林胜友主任中医师治疗化疗相关性呕吐经验

Chief TCM Doctor LIN Shengyou's Experience in Treating Chemotherapy-associated Vomiting

[目的]分析讨论林胜友主任中医师治疗化疗相关性呕吐的临证经验。[方法]通过跟师学习,归纳整理病案,结合林师平日指导,分析化疗相关性呕吐的病因病机,总结林师治疗该疾病的临床经验,并附验案加以佐证。[结果]林师认为化疗相关性呕吐的病因病机为中焦土虚,胃气失和;腑实不通,浊气犯胃;肝胆不利,气机失转,治疗上主要从健脾土、通肠腑、畅气机着手。所举验案,患者辨证为脾虚腑实,兼有肝郁,采取健脾通腑,辅以疏肝解郁治疗化疗相关性呕吐,疗效明显,顺利帮助患者度过化疗阶段。[结论]林师治疗化疗相关性呕吐采用健脾、通腑、疏肝治法,通补并用,可以取得较好的疗效。

[Objective]To analyze and discuss Chief traditioral Chinese medicine(TCM)Doctor LIN Shengyou's clinical experience in treating chemotherapy-associated vomiting.[Methods]Through learning from teacher,summarizing and sorting out the medical records,combined with the daily guidance of Teacher LIN,the etiology and pathogenesis of chemotherapy-related vomiting were analyzed,the clinical experience of Teacher LIN in treating this disease was summarized,and one case was presented as proof.[Results]Teacher LIN thinks that the etiology and pathogenesis of chemotherapy-related vomiting are deficiency in middle-Jiao and disharmony in stomach;the excessive bowels are impassable,the pathogenic factors invade the stomach;the liver and gallbladder are unfavourable,and the moveonert of Qi is abnormal.The treatments mainly focus on tonifying the spleen,stretching the bowels and Qi movement.In the medical case,the patient was differentiated as spleen deficiency,the impassable bowels,and liver depression,the treatment of strengthening the spleen and dredging the viscera,combined with soothing the liver and relieving depression was adopted,the patient achieved obvious curative effect,and successfully completed the chemotherapy stage.[Conclusion]Teacher LIN treats chemotherapyrelated vomiting with strengthening the spleen,dredging the bowell and soothing the liver,combined dredging with tonifying,and achieves good curative effects.