浅谈放射性肺炎的辨治体会

Syndrome Differentiation And Treatment of Radiation Pneumania

随着肿瘤放射治疗的广泛应用,放射性肺炎在临床上越来越多见。在尚无特殊治疗方法的情况之下,运用中医独特的理论,对其病因病机及辨证施治进行探讨具有积极意义。吾师徐艳玲教授,呼吸病专家,主任医师,硕士研究生导师,辽宁省名医,从事中医临床、教学及科研二十五载,通晓先贤学术思想,精于理法、深得要义,临证善用经方而不拘泥,医术高超。在放射性肺炎的学术认识及临床治疗方面,既注重传统理法,又有着自己独特的见解及经验,每疗效显著。导师认为,放疗属于外感热邪,与中医温病病因特征类似,具有起病急,传变快,热象偏重,直中脏腑,易伤阴动血、耗损肾精之重要特点,而肾精耗损为病变的中心,也是导致远期肺间质纤维化、呼吸衰竭等的重要因素。提出放射性肺炎属于中医温病范畴,应遵循温病论治,其治疗应以清泄肺热、凉血散血、养阴生津、益肾养元、活血通络为主。吾有幸跟师学习,并侍诊两年余。今浅谈吾师经验之一二,与大家探讨。

With the-radiation--therapy oncology by the wider use of radioactive clinical pneumonia in more and more often. In no special treatment under the circumstances, the use of a unique theory of Chinese medicine, its pathogenesis and differential treatment is of positive significance to explore. The professor of XU Yan-ling,.re.spiratory disease experts,, chief physician, master.trainers., the expert of Liaoning province. Engaged in clinical, teaching and scientific research contained in 25, the sages who know the academic thinking, good at Lifa, .well meaning, the provisional certification by the side and not make the best use of Juni, superb skills. Radioactive pneumonia in the academic knowledge and clinical treatment of not only the traditional focus on Lifa, also.has its o.wn unique insight and experience, every significant effect. That the instructor, Exogenous heat radiation belonging to the evil, and the TCM etiology temperature characteristics similar to the disease, .with acute .onset, fastTchanging, as the emphasis.on hot, straight.in the viscera and easy to move Shangyin blood, an important featureof wear and tear of Shen Jing, and Shen Jing Depletion of the Center for the disease, but also lead to long-term.pulmona.ry fibrosis, resp!rato_ry failure, and other important factors. Radioactive belong to the Chinese medicine made pneumonia Wen disease areas, should follow the rule of Wen＇s disease, its treatment should be Qingxiefeire, cooling blood scattered blood, Yin Chun-sheng, Kidney Yang-yuan, promoting blood circulation to remove the main network. Learning to follow the instructor for more than two years.The exchange of experiences, to explore with you.