刘敬霞从温阳健脾治疗非霍奇金淋巴瘤化疗后结肠溃疡

LIU Jingxia Treating Colonic Ulcers by Warming Yang Spleen after Chemotherapy for Non-Hodgkin's Lymphoma

介绍刘敬霞教授治疗非霍奇金淋巴瘤化疗后结肠溃疡临证经验。刘教授从脾虚湿滞寒凝肉腐论治非霍奇金淋巴瘤化疗后结肠溃疡的学术思想主要体现在临床中重视整体观念及辨证论治,坚持辨体-辨病-辨证相结合的诊疗思路。刘教授指出溃疡病的形成是以脾胃为中心,血、热、气是关键,脾虚是非霍奇金淋巴瘤化疗后结肠溃疡的基本病机,湿滞寒凝是影响溃疡愈合的主要因素。在治疗中遵循温阳益气,健脾化湿的治疗原则。用药时尤重视生黄芪、炙黄芪、炒白术、茜草炭、艾叶炭、蒲黄炭、藕节炭的应用。临证应用归脾汤加减灵活化裁,治疗中强调舌脉之重要性,同时注重饮食调摄作用,疗效显著。

This paper introduces professor LIU Jingxia＇ s clinical experience in the treatment of colonic ulcers after chemotherapy for non-Hodgkin＇s lymphoma. The academic thoughts of professor LIU＇ s treatment are mainly reflected in emphasizing the concept of wholism and syndrome differentiation and treatment as well as adhering to diagnosing and treating thoughts of combining distinguishing constitution,differentiation of disease and syndrome differentiation. She points out that the formation center of ulcer is the spleen and stomach and the key is the blood,heat and Qi. Spleen deficiency is the basic pathogenesis of colonic ulcer after chemotherapy of Non-Hodgkin＇s lymphoma. Qi stagnation is the main factor affecting ulcer healing. In treatment,we should follow the principles of warming yang qi and eliminating spleen dampness. In the medication,we should especially pay attention to the drugs of astragali radix,radix astragali preparata,fried atractylodes,madder charcoal,argyi leaf charcoal,cattail pollen charcoal,lotus node charcoal. And then professor LIU is good at using Guipi Decoction to deal with it. At the same time,she emphasizes the importance of tongue and pulse and pays attention to the diet therapy effect. The clinical curative effect of is distinct.