沈一平运用中医药治疗老年急性髓系白血病化疗后经验  

The Treatment Experience of Elderly AML Patients after Chemotherapy with TCM by SHEN Yiping

作　　者：翟斡[1] 沈一平[2] ZHAI Wo SHEN Yipin(Tongde Hospital of Zhejiang Provirwe ,Hangzhou （310012 Zhejiang Provinciol Hospital of Traditional Chinese Medicine)

机构地区：[1]浙江省立同德医院,杭州310012 [2]浙江省中医院

出　　处：《浙江中医药大学学报》2017年第7期598-600,共3页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]总结沈一平治疗老年急性髓系白血病的临证经验。[方法]通过跟师抄方及查房,收集分析沈师关于治疗老年急性髓系白血病化疗后治疗医案,查阅其相关著作论文及古籍,依据中医理论归纳诊治思路及临床辨证方法,总结沈师的临证经验。[结果]沈师认为,本病患者多有肺、脾、肾亏虚,易酿生痰、湿、瘀等有形之邪,再逢外邪入侵,内外相合而发病。化疗后患者脏腑功能受损,表现以气阴亏虚为主。治疗当补益肺、脾、肾,祛除痰、湿、瘀等病理产物,消除毒火外邪。对于化疗后患者,则需透解阴分伏火,以彻底清除白血病残余病灶。沈师组方中,常配伍清热解毒抗癌药物以抑制白血病细胞增殖。[结论]沈师临床经验丰富,诊疗思路严密,擅长运用中医药治疗老年急性髓系白血病,别具一格,对于复发患者的治疗有有独到之处,其临床经验值得交流学习。[Purpose] To summarize SHEN Yiping＇s clinical experience and academic views about treatment of elderly acute myeloid leukemia（AML） patients with traditional Chinese medicine（TCM）. [Method] By means of learning form Professor SHEN in the clinic, collect cases and analyze them, and then conclude his clinical thought and dialectical methods, further summarize his clinical experience and academic views. [Result] Professor SHEN Yiping believes that these patients have deficiency of the lung, spleen and kidney, easily form the unhealthy environmental influences with shapes such as phlegm,damoeness, blood stasis, meeting with invaded by the invasion, causing the results of the happening of the disease. The functions of Zang-fu are damaged after chemotherapy, with the presentation of deficiency of qi and yin. Professor SHEN thinks that the treatment should be tonifying lung, spleen and kidney,dispelling the pathological products such as phlegm, dampness, blood stasis, eliminating the invasion at the same time. For those patients who are in remission, we should use the therapy of purging fire and maintaining yin, in order to remove leukemia residual of lesions thoroughly. Professor SHEN uses the anticancer drugs which could clear away heat and toxic frequently in order to depress the proliferation of the leukemia cells.[Conclusion]Professor SHEN is well-versed in the learning of both TCM and modern medicine, abundant clinical experience and rigorous dialectical methods, skilled in using TCM to treat elderly AML patients. He also has peculiar methods for the treatment of patients with recurrence of leukemia.His clinical experience and academic thoughts are worth learning and communication for us.

关 键 词：急性髓系白血病 老年 病因病机 气阴亏虚 沈一平 医案 治疗经验 

分 类 号：R552[医药卫生—血液循环系统疾病]