刘沈林治疗消化道肿瘤化疗后腹泻经验

Experience of LIU Shen-lin in Treating Chemotherapy-induced Diarrhea in Patients with Gastrointestinal Tumors

刘沈林认为,消化道肿瘤患者术后气血本虚,化疗药物属阴寒药毒范畴,更致患者脾失健运,水走肠间或脾肾阳虚无以温化水湿而发腹泻。治疗上重视培护中焦及先后天阳气,主张灵活掌握风药及温阳药物的运用,辨证论治,审症求因,提出应渗湿止泻,健脾温阳。本文自化疗后腹泻方面,介绍刘沈林经验,并附验案两则,以飧读者。

Professor LIU Shen-lin believes that postoperative patient with gastrointestinal tumors usually are in a state of Qi and blood deficiency.In the field of traditional Chinese medicine,chemotherapy drugs are considered as the yin-cold drug-toxin,which can weaken the spleen and result into the water flow into the intestine,or cause the deficiency of spleen and kidney yang and result into the failure of warming and transporting the fluid,so as to develop the diarrhea.For the treatment of chemotherapy-induced diarrhea,Professor Liu addresses the importance of the cultivation and protection of the middle energizer and the congenital and postnatal yang Qi.He advocates a flexible usage of wind herbs and yang-warming herbs following syndrome differentiation and treatment and selecting treatment according to the etiological analysis.And the therapies of draining dampness to stop diarrhea,invigorating the spleen and warming yang can be used.This article introduces Professor Liu’s experience in treating chemotherapy-induced diarrhea,and two proven cases were presented.