国医大师潘敏求治疗脑瘤经验

The Experience of National CM Master PAN Minqiu in treating brain tumors

颅脑恶性肿瘤是发生在脑神经组织的恶性肿瘤,因其细胞分化不良,生长迅速,难以根治,因而预后不良。国医大师潘敏求教授认为本病发生的病机为肝脾不调、肾气亏虚、风挟痰瘀内阻于脑,病位在脑,与肝脾肾密切相关,病理因素多强调风、痰、瘀、毒。治以“疏肝健脾,补肾益精,祛风化痰散瘀”,辨证的重点在于辨虚实,强调根据病情轻重缓急,中西协同,重视情志疏导,根据不同证型及其阶段性变化,有所侧重和兼顾。总结潘敏求教授治疗脑瘤经验,另附验案一则,加以阐明。

Malignant brain tumors are carcinomas occurring in the neural tissues of the brain.Due to their poor cell differentiation,rapid growth,and difficulty in achieving a cure,the prognosis for those tumors is often poor.PAN Minqiu,a National CM Master,believes that the pathogenesis of those diseases involves disharmony of the liver and spleen,kidney qi deficiency,and an obstruction within the brain caused by pathogenic wind combined with phlegm and static blood.They are located in the brain but closely related to the liver,spleen,and kidneys.The pathological factors primarily involve wind,phlegm,static blood,and toxins.The treatment focuses on“soothing the liver and strengthening the spleen,tonifying the kidney essence,as well as dispelling wind,resolving phlegm,and dissipating blood stasis”.The key to pattern differentiation lies in distinguishing between deficiency and excess.Emphasis should be placed on employing various integrated therapies of Chinese and Western medicine according to the severity and urgency of the disease,and regulating emotional state as well.According to different patterns and their stage-specific changes,treatment methods should be focused and balanced.This paper summarizes the experience of Professor PAN in treating brain tumors,and provides a verified medical record for further illustration.