从脾论治在肺癌术后并发症中的应用举隅

Application of Treatment from Spleen in Postoperative Complications of Lung Cancer

手术是肺癌的重要治疗手段,术后并发症的防治意义重大。肺癌术后并发症以肺脾俱虚、癌毒内结、气阴两伤为基本病机,证属标实本虚,临证需结合实际有所侧重。治疗上可从脾论治,以健脾补肺、抗癌解毒、益气养阴为根本大法,并佐运脾醒脾之法,选方用药宜平和精简。分别列举从脾治肺法用于肺癌术后并发症之术后咳嗽案、术后不寐案、术后背部疼痛案以佐之。

Surgery is an important treatment method for lung cancer,and the prevention and treatment of postoperative complications are of great significance.Post-operative complications of lung cancer mainly involve the primary disease mechanism of lung and spleen deficiency,internal accumulation of cancer toxin,and injury of qi and yin,and the pattern is of excessive branch and deficient root,which are emphasized in variation according to the clinical situation.As to the treatment spleen should be treated,with invigorating spleen and tonifying lung,anticancer and detoxification,benefiting qi and nourishing yin as the primary method,supplemented with the method of activating and enlivening spleen,and prescriptions of formulas and medicinals should be mild and concise.The cases of postoperative cough,postoperative insomnia and postoperative back pain are listed respectively to illustrate treating lung from spleen for postoperative complications of lung cancer.