曹阳教授从寒热辨证治疗恶性肿瘤相关性胃瘫的临床经验  

Professor Cao Yang’s clinical experience in treating malignancy-associated gastroparesis based on heat-cold syndrome differentiation

作　　者：杜若芳 曹阳[2] 梁秋然 林熙明 胡凯文[2] 卫月[2] DU Ruofang;CAO Yang;LIANG Qiuran;LIN Ximing;HU Kaiwen;WEI Yue(The Second Clinical Medical College,Beijing University of Chinese Medicine,Beijing100029,China;Department of Oncology,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing100078,China)

机构地区：[1]北京中医药大学第二临床医学院,北京100029 [2]北京中医药大学东方医院肿瘤科,北京100078

出　　处：《中国医药导报》2023年第30期143-146,共4页China Medical Herald

基　　金：国家重点研发计划中医药现代化研究重点专项项目(2018YFC1705102);首都卫生发展科研专项项目(首发2018-1-4201);北京中医药大学青年教师项目(2019-JYB-JS-135)。

摘　　要：恶性肿瘤相关性胃瘫是影响恶性肿瘤患者生活质量的重要因素,是手术和放疗后的常见并发症之一。西医对于本病的治疗方式有限且效果不理想,因此探索针对本病的中医治疗策略具有重要的临床意义。曹阳教授认为本病以脾阳胃阴虚弱,复受手术、放疗影响至体内寒热偏盛为基本病机,兼有气滞、痰湿,当从寒热辨证施治。用药时随证选取温中药或清热药,兼顾行气化湿。确立了在患者禁食期以中药膏摩为主要治疗方式,同时酌情配合其他外治治疗,恢复经口进食后加用中药浓煎剂内服的综合治疗方案,在临床应用中取得了良好的治疗效果,为中医药治疗恶性肿瘤相关性胃瘫拓宽了思路。文末并附验案一则,以证其效。Malignancy-associated gastroparesis is an important factor affecting the quality of life of patients with malignant tumors and is one of the common complications after surgery and radiotherapy.Western medicine treatment for this disease is limited and has unsatisfactory efficacy.Therefore,exploring treatment strategies in traditional Chinese medicine for this disease is of important clinical significance.Professor Cao Yang believes that the basic pathogenesis of this disease is spleen-yang and stomach-yin deficiency,and excessive cold and heat in the body affected by surgery and radiotherapy,accompanied by qi stagnation and phlegm dampness,and should be treated based on cold and heat syndrome differentiation.When medication,warm traditional Chinese medicine or heat-clearing drugs are chosen according to symptoms while promoting the circulation of qi and resolving dampness.Traditional Chinese medicine ointment rubbing is used as the main treatment method during the fasting period of patients,coordinated with other external therapies as appropriate.The comprehensive treatment plan with oral administration of concentrated traditional Chinese medicine decoction is added after oral feeding,which achieves high efficacy in clinical application,broadening the thinking for traditional Chinese medicine treatment of malignancy-associated gastroparesis.At the end of our article,a proven case is attached to verify its effectiveness.

关 键 词：恶性肿瘤 胃瘫 寒热辨证 外治法 中药膏摩 曹阳 

分 类 号：R273[医药卫生—中西医结合]