吴良村论治卵巢癌临床经验探析

Wu Liangcun's Analysis about Clinical Experience of Ovarian Cancer's Treatment

[目的]总结国家级名中医吴良村教授临床辨证施治卵巢癌的经验。[方法]通过学习和跟随吴良村教授临诊,分别从病因病机、辨证论治等方面论述吴老诊治卵巢癌的学术观点和临床经验,阐述其谴方用药的特点,并附验案举隅。[结果]吴师认为卵巢癌的病因病机主要为先天禀赋不足、素体虚弱导致寒凝、气滞、血瘀、痰湿病邪搏结,留滞不去,聚而成癥。并将常见的卵巢癌辨证分型为气滞血瘀、痰湿凝聚、肝肾阴虚、气血两虚四型。在治疗上将辨证和辨病有机结合,在遣方用药上力求精简,使药物的药效达到最大化,临床每获良效。[结论]吴良村教授诊治卵巢癌擅长病证结合,用药灵活,疗效甚佳,对指导临床有实用价值,值得推广。

[Objective] To summarize national famous doctor of traditional Chinese medicine-Wu Liangcun＇s experience about the clinical treatment of ovarian cancer. [Method] By studying and following Professor Wu Liangcun to diagnose, this paper discusses Professor Wu ＇s academic views and clinical experience of diagnosis and treatment of ovarian cancer respectively from the aspects such as etiology and pathogenesis, and treatment based on syndrome differentiation. It expounds the characteristics of his prescription and also gives proven cases. [Result]Professor Wu Liangcun proposes that the pathogenesis of ovarian cancer is mainly congenital deficiency and physical weakness resulted from cold coagulation, qi stagnation, blood stasis and phlegmatic hygrosis.All these remain a standstill, gather together and become a disease. He uses the syndrome differentiation method to divide the common ovarian cancer into four types： blood stasis and vital energy retardation, phlegm dampness condensation, deficiency of liver-yin and kidney-yin, asthenia of qi and blood. In the treatment, he organically combines the dialectics and the differentiation of disease; In the selection of drugs, he streamlines the prescription and the drug,which maximizes the efforts of the drugs and has good efforts in clinic.[Conclusion] Professor Wu Liangcun is good at making a diagnosis and giving treatment of ovarian cancer in combination with disease and syndrome, and he uses medicine flexibly. It has a very good effect and practical value for guiding clinic,and it should be promoted.