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治疗恶性肿瘤寒凉药不可多
引用本文:陈玉卿,王玉生.治疗恶性肿瘤寒凉药不可多[J].中医临床研究,2014(3):64-64.
作者姓名:陈玉卿  王玉生
作者单位:海军总医院,北京 海淀100048
摘    要:为什么治疗恶性肿瘤寒凉药不可多用,其原因有二,一是恶性肿瘤的发病及发展中、或在手术后、放化疗、介入等方法治疗后,会产生气血津液大量的亏损,甚至逐渐形成阳虚。二是患者素体阳虚或感受寒邪的入侵而造成恶性肿瘤。总结了该病虚寒者多,实热者少,正虚邪实者多,单独邪实者少,所以治疗该病是扶正祛邪者多,单独泻实者少,可以看到,伤气、伤阳的寒凉药即不可多用了。文中分别列有温阳兼解毒法、温阳兼化痰法、温阳兼化瘀法、温阳兼软坚散结法的不同应用,其中列举了四种方法中的最佳常用药物,最后以温阳法治疗胃癌手术后,中阳损伤的实际案例。

关 键 词:寒凉药  温阳法  正虚邪实  胃癌手术  虚寒  解毒法  化痰法  素体阳虚  寒邪  脉沉迟

Few Drugs in Cold Nature in Treating Malignant Tumor
Abstract:There are two reasons to illustrate that drugs in cold nature cannot be used too common in treating malignant tumor:a. In the formation and development of a malignant tumor, postoperation, after radiotherapy, chemotherapy or interventional therapy, Qi, blood and body fluid will be seriously deficient, and the deficiency of Yang will gradually form. b. Patients with Yang deficiency or wind-cold fettering the exterior have tendency to develop malignant tumors. Overall, deficient cold syndrome is more common than excess heat syndrome in malignant tumors, and most patients have deficient syndrome. Therefore, strengthening the body resistance to eliminate pathogenic factors is more common used than reducing excess, drugs in cold nature which will hurt Qi and Yang cannot be used too often. In this paper, the different application of warming yang and detoxification method, warming yang and reducing phlegm method, warming yang and dispersing blood stasis method and warming yang and resolving hard lump are introduced. Besides, the best commonly used drugs are illustrated. Finally, an actual case is reported which warming yang method is used in treating gastric cancer after surgery.
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