张喜奎辨治乙状结肠癌肝转移化疗病例报告1例
A Case Report of Chemotherapy for Sigmoid Colon Cancer with Liver Metastasis Treated by ZHANG Xikui
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1.福建中医药大学附属第二人民医院中医内科,福州350003
2.福建中医药大学研究生院 福州 350122
3.福建中医药大学中医学院,福州 350122
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张喜奎, 艾志祥, 吴起浩, 等. 张喜奎辨治乙状结肠癌肝转移化疗病例报告1例[DB/OL].(2023-03-25)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35702907&Fpath=home&index=0
ZHANG Xikui, AI Zhixiang, WU Qihao, et al. A Case Report of Chemotherapy for Sigmoid Colon Cancer with Liver Metastasis Treated by ZHANG Xikui[DB/OL].(2023-03-25)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35702907&Fpath=home&index=0
张喜奎, 艾志祥, 吴起浩, 等. 张喜奎辨治乙状结肠癌肝转移化疗病例报告1例[DB/OL].(2023-03-25)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35702907&Fpath=home&index=0 DOI:
ZHANG Xikui, AI Zhixiang, WU Qihao, et al. A Case Report of Chemotherapy for Sigmoid Colon Cancer with Liver Metastasis Treated by ZHANG Xikui[DB/OL].(2023-03-25)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35702907&Fpath=home&index=0 DOI:
病史摘要,2,董某某,男,67岁,乙状结肠癌肝转移8月余,化疗16次。患者8月前于美国纽约医院确诊“乙状结肠癌肝转移”,肠镜病理示乙状结肠浸润性中分化腺癌;免疫组化示pMMR;CT示肝多发转移。后入福建省肿瘤医院住院行伊立替康+雷替曲塞方案化疗配合贝伐珠单抗靶向治疗,至今共化疗16次。近期化疗后出现腹泻、恶心、心慌、气短、畏寒等并发症,难以忍受。2022年2月22日张喜奎教授接诊后,见患者腹泻频繁,腹胀,身困,恶心,心慌气短,畏寒,舌质淡红苔薄白,脉沉。张喜奎教授辨本案为脾肾两虚证,治以健脾温肾、渗湿止泻之法,方选参苓白术散加减治疗,诸证得缓。中医诊断 癌类病;脾肾两虚证西医诊断 乙状结肠恶性肿瘤肝转移干预措施 参苓白术散加减,用药14剂疗效转归 并发症皆缓解,准备继续化疗。
Summary of case history, Mr. Dong, a 67-year-old male, had sigmoid colon cancer with liver metastasis for more than 8 months and was treated with chemotherapy for 16 times. The patient was diagnosed with "sigmoid colon cancer with liver metastasis" in New York Hospital in the United States 8 months ago, and the pathology of colonoscopy showed sigmoid colon invasive medium differentiated adenocarcinoma; immunohistochemistry showed pMMR; CT showed multiple liver metastases. He was admitted to Fujian Cancer Hospital for chemotherapy with irinotecan + raltitrexed and bevacizumab, and has been treated with chemotherapy for 16 times.After recent chemotherapy, diarrhea, nausea, panic, shortness of breath, cold complications are unbearable. After Professor Zhang Xikui ' s admission on February 22,2022, he found that the patient had frequent diarrhea, abdominal distension, sleepiness, nausea, shortness of breath, chills, pale red tongue coating and thin white pulse. Professor Zhang Xikui identified this case as spleen and kidney deficiency syndrome, and treated it with the method of invigorating spleen and warming kidney, and oozing dampness and stopping diarrhea. Shenlingbaizhu Powder was selected for treatment, and all syndromes were relieved.,TCM diagnosis, cancer-like disease (syndrome of liver dual deficiency of spleen and kidney),Western medicine diagnosis, hepatic metastasis of sigmoid colon malignancy.,Therapeutic methods, Modified Shenling Baizhu Powder for 14 days.,Clinical outcomes, Complications were stopped, ready to continue chemotherapy, told him to insist on taking Chinese medicine with chemotherapy.
乙状结肠恶性肿瘤肝转移脾肾两虚健脾温肾渗湿止泻参苓白术散
hepatic metastasis of sigmoid colon malignancysyndrome of liver dual deficiency of spleen and kidneyinvigorating spleen and warming kidneydampness and diarrheashenlingbaizhu powder
谢芳,高友福,张正华,等.老年结肠癌术后辅助化疗疗效与安全性的临床研究[J].中华肿瘤防治杂志,2009,16(12):945-947.DOI:10.16073/j.cnki.cjcpt.2009.12.001http://dx.doi.org/10.16073/j.cnki.cjcpt.2009.12.001.
秦英刚.花宝金教授治疗大肠癌经验[J].中医学报,2013,28(2):160-161.DOI:10.16368/j.issn.1674-8999.2013.02.006http://dx.doi.org/10.16368/j.issn.1674-8999.2013.02.006.
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