杨向东治疗大肠癌癌性疼痛经验  

Professor Yang Xiangdong's Experience in Treating Colorectal Cancer Pain

作　　者：钱蒙[1] 巫加[1] 张桢[1] 张羽[1] 秦琳[1] 

机构地区：[1]成都肛肠专科医院,四川成都610015

出　　处：《河南中医》2017年第3期406-408,共3页Henan Traditional Chinese Medicine

摘　　要：杨向东教授擅于运用中西医结合疗法治疗大肠癌癌性疼痛,其主要是通过辨证与辨病相结合,以固本解毒、补虚益气、养阴扶正、通调肠腑等为主要治法,于疾病发展不同阶段灵活运用。杨向东教授认为,癌痛瘤毒的辨证需要紧抓纲、兼顾目。辨证时先辨毒,此为"抓纲";在此过程中,特别需要注意根据患者体质不同,及对药物、治疗方法的耐受能力不同,明确攻毒、解毒或排毒等不同治法。杨向东教授认为目前大肠癌疼痛主流治疗中,化疗为常见手段,化疗虽疗效确切,但其攻伐力剧,多性苦寒致胃气、肾阳受损。正确与之联合的治疗,应该有三个主要目的:一是减轻西药毒副作用,二是能抑瘤抗癌,三是能固护正气。杨向东教授遣方用药中善用虫类药物,并重视中医外治、针灸等方法。Professor Yang Xiangdong is skilled in treating colorectal cancer pain with combination of traditional Chinese and Western medicine,which is mainly through the combination of syndrome differentiation and disease differentiation,taking consolidifying and detoxifying,tonifying deficiency and benefiting qi,nourishing yin and strengthening the body resistance,regulating the bowels and fuorgans as the main treatment,and applying these methods flexibly at different stages. Professor Yang Xiangdong believes that the syndrome differentiation of the cancer pain requires tight master of the major category and simultaneous consideration of the detailed.During syndrome differentiation,toxicity is first differentiated,which is ＂ mastering the major category＂. In this process,special attention needs to be paid to different treatments according to the patients’ constitutions and tolerance to the drugs and external treatment methods,so as to make clear the different treatments of purging toxicity,resolving toxicity and discharging toxicity. Professor Yang Xiangdong believes that among the current mainstream of the treatment for colorectal cancer,chemotherapy is a common means. Although it is effective,the purgative effects is sharp,and mostly with bitter and cold nature inducing impairment of stomach qi and kidney yang. The correct combined treatment should include three main objective purposes： 1,to reduce the toxic and side effects of western medicine,2. to fight against tumor and cancer; 3. to protect and consolidate healthy qi. Professor Yang usually make good use of insect drugs and attaches great importance to the external treatment of TCM,acupuncture therapy,etc..

关 键 词：大肠癌 癌性疼痛 杨向东 

分 类 号：R273[医药卫生—中西医结合]