尤建良中医治疗鼻咽癌经验简介  

A Brief Introduction about the Experiences of Director You Jianliang Using Traditional Chinese Medicine(TCM) to Treat Nasopharyngeal Carcinoma(NPC)

作　　者：袁可淼[1] 尤建良[1] 

机构地区：[1]无锡市中医医院,江苏无锡214071

出　　处：《浙江中医药大学学报》2016年第9期689-692,共4页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]简介尤建良主任中医治疗鼻咽癌的经验,以期更全面地认识鼻咽癌,从而拓宽思路,提高临床疗效。[方法]从病因病机、辨证分型、治疗特点及病案举隅等方面,从中西医结合角度总结尤建良主任鼻咽癌治疗经验。[结果]尤建良主任认为,鼻咽癌属中医学"鼻渊"、"失荣"、"上石疽"等范畴,病机特点是本虚标实,大致可分邪毒肺热、肝郁痰凝、气滞血瘀、阴虚火旺、气血亏虚5型。尤主任根据辨证,从润燥并济、攻补兼施、多管齐下等角度入手,灵活选方用药,随证加减变化,以期改善患者症状、提高生存质量、延缓疾病进。所举病案患者,在鼻咽癌放化疗后,以益气养阴为大法随症加减治疗,现症情平稳。[结论]尤建良主任对鼻咽癌的病因病机认识分析切合中医辨证大法,诊治亦具独到之处,整理尤建良主任治疗鼻咽癌的学术经验,有助于临证实参,值得进一步总结学习。[Objective] Simply introduce the experiences of director You Jianliang using traditional Chinese medicine（TCM） to treat nasopharyngeal carcinoma（NPC）, in order to more fully meet nasopharyngeal carcinoma, so as to broaden the thinking, enhance the clinical curative effect.[Method] From the etiology and pathogenesis, syndrome differentiation, treatment characteristics and medical record, etc., summing up the experiences of director You Jianliang using TCM to treat NPC from the angle of combining traditional Chinese and western medicine treatment. [Result] You Jianliang director thinks, nasopharyngeal carcinoma is a traditional Chinese medicine ＂nasal running＂, ＂wither complexion＂, ＂upper stone gangrene＂ category, such as the pathogenesis is characterized by the virtual to real, generally can be divided into evil poison lung heat, liver depression phlegm coagulation, qi and blood stasis, Yin fire, deficiency of qi and blood. Director, according to syndrome differentiation, especially from dryness and embellish, tapping and supplement, many inferior angle of flexible,chose medication, changed with signs to add and subtract, in order to improve the symptoms of patients, improve the quality of survival, slow disease progression. Cure is given priority to qi and nourishing Yin, and with the disease to add and subtract, now the symptoms were stable. [Conclusion] You Jianliang, director understanding of the etiology and pathogenesis of nasopharyngeal carcinoma（NPC） analysis to the solution of TCM syndrome differentiation, treatment is also unique, finishing You Jianliang treatment of nasopharyngeal carcinoma（NPC）, director of the academic experience, help to confirm, in the medical record in patients with nasopharyngeal carcinoma after concurrent chemoradiation.

关 键 词：鼻咽癌 鼻渊 尤建良 本虚标实 病因病机 辨证分型 名医经验 

分 类 号：R331[医药卫生—人体生理学]