扶正为主,益气温阳为先——沈敏鹤诊治肿瘤的经验探究  

Centered on Strengthening Body Resistance and Nourishing Qi and Warming Yang

作　　者：张波[1] 沈敏鹤[2] 阮善明[2] 单飞瑜[1] 徐叶峰[1] 

机构地区：[1]浙江中医药大学,杭州310053 [2]浙江中医药大学附属第一医院

出　　处：《浙江中医药大学学报》2012年第10期1086-1088,共3页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]总结沈敏鹤主任中医师对肿瘤病因病机的认识及临床不同于其他医家的治疗特色、用方思想、用药特色和规律;通过临床实证进一步验证沈师治疗肿瘤的学术思想和临床经验的科学性,以便更好的指导肿瘤的临床诊治。[方法]笔者随沈师出诊,整理其医案、验方并收集沈师讲课资料、个人笔记、专题访谈、论文和著作,分析其用药、用方和辨证思路与经验;通过中医古籍的检索以及对导师影响较大的名老中医学术思想的分析,完成沈敏鹤主任中医师学术思想和临床经验的整理与总结。[结果]沈师的思想渊源主要来源于《内经》、《伤寒论》、《金匮要略》等经典著作,其主要治疗原则是"扶正为主,益气温阳为先"。[结论]采用沈师的经验,治疗肿瘤"从正虚寒凝论治",运用"扶正为主,益气温阳为先"的原则确能明显改善肿瘤患者的临床症状,减少其复发和转移,明显提高患者生活质量。[Objective] To sum up director Shen Minhe＇s feature in recognizing tumor causa morbi and mechanism and clinical different treatment,thoughts,characteristics and rules from others;with clinical cases,it further proves his academic thought on treating tumor and science of clinical experience,for better guiding clinically diagnosing and treating tumor.[Method] The author clears up Mr.Shen＇s medical cases,recipes and collects his lecture data,individual notes,special interview,thesis and works,analysis on his medication,formulae,differentiation thoughts and experience;by retrieving ancient TCM books and analyzing famous TCM doctors＇s academic thoughts,he finishes the summary on doctor Shen Minhe＇s academic thought and clinical experience.[Result] Shen＇s thought mainly originates from classical works,such as ＂Internal Classics＂,＂Treatise on Febrile Diseases＂ and ＂Synopsis on Golden Chamber＂,his main treatment rule is centered on strengthening the body resistance and nourishing Qi and warming Yang.[Conclusion] To take Shen＇s experience for treating tumor from essence,deficiency,congealing cold,and apply his rule can markedly relieve tumor patients＇ clinical symptoms,reduce its re-occurrence and metastasis and obviously improve patients＇ life quality.

关 键 词：肿瘤 中医治法 沈敏鹤 名医经验 益气温阳 

分 类 号：R273[医药卫生—中西医结合]