程海波运用癌毒病机理论辨治结肠癌验案一则
增强出版A case study on the treatment of sigmoid colon carcinoma by Cheng Hai-bo, by using the pathogenesis theory of cancerous toxin
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1.南京中医药大学第一临床医学院,江苏 南京 210023
2.江苏省中医药防治肿瘤协同创新中心,江苏 南京 210023
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徐思源, 程海波. 程海波运用癌毒病机理论辨治结肠癌验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31086799&Fpath=home&index=0
XU Siyuan, CHENG Haibo. A case study on the treatment of sigmoid colon carcinoma by Cheng Hai-bo, by using the pathogenesis theory of cancerous toxin[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31086799&Fpath=home&index=0
徐思源, 程海波. 程海波运用癌毒病机理论辨治结肠癌验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31086799&Fpath=home&index=0 DOI:
XU Siyuan, CHENG Haibo. A case study on the treatment of sigmoid colon carcinoma by Cheng Hai-bo, by using the pathogenesis theory of cancerous toxin[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31086799&Fpath=home&index=0 DOI:
病史摘要,2,患者王某,男性,36岁,主因“乙状结肠恶性肿瘤伴肝转移姑息性术后1月余”就诊。2021年2月因“腹部不适半年余”至昆山市人民医院就诊,诊断“乙状结肠恶性肿瘤伴肝转移”,2021年3月4日在全麻下行“腹腔镜辅助姑息性乙状结肠癌切除术+肠粘连松解术”,病理示:中-低分化腺癌,侵及全层,脉管内见癌栓,上下切缘均未见癌组织累及。周围脂肪组织中淋巴结5/15枚转移性癌组织。术后予XELOX方案化疗,化疗耐受可,无特殊不适。2021-03-25复查全腹CT示:1.结肠MT术后;2.肝多发结节低密度灶,考虑转移瘤。四诊信息:乏力时作,矢气偶作。纳可,寐尚安,大便粘,1日1行,小便淡黄。脉弦滑,舌质暗红,苔黄腻。中医诊断 肠癌(湿热瘀毒、脾气亏虚证)西医诊断 乙状结肠恶性肿瘤术后伴肝转移(T4aN2aM1aIVA期)干预措施 中药以清热化湿、祛瘀解毒、健脾益气改善临床症状,西医予“奥沙利铂+卡培他滨”方案姑息性化疗。疗效转归 服药后患者乏力不显,肝脏转移灶基本消失,现患者病情稳定。
Wang, male, 36 years old, went to the hospital because of 1 month after palliative surgery for malignant sigmoid tumor with liver metastasis. In February 2021, he went to the Kunshan People's Hospital because of abdominal discomfort half a year and was diagnosed with sigmoid colon cancer. He underwent surgery on March 4, 2021. The pathology showed: moderately to poorly differentiated adenocarcinoma, with full-thickness invasion, tumor thrombus in the vessel, and no cancer tissue involvement at the upper and lower cutting edges, LN 5/15. Oxaliplatin + capecitabine were successively given chemotherapy, chemotherapy can be tolerated without special discomfort. Re-examination on Mar 25, 2021 showed: 1.Malignant tumor of sigmoid colon, postoperative; 2. Multiple nodules and low-density lesions in the liver, considering the metastasis. Symptoms and signs were that Fatigue occured sometimes, fart occured occasionally. Eating properly, sleeping well, sticky stool once per day, light yellow urine. String and smooth pulse, dark red tongue, yellow and greasy fur.,TCM diagnosis ,Colon cancer (the appearance of damp,heat,blood stasis,and cancerous toxin,spleen qi deficiency syndrome),Western medicine diagnosis ,Malignant tumor of sigmoid colon, postoperative, liver metastasis (T4aN2aM1aIVA),Therapeutic methods ,Traditional Chinese medicine was used to clear away heat and dampness, remove blood stasis and detoxification, strengthen spleen and healthy qi, and improve clinical symptoms. Western medicine was treated with "oxaliplatin + capecitabine" chemotherapy.,Clinical outcomes ,After taking the medicine, the patient's fatigue did not show, and the liver metastasis basically disappeared. Now the patient's condition was stable.
程海波结肠癌中医药中西医结合治疗
CHENG Haibocolorectal carcinomaTraditional Chinese Medicinetreatment of integrated Traditional Chinese and Western Medicine
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