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作 者:萧佩宇 冯正权(指导)[2] XIAO Peiyu;FENG Zhengquan
机构地区:[1]浙江中医药大学第二临床医学院,浙江杭州310053 [2]浙江省立同德医院,浙江杭州310012
出 处:《新中医》2022年第12期184-188,共5页New Chinese Medicine
摘 要:总结介绍冯正权教授治疗癌性胸腹水的临床经验。冯正权认为,癌性胸水属中医悬饮范畴,与肺脾肾三脏功能失调,三焦气化失司相关,病机总属阳虚阴盛。而癌性腹水属中医鼓胀范畴,与肝脾肾三脏虚弱,终致气滞、血瘀、水停相关。治则治法有:急则治标、攻下逐水,缓则益气养阴、健脾利水。中西医结合治疗,方法多样:(1)外敷中药,促水排泄;(2)热疗增效,控制疾病;(3)调畅情志,疏导气机。通过中西医结合治疗,互补优势,提升患者生活质量。This paper introduces the clinical experience of Professor FENG Zhengquan treating cancerous pleural effusion.FENG believes that cancerous pleural effusion belongs to the category of Chinese medicine pleural rheum,which is related to the dysfunction of lung,spleen and kidney,and the dysfunction of qi transformation in triple energizers.The pathogenesis is mainly yang deficiency with yin exuberance.Malignant ascites falls into the category of Chinese medicine tympanites,which is related to the deficiency of liver,spleen and kidney,resulting to qi stagnation,blood stasis and water retention.The treatment methods are as follows:in urgent conditions,treat the tip and expel water by purgation;in moderate conditions,boost qi and nourish yin,and fortify the spleen and drain water.In terms of integrated Chinese and western medicine therapy,the methods are diverse:first,give the external application with Chinese herbal medicine and promote water excretion;second,give thermotherapy to improve the effect and control the disease;third,adjust the mood and regulate the qi movement.Through integrated Chinese and western medicine therapy with complementary advantages,the quality of life of patients can be improved.
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