基于癥积理论辨治颅内肿瘤——中医脑病理论与临床实证研究（十三）

Differentiating and Treating Intracranial Tumors Based on Stagnation Theory:Chinese Medicine Encephalopathy Theory and Clinical Empirical Research （Ⅷ）

颅内肿瘤具有癥积的形态特征及病理过程,其病机为虚滞生积、脏虚邪结、邪气相抟,以补虚行气、化滞攻积为治疗大法。本文通过脑胶质瘤术后复发并脑水肿、肺癌化疗后心包纵隔转移并脑转移2则医案,阐述了选择应用抗癌中药,以病机为核心,根据手术放化疗与否,分期和法论治,并重视对症治疗,着眼提高患者生活质量的临床体会。

Although intracranial tumors have morphological characteristics and pathological processes of stagnation theory,their pathogenesis is deficiency and stagnation,viscera deficiency and pathogen stagnation,the transformation of pathogen,The treatment method is supplement deficiency to activate qi and dispel stagnation to attack it.In this article,by 2 medical cases of glioma recurrence and cerebral edema,pericardial mediastinal metastasis,and brain metastasis after chemotherapy for lung cancer,it was elaborated that by using anti-cancer traditional Chinese medicine,focusing on the pathogenesis,according to the situation whether to chemoradiotherapy,staging and treatment of harmonizing method,we should attach great importance to treatments by different syndromes and to improving the life quality in clinical practice.