蜂针疗法治疗膀胱癌术后的“症病同治”诊疗策略探讨  

Discussion on Diagnosis and Treatment Strategy of Apitherapy for Bladder Cancer Patients After Surgery from the Perspective of"Treating Syndrome and Disease Simultaneously"

作　　者：吕立国[1] 吴巧玲[1] 古炽明[1] 王昭辉[1] 代睿欣[1] 向松涛[1] 李思逸[1] 张秀琼[1] 白遵光[1] 王树声[1] 陈志强(指导)[1] LYU Liguo;WU Qiaoling;GU Chiming;LI Siyi;ZHANG Xiuqiong;BAI Zunguang;WANG Zhaohui;DAI Ruixin;XIANG Songtao;WANG Shusheng;CHEN Zhiqiang

机构地区：[1]广东省中医院(广州中医药大学第二附属医院),广东广州510120

出　　处：《新中医》2021年第5期140-143,共4页New Chinese Medicine

基　　金：第六批全国老中医药专家学术经验继承项目(国中医药办人教函[2017]125号);广东省名中医传承工作室建设项目(粤中医办函201717);国家区域中医(专科)诊疗中心建设专项资金资助项目(国中医药医政函[2018]205号)。

摘　　要：从陈志强教授"症病同治"的学术思想内涵介绍层层推进,探讨分析蜂针疗法治疗膀胱癌的"症病同治"诊疗策略。认为蜂针疗法可以治疗膀胱癌术后的"症",且符合现代医学治疗理念。具体体现在:(1)蜂针疗法辨证取穴能治疗临床"症"状;(2)蜂毒肽诱导膀胱癌细胞凋亡,可治疗现代医学的"病";(3)蜂针疗法体现了"症病同治"诊疗策略下"三辨证"的学术思想。提出在膀胱尿路上皮癌电切术后,临床开展规范的蜂针疗法辨证治疗应成为一种可行的思路。Starting from the elaboration of academic thought of CHEN Zhiqiang’s"treating syndrome and disease simultaneously",this paper discusses the diagnosis and treatment strategy of apitherapy for bladder cancer patients after surgery.It is believed that apitherapy can treat the"syndrome"bladder cancer patients after surgery,and match the modern medical treatment concept,which is embodied in the following aspects:(1)bee needling therapy by selecting points based on syndrome differentiation can treat clinical"syndrome";(2)Inducing apoptosis of bladder cancer cells with melittin can treat"disease"in the aspect of modern medicine;(3)apitherapy reflects the academic thought of"three syndrome differentiations"under the strategy of"treating syndrome and disease simultaneously".It is suggested that it should be a feasible way to clinically carry out standard apitherapy based on syndrome differentiation for patients who had transurethral resection of bladder urothelial carcinoma.

关 键 词：膀胱癌术后 蜂针疗法 症病同治 诊疗策略 陈志强 

分 类 号：R249[医药卫生—中医临床基础] R737.14[医药卫生—中医学]