陈为辨证治疗恶性脑胶质瘤术后患者经验  

Experience of CHEN Wei in Differentiating and Treating Post-operative Malignant Glioma

作　　者：孙思雨 陈为(指导)[2] SUN Si-Yu;CHEN Wei(The First Clinical Medical School of Guangzhou Liniversity of Chinese Medicine,Guangzhou 510405 Guangdong,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China)

机构地区：[1]广州中医药大学第一临床医学院,广东广州510405 [2]广州中医药大学第一附属医院,广东广州510405

出　　处：《广州中医药大学学报》2021年第12期2775-2779,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省教育厅高水平大学重点学科建设项目(编号:A1-AFD018171Z11072)。

摘　　要：总结陈为教授对恶性脑胶质瘤术后患者的中医病机的认识及其临证诊治经验。陈为教授认为脑胶质瘤术后患者的病机以虚实夹杂为特征,以痰瘀互结、气阴两虚为主要病机;实证多归于肝风内动上扰清空、热毒炽盛、湿热内蕴、阳明腑实、痰瘀互结等;虚证则多涉及先后天精气不足、气阴两虚、气血亏虚等。对于恶性脑胶质瘤术后辨证为痰瘀互结的患者,陈为教授在恶性脑胶质瘤术后西医对症治疗基础上,采用陈夏六君子汤合涤痰汤加减,联合中药制剂康莱特注射液静脉滴注,可有效改善患者的临床症状,提高患者的生活质量,延长患者的生存期。The acquaintance of traditional Chinese medicine(TCM)pathogenesis and the experience of Professor CHEN Wei in differentiating and treating post-operative malignant glioma were summarized. Professor CHEN Wei believes that the pathogenesis of post-operative malignant glioma patients is characterized by the mixture of deficiency and excess,manifesting as phlegm blended with blood stasis,deficiency of both qi and yin. The excess syndrome is usually due to upward disturbance of the clear orifices by the internal stirring of liver wind,abundance of heat toxin,accumulation of damp heat,excess syndrome in yangming fu-organ,and phlegm blended with blood stasis. The deficiency syndrome is mostly due to insufficiency of congenital and acquired essence and qi,deficiency of both qi and yin,and insufficiency of qi and blood. For the treatment of post-operative malignant glioma differentiated as the syndrome of phlegm blended with blood stasis,Professor CHEN Wei prescribed the modified Chen Xia Liujunzi Decoction plus Ditan Decoction combined with intravenous drip of Kanglaite Injection Chinese medicine on the basis of the post-operative symptomatic treatment with western medicine,which can effectively relieve the clinical symptoms, improve the quality of life, and prolong the survival period of the patients.

关 键 词：恶性脑胶质瘤术后 中医病机 痰瘀互结 陈夏六君子汤 涤痰汤 生存期 陈为 

分 类 号：K273.94[历史地理—历史学]