中医“群段”分治思想在原发性支气管肺癌治疗中的应用

Application of the Thoughts of Chinese Medicine Groups and Stages Based Treatment in Primary Bronchogenic Carcinoma

原发性支气管肺癌(简称肺癌)为多病因相互作用的结果,病机复杂,正虚与邪实随病情进展而演变,故中医治疗在整体观念和辨证论治指导下亦应因变而治。在继承前贤学术思想的基础上,结合自身临证心得,提出了肿瘤的中医"群段"分治思想,将肺癌的诊疗概括为纯中医治疗和中西医结合治疗两大类,纯中医和围手术期、无瘤生存、带瘤生存4个群体,共计早期阶段、中期阶段、晚期阶段、手术前阶段、手术后阶段、辅助化疗阶段、无瘤康复阶段、新辅助治疗阶段、姑息抗癌治疗阶段、中药维持治疗阶段、姑息性症状控制阶段、临终前阶段13个阶段,为中医药参与肺癌的全程管理提供参考。

Primary bronchogenic carcinoma（ lung cancer is called for short） is a result effected by many pathogenies. Its pathogenesis is complex,and body resistance weakens with pathogenic factors prevailing with the progress of disease. Chinese medical treatment should also change under the guidance of holism and treatment based on syndrome differentiation. On the basis of inheriting the academic thoughts of predecessors and combined with their own clinical experience,the authors put forward Chinese medical treatment according to different groups and stages about cancer.The authors summarized the diagnosis and treatment of lung cancer for pure Chinese medical therapy and therapy combined Chinese medicine and western medicine,including four groups that pure Chinese medicine,perioperative period,tumor-free survival and survival with tumor and thirteen stages that the early stage,the medium stage,the late stage,the pre-operation stage,the postoperation stage,the adjuvant chemotherapy stage,the tumor-free recovery stage,the neoadjuvant therapy stage,the palliative anti-cancer therapy stage,the maintenance treatment by Chinese medicine stage,the palliative control symptom stage and the predeath stage. It provided reference for Chinese medicine participating in the overall management of lung cancer.