郑玉玲应用软坚消积汤治疗恶性肿瘤淋巴结转移经验  

Zheng Yuling′s Experience of Treating Malignant Tumor Lymph Node Metastasis with Decoction for Softening Hardened Tissues and Dissolving Accumulated Masses

作　　者：陈双双 郑玉玲[1] 张亚玲[1] 陈晓琦[1] CHEN Shuangshuang;ZHENG Yuling;ZHANG Yaling;CHEN Xiaoqi(The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou,Henan,China,450001;The First Clinical Medical School of Henan University of Chinese Medicine,Zhengzhou,Henan,China,450046)

机构地区：[1]河南中医药大学第一附属医院,河南郑州450001 [2]河南中医药大学第一临床医学院,河南郑州450046

出　　处：《河南中医》2024年第12期1856-1860,共5页Henan Traditional Chinese Medicine

基　　金：全国名老中医药专家传承工作室建设项目{国中医药人教函〔2022〕75号};全国名中医传承工作室建设项目{国中医药办人教函〔2022〕245号}。

摘　　要：郑玉玲教授认为,正虚、邪毒、痰湿、血瘀是恶性肿瘤淋巴结转移发病因素,痰湿和血瘀是主要病理因素,本虚标实为其病性,脏腑功能失调为发病提供契机,脏腑失调、痰瘀互结为其基本病机。郑教授治疗恶性肿瘤淋巴结转移以软坚散结,消痰化瘀为治则,消痰化瘀贯穿于治疗全过程,针对本病病因病机,自拟软坚消积汤软坚散结,消痰化瘀。郑教授认为,本病虽以“痰、瘀”为病机关键,但又有脏腑、人群、分期、癌种、兼症五个方面侧重:调整脏腑——扶正固本,脏腑同调;因人制宜——综合施治,攻补平衡;因期而治——分期辨证,局整兼顾;因癌而论——分病而治,溯根求源;兼症治疗-对症治疗,综合调治。Professor Zheng Yuling believes that deficiency of healthy qi,toxic pathogens,phlegm-dampness,and blood stasis are the main pathogenic factors of malignant tumor lymph node metastasis,with phlegm-dampness and blood stasis being the primary pathological factors.The disease nature is characterized by root deficiency and branch excess,with visceral dysfunction creating an opportunity for disease occurrence.The fundamental pathogenesis involves visceral dysfunction and intermingled phlegm-stasis.Professor Zheng′s treatment principle focuses on softening hardness,resolving masses,and eliminating phlegm and stasis,with these methods permeating the entire treatment process.She has created a formula called Decoction for Softening Hardened Tissues and Dissolving Accumulated Masses in order to address the disease′s etiology and pathogenesis by softening hardness,dispersing masses,and resolving phlegm and stasis.Professor Zheng believes that although"phlegm"and"stasis"are the key pathological mechanisms of this disease,treatment should focus on the following five aspects:(1).Viscera adjustment:Strengthen healthy qi and consolidate the foundation,achieving simultaneous regulation of organ systems.(2).Individualized treatment:Tailor comprehensive therapies according to the individual,balancing attack and supplementation.(3).Phase-specific treatment:Apply stage-based syndrome differentiation,addressing both local and systemic factors.(4).Cancer-specific approach:Treat based on the cancer type,tracing back to the root causes.(5).Symptomatic management:Address accompanying symptoms with targeted treatments for comprehensive regulation.

关 键 词：恶性肿瘤淋巴结转移 软坚消积汤 脏腑失调 痰瘀互结 郑玉玲 

分 类 号：R273[医药卫生—中西医结合]