中医药与放射综合治疗恶性肿瘤辨证思路初探

The initial thinking in the analysis of diagnosis and treatment combined with Traditional Chinese Medicine and radiotherapy in malignant tumor patients

以中医理论为主导 ,结合现代放射生物学原理、临床放射治疗经验和研究现状 ,分别论证了放射疗法毒副作用的主要病理变化为脾胃亏损 ,病机转化过程中主要由脾胃功能损伤 ,水液输布失常而变生湿热内蕴 ,日久耗气伤阴 ,导致正气不足 ,气阴亏虚。同时强调在具体辨证施治时 ,还应结合放射治疗的具体部位以及治疗过程中的不同时期病人的体质差异 ,分别轻重缓急 ,采取相应的对策。

The paper is derived from theory of Chinese Medical Science,combined with the principle of modern radiobiology and the experiences toxictites of radiotherapy,then proved respectively that for the toxicities of radiotherapy,the basical pathology is the impairment of spleen and stomach.The function of spleen and stomach is injuried,the circulation of bodyfluid are abnormal and the damp fever is got.If the situation maintained for a long time,the vital energy will be exhaused and the vital essence will be deficiency.When emphasized the analysis of diagnosis and treatment,we should give patients advisable traditional treatment according to their local diseases,the differences of their bodies during radiotherapy.