张琼运用标本兼治与五脏一体观治疗肺癌术后咳嗽

Zhang Qiong Treating Cough After Lung Cancer Surgery Based on Biao Ben Jian Zhi and Wu Zang Yi Ti Guan

肺癌术后咳嗽发于肺,亦不止于肺,肺癌术后多脏虚损,脏腑之间相互影响,气津运行异常为该病的核心病机特点,尤以肺、脾、肾三脏虚损为主。肺虚久咳生风,痰、瘀、毒互结亦为重要致病因素,可见气阴两虚型、肝郁脾虚痰凝型、阴虚内热型、命门火衰型。治疗立足于整体,多脏同调,以润肺、行气、运脾、滋肾、温肾为基本治法,兼以扶正抑癌、活血解毒,咳甚者加用搜风通络解痉之品。

After lung cancer surgery, cough occurs in the lung but not only in the lung.After lung cancer surgery, many viscera are deficient, and the viscera interacts with each other.The main pathogenic factors are the abnormal movement of Qi and body Fluid as well as the viscera deficiency of Lung, Spleen and Kidney;long-term cough induces Wind and Phlegm, blood stasis, and toxins are also important pathogenic factors.Syndromes such as Qi and Yin deficiency type, Liver Qi stagnation and Spleen deficiency and Phlegm coagulation type, Yin deficiency and internal Heat type as well as Mingmen Fire failure type can be seen.The treatment is based on the whole body, with multiple viscera being harmonized at the same time.The basic treatment methods are moistening the Lung, activating the Qi, strengthening the Spleen, nourishing the Kidney and warming the Kidney.It also aims at strengthening the body and suppressing cancer, promoting blood circulation and detoxification.