浙江中医药大学学报
浙江中醫藥大學學報
절강중의약대학학보
JOURNAL OF ZHEJIANG UNIVERSITY OF TRADITIONAL CHINESE MEDICINE
2015年
5期
335-337
,共3页
膀胱癌%何若苹%分阶段%术后灌注阶段%随访阶段%姑息转移阶段%名医经验
膀胱癌%何若蘋%分階段%術後灌註階段%隨訪階段%姑息轉移階段%名醫經驗
방광암%하약평%분계단%술후관주계단%수방계단%고식전이계단%명의경험
bladder cancer%He Ruoping%by stages%postoperative perfusion stage%follow-up stage%palliative transfer stage%famous doctor’s experience
[目的]总结何若苹主任中医师分阶段治疗膀胱癌的经验。[方法]通过多年侍诊及自身临床实践，从病因病机、治则治法、辨证用药特点等方面出发，归纳总结何若苹老师分阶段治疗膀胱癌的特点，并通过案例具体说明。[结果]何若苹老师倡导中西医结合，采用中医辨证和西医辨病相结合的方法，对膀胱癌提出阶段性治疗原则，分为术后灌注、随访以及姑息转移3个不同阶段。根据不同阶段的证型特点遣方用药：术后灌注阶段分灌注期与间歇期区别用药；随访阶段分瘀毒蕴结型、湿热下注型、脾肾两虚型3型辨治；姑息转移阶段以扶正为主、祛邪为辅原则治疗。所举案例经中医辨证治疗，诸证平稳。[结论]何若苹老师运用分阶段法辨治膀胱癌，取得了良好的临床疗效，对临床实践具有启示意义，具有推广应用价值。
[目的]總結何若蘋主任中醫師分階段治療膀胱癌的經驗。[方法]通過多年侍診及自身臨床實踐，從病因病機、治則治法、辨證用藥特點等方麵齣髮，歸納總結何若蘋老師分階段治療膀胱癌的特點，併通過案例具體說明。[結果]何若蘋老師倡導中西醫結閤，採用中醫辨證和西醫辨病相結閤的方法，對膀胱癌提齣階段性治療原則，分為術後灌註、隨訪以及姑息轉移3箇不同階段。根據不同階段的證型特點遣方用藥：術後灌註階段分灌註期與間歇期區彆用藥；隨訪階段分瘀毒蘊結型、濕熱下註型、脾腎兩虛型3型辨治；姑息轉移階段以扶正為主、祛邪為輔原則治療。所舉案例經中醫辨證治療，諸證平穩。[結論]何若蘋老師運用分階段法辨治膀胱癌，取得瞭良好的臨床療效，對臨床實踐具有啟示意義，具有推廣應用價值。
[목적]총결하약평주임중의사분계단치료방광암적경험。[방법]통과다년시진급자신림상실천，종병인병궤、치칙치법、변증용약특점등방면출발，귀납총결하약평로사분계단치료방광암적특점，병통과안례구체설명。[결과]하약평로사창도중서의결합，채용중의변증화서의변병상결합적방법，대방광암제출계단성치료원칙，분위술후관주、수방이급고식전이3개불동계단。근거불동계단적증형특점견방용약：술후관주계단분관주기여간헐기구별용약；수방계단분어독온결형、습열하주형、비신량허형3형변치；고식전이계단이부정위주、거사위보원칙치료。소거안례경중의변증치료，제증평은。[결론]하약평로사운용분계단법변치방광암，취득료량호적림상료효，대림상실천구유계시의의，구유추엄응용개치。
Objective] To sum up director doctor He Ruoping’s by stages treatment experience in treating bladder cancer. [Method]By learning from director doctor He Ruoping for many years and combining my own clinical experience, from the etiology and pathogenesis, therapeutic principle of TCM syndrome differentiation treatment characteristics, etc, it sums up the teacher He ’s unique feature of by stages treatment of bladder cancer, and with 1 case for detailed explanation. [Result]Teacher He advocating the combination of traditional Chinese medicine and western medicine, puts forward the principle of by stages treatment to bladder cancer:treatment of postoperative perfusion stage, treatment of following up stage without perfusion and treatment of palliative transfer stage, and makes prescriptions in line with the characteristics of each stage. [Conclusion] Teacher He ’s by stages treatment to bladder cancer obtains the good curative effect, having enlightenment meaning to clinical practice, with promotion value.
