杨宇飞教授阶段辨治晚期结直肠癌的中西医并重思路与经验总结

Professor YANG Yufei′s Thoughts and Experience Summary on the Treatment of Advanced Colorectal Cancer by Paying Equal Attention to Traditional Chinese and Western Medicine

结直肠癌具有高发病率与高死亡率,晚期结直肠癌大多无法治愈,虽然西医常规治疗为患者带来生存获益,但疾病本身引起的症状与西医治疗带来的不良反应往往使患者痛苦不堪,严重影响患者的生命质量。除此之外,晚期结直肠癌的西医常规治疗无法覆盖所有人群,对于部分经济基础差、体弱、高龄、西医治疗意愿不强而拒绝或无法接受西医常规治疗的患者来说,迫切需要新的治疗方式弥补常规治疗的缺口,扩大治疗覆盖面。中医药治疗肿瘤历史悠久,在减轻晚期结直肠癌西医治疗不良反应、增加治疗疗效、延长生存期、提高生命质量方面发挥重要作用。杨宇飞教授认为晚期结直肠癌的治疗不能单靠中医或西医一种治疗手段,强调中西医并重是晚期结直肠癌的核心治疗策略,以人为本是要坚持的治疗理念,要在不同疾病发展阶段根据患者的治疗意愿、疾病特征与个人体质灵活选用中医为主或者西医为主、中医为辅或中西医相辅相成的中西医并重治疗策略。在遣方用药时扶正祛邪是晚期结直肠癌治疗核心,健脾补肾解毒是治疗首推之法,根据病情的不同发展阶段与患者所处的西医不同治疗阶段,灵活调节扶正祛邪比例,最终达到提高晚期结直肠癌患者生命质量,延长生存期的目的。

Colorectal cancer(CRC)has high morbidity and mortality,the most advanced CRC cannot be cured.Although conventional Western medicine treatment brings survival benefits to patients,the symptoms caused by the disease itself and the adverse reactions caused by Western medicine treatment often make patients miserable and seriously affect the quality of life.In addition,conventional Western medicine treatment for advanced colorectal cancer cannot cover all the population.For some patients who have poor economic foundation,frail,elderly,and poor willingness to treat by Western medicine and refuse or cannot accept conventional Western medicine treatment,there is an urgent need for new treatments.The treatment method makes up for the gap of conventional treatment and expands the coverage of treatment.Traditional Chinese medicine has a long history in the treatment of tumors,and it plays an important role in reducing the side effects of Western medicine treatment of advanced colorectal cancer,increasing the therapeutic effect,prolonging the survival period,and improving the quality of life.Prof.YANG believes that the treatment of advanced colorectal cancer cannot rely solely on traditional Chinese medicine or Western medicine.She put equal emphasis on traditional Chinese and Western medicine as the core treatment strategy for advanced colorectal cancer.People-oriented is the treatment concept to be adhered to.It should be based on patients at different stages of disease development.For his treatment willingness,disease characteristics and personal physique,he flexibly chooses Chinese and Western medicine treatment strategies with traditional Chinese medicine as the main or western medicine as the mainstay,Chinese medicine as the auxiliary or complementary Chinese and Western medicine.Strengthening the vital qi and eliminating pathogenic qi are the core of the treatment of advanced colorectal cancer when using prescriptions.Strengthening the spleen and kidneys and detoxification is the first treatment method.According to the different development stages of the disease and the different treatment stages of the patient′s Western medicine,the ratio of strengthening the body and eliminating pathogens can be flexibly adjusted.We ultimately achieve the purpose of improving the quality of life of advanced colorectal cancer and prolonging the survival period.