吴显文分期论治放射性口腔黏膜炎经验介绍  

Experience of Wu Xianwen in treating radiation-induced oral mucositis by stages

作　　者：岳佳佳 吴显文[2] 蔡琳琳[2] 王青 王珊 YUE Jiajia;WU Xianwen;CAI Linlin;WANG Qing;WANG Shan(Graduate School,Beijing University of Chinese Medicine,Beijing 100029,China;Department of Oncology,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China)

机构地区：[1]北京中医药大学研究生院,北京100029 [2]中国中医科学院西苑医院肿瘤科,北京100091

出　　处：《中国医药导报》2020年第14期166-169,共4页China Medical Herald

基　　金：中国中医科学院中医优势病种临床研究项目(CACMS08Y0030);中国中医科学院西苑医院苗圃课题[XYKY-MP(2013)-13]。

摘　　要：本文总结吴显文教授运用中医药治疗放射性口腔黏膜炎的经验。放射性口腔黏膜炎系放射线引起的口腔黏膜炎性病变,是头颈部恶性肿瘤放疗中常见的并发症之一。吴教授根据多年的放疗工作经验和中医药治疗实践,提出放射性口腔黏膜炎为火毒之邪致病,有壅气、动血、伤阴之弊,其病机随邪正交争之势而变化;认为可通过“热、瘀、虚”的偏盛程度,将放射性口腔黏膜炎分为“初期、中期、后期”;治疗方面主张分期论治,以清热凉血、解毒活血、益气养阴为主要治法,注重气血并调、内外同治,并擅用“火郁发之”之理;形成了独特的分期论治思想,临床疗效显著。This paper summarizes professor Wu Xianwen’s experience in the treatment of radiation-induced oral mucositis with traditional Chinese medicine.Radiation-induced oral mucositis is an inflammation of oral mucosa caused by radiation,which is one of the common complications in radiotherapy for head and neck malignant tumors.According to many years′working experience of radiotherapy and the treatment practice of traditional Chinese medicine,professor Wu puts forward that radiation-induced oral mucositis is caused by the heat-toxin,which would cause the stagnation of qi,invasion of blood and deficiency of yin,and its pathogenesis changes with the trend of struggle between the healthy tendency and the sick tendency.He considers that through the excessive degree of“heat,blood stasis and deficiency”,this disease can be divided into“early stage,middle stage and later stage”.While in treatment,professor Wu advocates the theory of treatment by stages,with the main treatment of heat-clarifying and blood-cooling,detoxicating and promoting blood,tonifying qi and nourishing yin.He also pays attention to the regulation of qi and blood,combination of internal and external treatment,and he is skilled in using the theory of“dispersing fire for treating depressing fire”.This unique idea of staged diagnosis and treatment has remarkable clinical effect.

关 键 词：放射性口腔黏膜炎 分期论治 临床经验 吴显文 

分 类 号：R246.83[医药卫生—针灸推拿学]