中医药治疗恶性肿瘤淋巴结转移思路初探

Primary Study on Treating Lymph Node Metastasis of Malignant Tumors with Chinese Medicine

淋巴结转移是恶性肿瘤最常见的转移途径,恶性肿瘤的转移使其预后极差。中医学认为癌病是正气内虚、感受邪毒、情志怫郁、饮食损伤、素有旧疾等因素引起脏腑功能失调,气血津液运行失常,产生气滞、血瘀、痰凝、湿浊、热毒等变化,蕴结于脏腑组织,相互搏结,日久积渐而成。笔者认为恶性肿瘤淋巴道转移的主要病机为痰毒血瘀互结,治疗上宜活血化瘀、化痰散结,辅以理气行滞,临床拟用化痰散结方(夏枯草、猫爪草、喜树果、浙贝母、皂角刺、海藻、昆布、山慈菇、天花粉、白芥子、川芎、半夏、枳壳、白术、茯苓、黄药子、桔梗)随症加减治疗,收到较好的效果。

Lymph node metastasis is the most common path of malignant tumors,and the prognosis of malignant tumors is very poor due to metastasis.In Chinese medicine,cancer is considered as the dysfunction of zang-fu organs caused by the internal deficiency of healthy qi,invasion of pathogenic toxin,depressive emotion,diet damage,ongoing diseases and other factors,which causes the abnormal transformation of qi,blood and body fluids.Therefore,it leads to qi stagnation,blood stasis,phlegm coagulation,damp-turbidity and heat toxin,binding into the zang-fu organs and resulting in contention between each other.As time goes by,they accumulate and become into lymph node metastasis.The author believes that the main pathogenesis of lymphatic metastasis of malignant tumors is the binding of phlegm,toxin and blood stasis.In terms of its treatment,the author holds that it is suitable to invigorate blood and dissolve stasis,dissolve phlegm and dissipate masses,and rectify qi and move stagnation if necessary.In terms of clinical prescriptions,the author considers that the modified Huatan Sanjie prescription according to different symptoms(including Spica Prunellae,Radix Ranunculi Ternati,Camptotheca acuminate Decne,Bulbus Fritillariae Thunbergii,Spina Gleditsiae,Sargassum,Thallus Laminariae,Pseudobulbus Cremastrae seu Pleiones,Radix Trichosanthis,Semen Sinapis,Rhizoma Chuanxiong,Rhizoma Pinelliae,Fructus Aurantii,Rhizoma Atractylodis Macrocephalae,Poria,Rhizoma Dioscoreae Bulbiferae and Radix Platycodonis)will lead to a positive therapeutic effect.