杨国旺分部位论治弥漫大B细胞淋巴瘤经验  

Professor Yang Guowang′s Experience in Treatment of Diffuse Large B-cell Lymphoma by Location Syndrome Differentiation

作　　者：张怀锐 张兴涵 李姝蒙 杨国旺[2] ZHANG Huairui;ZHANG Xinghan;LI Shumeng;YANG Guowang(Graduate College of Beijing University of Chinese Medicine,Beijing China 100029;Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing China 100010)

机构地区：[1]北京中医药大学研究生院,北京100029 [2]首都医科大学附属北京中医医院,北京100010

出　　处：《中医学报》2024年第6期1250-1254,共5页Acta Chinese Medicine

基　　金：国家自然科学基金面上项目(82174453)。

摘　　要：弥漫大B细胞淋巴瘤外因感受湿热邪气,湿重困脾,热盛伤津,湿热酿痰;内因则与七情不畅、饮食不节、正虚劳倦等相关,最终脏腑经络功能失调,痰湿瘀毒停聚,积久成疾。中医治疗弥漫大B细胞淋巴瘤需要从治痰与解毒入手,根据患者具体患病部位及病情所处阶段给予合适比例的祛邪与扶正治疗。根据弥漫大B细胞淋巴瘤的病因病机“痰、毒、瘀、虚、滞”,及核心病机“痰、毒”,治以化痰散结、清热滋阴、解毒抗癌、扶正固本。临床应用消瘤散结基础方治疗,并根据病位、症状不同进行适当加减。The external causes of diffuse large B-cell lymphoma are Damp and Heat,in which the Spleen is trapped by Dampness and the body Fluid is injured by Heat and then Dampness and Heat produce Phlegm.The internal causes are related to the unsmooth feelings,uncontrolled diet,Zheng Qi deficiency and fatigue,and finally the dysfunction of the Zang and Fu organs as well as that of the meridians,the accumulation of Phlegm,Dampness,stasis and Toxin,and the accumulation of them for a long-time cause Phlegm nuclear.TCM treatment of diffuse large B-cell lymphoma requires starting with Phlegm treatment and detoxification,and an appropriate proportion of dispelling evil factors and supporting Zheng Qi treatment is given according to the specific disease site and stage of the patient′s disease.According to the etiology and pathogenesis of diffuse large B-cell lymphoma"Phlegm,Toxin,stasis,deficiency and stagnation",and the core pathogenesis of"Phlegm and Toxin",the treatment is to dissolve Phlegm and disperse lump,to clear away Heat and nourish Yin,to detoxify and fight against cancer,and eventually to strengthen Zheng Qi and the root.Clinically,the basic formula for eliminate cancer and lump is used,and the modified formula also can be used according to different disease locations and symptoms.

关 键 词：弥漫大B细胞淋巴瘤 消瘤散结基础方 分部位论治 杨国旺 

分 类 号：R249.27[医药卫生—中医临床基础]