浅谈郑玉玲用仙方活命饮治疗骨肉瘤转移复发经验  

Professor ZHENG Yuling’s experience in treating osteosarcoma with Xianfang Huoming Yin

作　　者：李小青 郑玉玲[1] LI Xiaoqing

机构地区：[1]河南中医药大学,河南郑州450000

出　　处：《中医临床研究》2023年第2期19-22,共4页Clinical Journal Of Chinese Medicine

基　　金：国家中医药人才支持计划——岐黄学者(国中医药人教涵[2018]284号);国家中医临床研究基地科研专项(2019JDZX001);国家中医临床研究基地科研专项(2019JDZX028)。

摘　　要：骨肉瘤是临床上最常见的骨组织恶性肿瘤,恶性程度很高,主要发病于儿童、青少年以及50岁以上的中老年人。其早期临床症状为疼痛,随着病情的发展会出现局部的肿块。骨肉瘤患者早期即可出现远处转移,极大部分患者会复发;转移或复发性骨肉瘤患者的五年生存率极低。郑玉玲教授认为癌毒内盛的微环境是导致骨肉瘤转移复发的重要原因。治疗上应着眼于整体,通过调节机体的微环境降低疾病复发率,预防骨肉瘤患者术后转移复发、减轻患者疼痛肿胀临床症状、保护骨质,改善患者的临床症状,取得了满意的疗效。临床用药以仙方活命饮为基础方,辨证施治,获得了较好的疗效。文章结合案例介绍郑教授治疗骨肉瘤经验,以期为临床提供参考。Osteosarcoma is the most common malignant bonetumors in clinic,with a high degree of malighancy.It occurs mainly in children,adolescents,middle-aged,and elderly people over 50 years old.Its early clinical manifestations are pain,and a local mass will appear with the development of the disease.Distant metastasis can occur in the early stage of osteosarcoma,and recurrence of the disease occurs in a large proportion of patients.The overall 5-year survival rate of patients with metastatic or recurrent osteosarcoma is extremely low.Professor ZHENG Yuling thinks that the cancer toxin inside the microenvironment is the important cause of recurrence and metastasis of osteosarcoma.The treatment should focus on the whole,and reduce the recurrence and ameliorate clinical symptoms of patients by regulating the microenvironment of the body.Based on syndrome differentiation,Xianfang Huoming Yin(仙方活命饮)is used clinically,and has obtained good clinical effects.In this paper,Professor ZHENG Yuling’s experience in treating osteosarcoma is introduced to provide a clinical reference.

关 键 词：肿瘤 骨肉瘤 仙方活命饮 清热解毒 

分 类 号：R273[医药卫生—中西医结合]