查名宝治疗中晚期胃癌的临床经验

Clinical Experience of Mingbao Zha in the Treatment of Advance Gastric Cancer

胃癌是我国常见恶性肿瘤,其发病率、死亡率呈逐年上升趋势。查名宝根据多年临床经验认为"脾胃虚弱"是胃癌病变之本源,强调脾胃乃后天之本,气血生化之源,"内伤脾胃、百病尤生",故脾胃虚弱是导致"正虚"的主要原因,"邪盛"则以痰湿、气滞、血瘀、癌毒为主。治疗胃癌,应"治病求本",培补正气、扶正祛邪为重中之重,基本治疗原则是扶正祛邪,攻补兼施,扶正在于培土健脾、补气调血;祛邪则在祛痰除湿、理气活血、化瘀解毒。并重视肝、胆、脾、胃在消化食物、化生气血、气机调节上的相互作用,及脾肾"先天温养后天,后天滋养先天"的关系,兼以调肝理脾,培补先天。强调扶正祛邪应讲究时机,明确肿瘤的临床分期,以及患者所处治疗期,切不可攻补失当。倡导中西并举,辨证与辨病相结合,以证为主,以病为辅,随证加减,灵活运用,拓展了中医治疗胃癌新思路,临床上取得了良好的治疗效果。

Gastric cancer is the common malignant tumor in China,It’s morbidity and mortality increased year by year.Based on years of experience,Zha Mingbao thinks that "weak spleen and stomach" is the origin of gastric cancer.Emphasizing the spleen and stomach as the acquired foundation,are source of qi and blood."Injury of spleen and stomach is the caused of various disease."therefore,the weakness of spleen and stomach is the main cause of "vital-energy deficient ".Phlegm-dampness,qi Stagnation,blood stasis and cancer toxicity are the main pathogenic factors.In the treatment of gastric cancer,we should "seek the root of the disease"The most important thing is to cultivate and nourish the vital energy,strengthening the vital energy and eliminating pathogenic factors.The basic principle of treatment is to strengthen the vital energy and eliminate pathogenic factors,to attack and supplement at the same time.Strengthening the vital energy in cultivating soil,strengthening spleen,invigorating qi and regulating blood circulation.Elminating pathogenic factors are expelling phlegm and dampness,regulating qi,activating blood circulation,and removing blood stasis and detoxifying.Zha Mingbao is mphasize the interaction of liver,gallbladder,spleen and stomach in digestion of food,activation of blood and regulation of qi,and the relationship of "congenital warm nurture acquired,acquired nurture congenital" between spleen and kidney,and regulate liver and spleen,make up congenital accessorily.Director Zha emphasized that strengthening the body and eliminating pathogens should pay attention to the opportunity,clarifying the clinical stage of tumors and the treatment period of patients,and must not be inappropriated.He advocates the combination of Chinese and Western medicine,the combination of syndrome differentiation and disease differentiation,and the syndrome differentiation is more important then disease differentiation,the addition and subtraction of syndrome with flexible application.He had expanded the new thinking of traditional Chinese medicine treatment of gastric cancer,and achieved good clinical therapeutic effect.