刘燕池运用滋阴散结方治疗肺癌术后经验

Liu Yanchi’s experience in treating postoperative lung cancer with Ziyin Sanjie Prescription

介绍刘燕池教授以滋阴学派思想为指导,自拟滋阴散结方治疗肺癌术后的临证经验。认为肺癌术后的病因病机是以气阴两伤为主的正虚邪实;肿瘤的本质为热邪,易耗伤精血津液及正气;正气本虚,经手术再伤正气;术后肿瘤虽祛除,但体内仍有痰饮等实邪,易致恶化。其治则治法为扶正为纲,培土生金,补脾胃之气阴以生肺之气阴;祛邪为辅,化痰软坚,散结消肿兼以调气。临床在消瘰丸基础上以自拟滋阴散结方作为基础方应用于肺癌术后的治疗,再根据不同变证加减化裁。并举验案1则。

The purpose of this paper is to introduce Professor Liu Yanchi’s clinical experience in the treatment of lung cancer after operation with Ziyin Sanjie Prescription,a self-made formula,under the guidance of the academic thought of nourishing yin.It is considered that the etiology and pathogenesis of postoperative lung cancer is healthy qi deficiency and pathogenic factors excess mainly caused by dual damage of qi and yin.The essence of tumor is pathogenic heat in tradition Chinese medicine,which is easy to consume essential substances,blood,body fluid and healthy qi,and the deficiency of healthy qi is injured again after surgery.Although the tumor was removed after operation,there are still excess-pathogens such as phlegm and fluid in the body,which can easily lead to deterioration and other risks.The principle of treatment is reinforcing healthy qi as the key point,such as tonifying the spleen and replenishing the lung,that is to reinforcing the qi and yin of the spleen and stomach to generate the qi and yin of the lung,and dispelling pathogens as a supplement,such as resolving phlegm and softening hardness,dissipating bind and subduing swelling and regulating qi.The self-made Ziyin Sanjie Prescription on the basis of Xiaoluo Pills is used as the basic prescription for the postoperative treatment of lung cancer,and then modified according to different syndromes.And one proven case is presented.