周永明治疗恶性肿瘤化疗后骨髓抑制的经验

Prof.Zhou Yongming's Experiences in Myelosuppression after Chemotherapy of Malignant Tumor

骨髓抑制是恶性肿瘤(化学治疗)化疗后常见并发症之一,临床中常常影响治疗的进行,现代医学应用集落刺激因子(CSF)、血小板生成素(TPO)等取得一定疗效,但价格和其不稳定性临床受限,周永明教授具有深厚的中医功底及扎实的西医理论,应用中医理论联系现代免疫学研究,中西医结合,系统总结出健运脾胃,补益肝肾;调理脏腑,促进排泄;解毒祛邪,有利正复;辨病辨证,遣方选药;结合药理调节免疫等治法,在此指导下,应用中医药方药治疗化疗后骨髓抑制,常用方药有:香砂六君子汤、六味地黄丸、逍遥散、圣愈汤、泻白散,白花蛇舌草、半枝莲、连翘、车前子、鸡血藤、丹参等,效果显著,值得推广。

Myelosuppressionisoneofthecommoncomplicationsofchemotherapyformalignant tumor and it often affects the progression of treatment.Modern medicine achieves a certain efficacy on it with colony stimulating factor（CSF）and thrombopoietin（TPO）.But its cost and instability limit the clinical prac-tice.Prof.Zhou Yongming has solid theoretic foundation of traditional Chinese medicine（TCM）and western medicine.He integrates TCMtheory with modern immunology study and summarizes systematically the experi-ences in the treatment based on strengthening the spleen and stomach,tonifying the liver and kidney;regula-ting zangfu function and promoting excretion,detoxification,removing pathogens and promoting the recovery;selecting the herbal formulas based on disease and symptom differentiation,and regulating the immunity.The common formulas and herbs for the treatment of myelosuppression after chemotherapy include Xiangsha Liu-junzi Tang;Liuwei Dihuang Wan,Xiaoyao San;Shengyu Tang;Xiebai San;hedyotis diffusa,sculellaria barba-ta,fuctus forsythiae,semen plantaginis,caulis spatholobi,and salvia miltiorrhiza.The efficacy is significant and this therapy deserves to be promoted.