李应存教授运用敦煌医方从脾胃论治食管癌术后不良反应经验  

Experience of Professor Li Yingcun in Treating Postoperative Adverse Reactions of Esophageal Cancer by Using Dunhuang Medical Prescriptions from Spleen and Stomach

作　　者：郑燕 李应存 任香霖 张洲 赵剑波 ZHENG Yan;LI Yingcun;REN Xianglin;ZHANG Zhou;ZHAO Jianbo(Basic Medical College,Gansu University of Chinese Medicine,Gansu Province,Lanzhou 730000,China)

机构地区：[1]甘肃中医药大学基础医学院,甘肃兰州730000

出　　处：《光明中医》2024年第11期2267-2270,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：国家中医药管理局十二五重点学科敦煌医学学科(No.DHYXXK-2023)。

摘　　要：食管癌是指来源于食管上皮的恶性肿瘤,是常见的恶性肿瘤之一。临床表现为进食困难、胸骨后疼痛、泛吐痰涎等,由于纳食不佳,患者常伴有形体消瘦等情况。手术是目前主要治疗手段,术后的创伤以及不良反应使患者痛苦不已。李应存教授运用敦煌医方从脾胃论治,通过健脾养胃调气血,改善患者的运化功能,减少患者术后的不良反应和并发症,提高生活质量。此文分析其典型医案,总结其用药思路,为临床提供参考。Esophageal cancer is a malignant tumor originating from the esophageal epithelium and is one of the most common malignant tumors.The clinical manifestations are dysphoria,retrosternal pain,phlegm and saliva,etc.Due to poor food intake,patients are often accompanied by body wasting and other conditions.Surgery is the main treatment at present,and the postoperative trauma and adverse reactions make the patients painful.Professor Li Yingcun used Dunhuang medical prescriptions to treat patients from the spleen and stomach,regulate qi and blood by strengthening the spleen and stomach,improve the transportation function of patients,reduce postoperative adverse reactions and complications,and improve the quality of life.In this paper,the typical medical records were analyzed and the ideas of drug use were summarized to provide reference for clinical use.

关 键 词：噎膈 食管癌术后 不良反应 李应存 敦煌医方 医案 

分 类 号：R273[医药卫生—中西医结合] R249[医药卫生—中医肿瘤科]