新冠疫情下田菲对肺癌患者的管理策略  

Experience of Professor TIAN Fei on Disease Management of Lung Cancer Patients During the COVID-19 Period

作　　者：张桂星 刘云鹤[1,2] 田菲(指导) ZHANG Guixing;LIU Yunhe;Tian Fei(The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300381,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China;不详)

机构地区：[1]天津中医药大学第一附属医院,天津300381 [2]国家中医针灸临床医学研究中心,天津300381 [3]不详

出　　处：《山东中医杂志》2023年第2期186-189,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：天津市教委科研计划项目(编号:2018KJ034)。

摘　　要：田菲教授根据肺癌患者正虚邪实的疾病特点,在新型冠状病毒感染(新冠病毒感染)疫情背景下提出“固本清源、化痰补中”的疾病管理策略。田教授认为肺癌与新冠病毒感染在病理演变和证候变化上多有相似,遣方用药皆从扶正祛邪、未病先防入手,临证强调祛痰湿以澄流清源,健脾胃以培土生金,顾情志以养神正本,重舌象以司外揣内,畅大便以消积除浊。并将肺癌患者分为痰热阻肺、痰瘀互结、肺脾气虚、阴亏气耗4种证型,分型辨治,攻补皆施。附验案一则。Professor TIAN Fei proposes a preventive strategy of strengthening the foundation,clearing the source,resolving phlegm and tonifying spleen and stomach in the context of COVID-19,based on the characteristics of the disease of lung cancer patients,healthy energy is asthenic and evil is excessive. Professor Tian puts forward that lung cancer and COVID-19 are similar in pathological evolution and syndrome-syndrome changes,the prescription of drugs should be formed according to the principle of strengthening the body resistance to eliminate pathogenic factors,prevention before disease. Professor Tian emphasizes the principle that dispelling phlegm and dampness to clear the source,strengthening the spleen and stomach to strengthening earth to generate metal,paying attention to the regulation of emotions to nourish the energy and protect the healthy qi,paying attention to tongue diagnosis for governing exterior to infer interior,smoothing stool to eliminate accumulation and remove turbidity. Lung cancer patients are divided into four types :pulmonary retention of phlegmopyrexia,phlegm and blood stasis obstruction,asthenia of pulmonosplenic qi,and yin and qi deficiency. The treatment should change according to the syndrome type.Both exorcism therapy and tonic therapy can be considered. This article introduced a case of Professor Tian.

关 键 词：新型冠状病毒肺炎 肺癌 固本清源 化痰补中 舌象 分型辨治 田菲 

分 类 号：R273.42[医药卫生—中西医结合]