王瑞平治疗中晚期肿瘤经验

WANG Rui-ping's Experience of Treating Middle-Late Timors

肿瘤初期邪盛而正虚不显,以气滞、血瘀、痰结、湿浊、热毒等实证为主,而中晚期由于癌毒耗伤人体气血津液,故多出现气血亏虚、阴阳两虚等病机转变,邪愈盛而正愈虚,本虚标实,病势日益深重。王瑞平教授认为痰邪与癌肿关系密度,痰是形成肿瘤的重要病理产物,其胶着黏腻之性是肿瘤难以消散的重要原因。因此,健脾益气实为标本兼治之法。其用药纳运相成,升降相宜,燥湿相济,且禁用苦寒药物,忌用香燥之品,慎用滋腻碍胃之品。

In terms of early stage of tumor,pathogenic factors are dominant inducing deficient healthy qi and sthenia manifested as qi stagnation,blood stasis,phlegmatic retention,damp turbidity and toxic heat,etc. When tumor is at middle-late stage,human body＇s qi,blood and fluid are consumed and hurt by cancer viruses,so pathogenesis is mainly manifested as deficiency of both qi and blood,or deficiency of both yin and yang. The more dominant the pathogenic factors are,the more deficient the healthy qi is.Asthenia in origin and sthenia in superficiality make the disease tendency towards worse and worse. Professor WANG Rui-ping thinks that there is a close relationship between phlegm evil and the cancer swelling; Phlegm is an important pathological product of tumor formation,and its sticky and greasy nature are an important cause which makes tumors hard to disappear. Therefore,invigorating spleen and nourishing qi is the method of simultaneous treatment of principal and subordinate symptoms. The drug-use should generate each other,ascend and descend properly,and have reasonable dryness and dampness; Drugs with bitter and cold nature should be forbidden; The ones with aromatic and dry nature are taboos; And the ones with oily and greasy nature which influence stomach digestion should be used with caution.