陈明显运用“补脾胃、化瘀毒、清癌毒”治疗胃癌经验  

Experience of Professor CHEN Mingxian in the Treatment of Gastric Cancer by“Tonifying the Spleen and Stomach,Removing Stasis Poison and Clearing Cancer Poison”

作　　者：池玉莹 季元 陈明显[2] CHI Yuying;JI Yuan;CHEN Mingxian(Zhejiang Chinese Medical University,Hangzhou(310053),China;Tongde Hospital Affiliated to Zhejiang Chinese Medical University(Tongde Hospital of Zhejiang Province))

机构地区：[1]浙江中医药大学,杭州310053 [2]浙江省立同德医院

出　　处：《浙江中医药大学学报》2024年第7期818-822,共5页Journal of Zhejiang Chinese Medical University

基　　金：国家中医药管理局全国中医临床优秀人才研修项目(国中医药人教函[2022]1号);局省共建郁病防治研究重点实验室项目(GZY-ZJ-SY-2402);浙江省551卫生人才培养工程项目(浙卫办﹝2021﹞40号)。

摘　　要：[目的]分析总结陈明显教授从“补脾胃、化瘀毒、清癌毒”治疗胃癌的临证经验。[方法]通过临证学习及医案分析,阐明陈师对胃癌病因病机的认识,列举治疗胃癌的治则方药,并附验案两则。[结果]陈师认为,脾胃虚弱是胃癌发生的前提条件,贯穿于胃癌发生发展的始终,瘀毒凝结是胃癌癌前病变转化为胃癌的关键环节,癌毒残留是胃癌容易复发转移的主要病机特点。治疗上确立“补脾胃、化瘀毒、清癌毒”三法,随证灵活融合应用,体现“时时扶正、不忘攻邪、防治结合”的理念。所举医案中两例患者系胃癌术后伴消瘦,均治以补脾生肌消痞、祛瘀解毒清癌,但扶正祛邪上各有侧重,治疗后皆诸症稳定,随访未见复发转移。[结论]陈师从“补脾胃、化瘀毒、清癌毒”治疗胃癌疗效确切,具有一定的临床实用价值,其经验值得借鉴。[Objective Objective]To analyse and summarize Professor CHEN Mingxian’s clinical experience in the treatment of gastric cancer by“tonifying the spleen and stomach,removing stasis poison,clearing cancer poison”.[Methods Methods]Through clinical learning and medical case analysis,this paper elucidates Professor CHEN’s understanding of the etiology and pathogenesis of gastric cancer,gives examples of the treatment of gastric cancer,and attaches two cases.[Results Results]Professor CHEN thinks weakness of the spleen and stomach is a prerequisite for the occurrence of gastric cancer,which runs through the occurrence and development of gastric cancer.Stasis coagulation is the key link for the transformation of precancerous lesions into gastric cancer,and the residual cancer poison is the main pathogenesis of the recurrence and metastasis of gastric cancer.In the treatment,the three methods of“tonifying the spleen and stomach,removing stasis poison and clearing cancer poison”are established,and the flexible fusion application with the syndrome reflects the concept of“always strengthening the body resistance,not forgetting to attack evil and combining prevention and treatment”.Two cases of gastric cancer with emaciation after surgery were treated by tonifying the spleen to produce muscle and eliminate distention,removing blood stasis and detoxifying cancer,but each had its own emphasis on strengthening the body resistance and eliminating evil.After treatment,all the cases were stable,and no recurrence and metastasis were observed during follow-up period.[Conclusion Conclusion]Professor CHEN treats gastric cancer by“tonifying the spleen and stomach,removing stasis poison and clearing cancer poison”,which has good curative effect and certain clinical practical value.

关 键 词：胃癌 病因病机 治则方药 验案 名医经验 陈明显 

分 类 号：R256[医药卫生—中医内科学]