therapeutic methods during tumor conventional therapy include preventing disease transformation and strengthening vital qi to eliminate pathogenic factor,by invigorating spleen and soothing liver,nourishing liver and kidney,purging fire for removing toxin,and removing blood stasis for promoting tissue regeneration.TCM formulas such as Xiangsha Liujunzi Decoction (香砂六君子汤),Shenling Baizhu Powder (参苓白术散),Fuzi Lizhong Decoction (附子理中汤),Zhibai Dihuang Decoction (知柏地黄汤),and Qiangen Powder (茜根散)are used to reduce platelet destruction and depletion during tumor therapy and reverse the worsening trend.After tumor conventional therapy,the focus is on preventing relapse,adjusting the balance of Yin and Yang,by nourishing the kidneys,spleen,and lungs.TCM formulas such as Dingkun Pill (定坤丹)and Zuogui Pill (左归丸) are used with modifications to prevent thrombocytopenia.The staged prevention and treatment of tumor treatment-induced thrombocytopenia using TCM can maximize the benefits for patients.
作者
宋璟
程玲
王小璞
孔嘉欣
SONG Jing;CHENG Ling;WANG Xiaopu;KONG Jiaxin(Affiliated Cancer Hospital and Institute of Guangzhou Medical University,Guangzhou,510030)
出处
《中医杂志》
CSCD
北大核心
2023年第21期2184-2187,共4页
Journal of Traditional Chinese Medicine
基金
广州市卫生健康委员会广州市三级名中医工作室建设项目。
关键词
肿瘤
血小板减少症
骨髓抑制
治未病
tumor
hrombocytopenia
myelosuppression
preventive treatment of disease
