吴勉华从瘀热论治宫颈癌放射性肠损伤经验  

WU Mianhua’s Experience in Treating Radiation-Induced Intestinal Injury of Cervical Cancer from Stasis Heat

作　　者：秦媛媛 李晓岚 朱玲艳 李文婷[1,2] 李黎[1,2] 卢伟 吴勉华(指导) QIN Yuanyuan;LI Xiaolan;ZHU Lingyan;LI Wenting;LI Li;LU Wei;WU Mianhua(The First Clinical Medical College,Nanjing University of Chinese Medicine,Nanjing 210023,China;Jiangsu Collaborative Innovation Center of Chinese Medicine Prevention and Treatment of Tumor,Nanjing University of Chinese Medicine,Nanjing 210023,China;Department of Traditional Chinese Medicine,Shanghai Jinkang Cancer Hospital,Shanghai 200240,China;Department of Oncology,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210023,China;不详)

机构地区：[1]南京中医药大学第一临床医学院,江苏南京210023 [2]南京中医药大学江苏省中医药防治肿瘤协同创新中心,江苏南京210023 [3]上海进康肿瘤医院中医科,上海200240 [4]南京中医药大学附属医院肿瘤内科,江苏南京210023 [5]不详

出　　处：《山东中医杂志》2025年第4期452-455,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局第七批全国老中医药专家学术经验继承工作项目(批文号:国中医药人教函〔2022〕76号);吴勉华全国名老中医药专家传承工作室(批文号:国中医药人教函〔2022〕75号);第二届全国名中医传承工作室(批文号:国中医药办人教函〔2022〕245号);吴勉华江苏省名老中医药专家传承工作室(批文号:苏中医科教〔2021〕7号);江苏省研究生科研与实践创新计划(编号:SJCX23_0875)。

摘　　要：女性生殖道在解剖位置上与直肠相邻,当宫颈癌患者接受体外放射治疗时,放射线会不可避免地辐照到直肠组织,产生放射性肠损伤。基于瘀热理论,吴勉华教授认为宫颈癌放射性肠损伤的基本病机为瘀热湿相搏、气阴两伤,基本治疗大法为凉血散瘀、益气养阴、清化湿热,并根据不同时期的临床特征及兼夹证候进行辨治,同时始终注意疏肝解郁及顾护脾胃。附医案一则以佐证。The female reproductive tract is anatomically adjacent to the rectum,and when cervical cancer patients receive external radiation therapy,radiation will inevitably irradiate the rectal tissue,resulting in radioaction-induced intestinal injury.Based on the theory of stasis and heat,Professor WU Mianhua believes that the basic pathogenesis of radioaction-induced intestinal injury of cervical cancer is the combination of stasis,heat and dampness,and qi and yin injury,and the basic treatment methods are cooling blood to dissipate blood stasis,invigorating qi and nourishing yin,clearing and resolving dampness and heat,and differentiation and treatment are given according to the clinical characteristics and syndromes of different stages,while attention is always paid to alleviating the liver stagnation and strengthening the spleen and stomach.A test medical case is attached.

关 键 词：宫颈癌 放射性肠损伤 瘀热 凉血散瘀 益气养阴 清化湿热 吴勉华 

分 类 号：R273.055[医药卫生—中西医结合]