恶性淋巴瘤中医辨证治疗

Syndrome based Chinese Medicine Treatment for Malignant Lymphoma

笔者根据恶性淋巴瘤患者放化疗前常见临床表现,将恶性淋巴瘤分为寒痰凝滞证、气滞毒瘀证、虚火痰结证、血瘀癥积证、血热风燥证、肝肾阴虚证和气血双亏证7种中医证候;恶性淋巴瘤放化疗后患者症状发生变化,总结放化疗后证候变化,可分为痰湿蒙胃证、阴虚火旺证、毒热内结证、气血两虚证和肝脾失调证,并拟定中医药治疗恶性淋巴瘤及其放化疗后的中医药治疗方案,探索中医临证治疗此病的新思路。

Based on common clinical manifestations of malignant lymphoma,we classified malignant lymphoma into seven TCM syndromes（coagulated-cold-phlegm syndrome,qi-stagnation-and-toxic-stasis syndrome,deficient-fire-and-coagulated-phlegm syndrome,blood-stasis-and-abdominal-mass syndrome,blood-heat-and-wind-dryness syndrome,liver-and-kidney-yin-deficiency syndrome and bothqi-and-blood-deficiency syndrome）.According to clinical symptom after radiotherapy,we classified patients to phlegm-dampness-disturbing-stomach syndrome,fire-hyperactivity-due-to-yin-deficiency syndrome,internal-heat-toxic-stasis syndrome,both-qi-and-blood-deficiency syndrome and liver-and-spleen-disorder syndrome.Based on the classification,we implement different TCM treatment strategies for patients with malignant lymphoma before and after chemotherapy to receive better treatment efficacy.