扶正固本法治疗斜坡脊索瘤验案1则  

Treatment of clival chordoma using the method of reinforcing healthy qi and consolidating the foundation:a case report

作　　者：封佳莉 李和根[1] FENG Jiali;LI Hegen(Department of Oncology,Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032)

机构地区：[1]上海中医药大学附属龙华医院肿瘤三科,上海200032

出　　处：《现代中医临床》2024年第4期102-104,108,共4页Modern Chinese Clinical Medicine

基　　金：上海市进一步加快中医药传承创新发展三年行动计划项目(No.ZY[2021-2023]-0302);上海市名老中医学术经验研究工作室建设项目(No.SHGZS-202215);上海市临床重点专科建设项目(No.shslczdzk03701);上海市科技创新行动计划医学创新研究专项(No.21MC1930500)。

摘　　要：脊索瘤是来源于胚胎时期残留脊索组织的少见肿瘤,是一种少见的骨肿瘤,因疾病发生部位特殊,手术很难完全切除,不能被完全切除的的脊索瘤局部复发率高、预后不佳。本例在扶正治癌思想指导下,通过固护正气治疗局部之瘤,辨证精准、施治到位,综合应用健脾益气、补肾填精、平肝潜阳、软坚散结、化痰解毒等治法,治疗11年未出现复发转移,病情稳定。Chordoma is a rare bone tumor originating from residual notochordal tissue during the embryonic period.Due to its location,complete surgical removal is challenging,leading to a high local recurrence rate and poor prognosis.This case report describes a patient treated under the guidance of the approach of reinforcing healthy qi and consolidating the foundation in TCM.By fortifying healthy qi and utilizing precise syndrome differentiation,various treatments were applied,including invigorating the spleen and qi,tonifying the kidney and essence,calming the liver and subduing yang,softening hardness and dissipating masses,resolving phlegm and removing toxins.After 11 years of treatment,the patient showed no signs of recurrence or metastasis,and the condition remained stable.

关 键 词：脊索瘤 扶正固本法 中医药治疗 医案 

分 类 号：R273[医药卫生—中西医结合]