王沛教授以解毒生肌药外用治疗癌性溃疡的经验

Prof. Wang Pei’s experience in treating cancerous ulcer with detoxifying and flesh-generating medicinals

癌性溃疡是晚期肿瘤患者常见的严重皮肤表现,因溃疡表面有肿瘤细胞浸润,合并感染,常伴有溃烂、渗液、渗血、恶臭等症状。王沛教授认为癌性溃疡由肿瘤所特有的癌毒所引起,外部治疗应着力于消除体表的癌毒,在癌毒消除后,给予生肌敛疮药,以促进创面恢复。治疗上,以拔毒去腐、清除疮疡为先,组方上多加用具有抗癌作用的生药、小毒药。癌性溃疡表面的溃烂腐肉清除之后,治疗上应着力于补气生血、生肌收口,常用补益脾肾、补益气血药。结合临床医案对王教授治疗癌性溃疡的经验进行介绍。

Cancerous ulcers are commonly severe skin manifestations in patients with advanced tumors. It has tumor cell infiltrations, complicated infections due to ulcer surfaces, often accompanied by ulceration, exudation, oozing and malodor. Professor Wang Pei believes that cancerous ulcers are caused by the cancer poison speficic to the tumor, and the external treatment should focus on eliminating the toxin of the exterior. After cancer toxin is eliminated, flesh-generating and ulcer-constraining medicinal can be immediately applied to promote wound recovery. In terms of treatment, priority is given to the removal of toxins and sores and in terms of ingredients, medicinals with anticancer effects were used. When the ulcer surface is cleared, treatment is focused on tonifying qi and blood, and generating fleshes. Medicinals that can tonify the spleen and kidneys, tonify qi and blood are prescribed. Combined with the clinical cases, Prof.Wang’s experience in treating cancerous ulcers is presented in this article.