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毛昀,陈峥,褚雪镭,苏毅馨,薛鹏,朱世杰.国医大师朱良春治疗骨转移临证经验[J].湖南中医药大学学报英文版,2020,40(9):1101-1105.[Click to copy
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| 国医大师朱良春治疗骨转移临证经验 |
| 毛昀,陈峥,褚雪镭,苏毅馨,薛鹏,朱世杰 |
| (中国中医科学院望京医院肿瘤科, 北京 100102;北京中医药大学研究生院, 北京 100029) |
| 摘要: |
| 首届国医大师朱良春临证70余载，认为晚期恶性肿瘤患者常处于肾精亏虚、骨髓失养的状态，加之癌邪侵袭入骨，产生气滞、血瘀、痰凝、毒结等变化，最终导致骨转移的发生，出现疼痛、骨折等症状。骨转移以肾虚为本、痰瘀为标，在治疗过程中应当辨证与辨病并举、扶正与祛邪并重，重视命门之火在骨转移治疗中的重要性；将骨转移痛症归纳为风痛、寒痛、热痛、湿痛、瘀痛、虚痛6种进行辨证论治，善用虫类药治疗骨转移，并取得良好的临床疗效。 |
| 关键词: 骨转移 肾虚精亏 扶正祛邪 辨证 辨病 痛症 虫类药 朱良春 |
| DOI：10.3969/j.issn.1674-070X.2020.09.011 |
| Received:June 14, 2020 |
| 基金项目:国家自然科学基金面上项目（81973640）。 |
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| Clinical Experience of Traditional Chinese Medicine Master ZHU Liangchun in the Treatment of Bone Metastases |
| MAO Yun,CHEN Zheng,CHU Xuelei,SU Yixin,XUE Peng,ZHU Shijie |
| (Oncology Department, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China;Graduate School, Beijing University of Chinese Medicine, Beijing 100029, China) |
| Abstract: |
| The first session TCM Master, ZHU Liangchun has been in clinical practice over 70 years. He believes that malignant tumor patients often have kidney vacuity and essence depletion, bone marrow dystrophy, and cancer invasion into the bone, resulting in Qi stagnation, blood stasis, phlegm coagulation, toxic mass and other pathological changes, eventually leading to bone metastasis, and pain, fracture and other symptoms. The bone metastases were rooted in kidney deficiency and manifested by phlegm and blood stasis. In the process of treatment, he proposed that we should pay equal attention to differentiation of syndromes and diseases, pay equal attention to strengthening the body resistance and eliminating pathogenic factors, and pay attention to the importance of the fire of life gate in the treatment of bone metastasis. He classified bone metastasis pain into wind pain, cold pain, heat pain, dampness pain, blood stasis pain and deficiency pain for syndrome differentiation and treatment. He was good at using insect drugs to treat bone metastases, which achieved good clinical efficacy. |
| Key words: bone metastases kidney vacuity and essence depletion strengthening the body resistance to eliminate pathogenic factors syndrome differentiation disease differentiation pain insect drugs ZHU Liangchun |
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