运用癌毒病机理论辨治蕈样肉芽肿

陈晓丽; 于慧; 孔祥图; 代兴斌; 徐小梦; 倪海雯

doi:10.3969/j.issn.1673-7202.2021.17.021

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运用癌毒病机理论辨治蕈样肉芽肿

中国中医药临床案例成果库 | 临证体会

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运用癌毒病机理论辨治蕈样肉芽肿
Analysis of Syndrome Differentiation and Treatment for Mycosis Fungoidesby Pathogenesis Theory of Cancerous Toxin
1.南京中医药大学附属医院/江苏省中医院血液科，南京，210029
2.南京中医药大学第一临床医学院，南京，210029
DOI：10.3969/j.issn.1673-7202.2021.17.021

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陈晓丽, 于慧, 孔祥图, 等. 运用癌毒病机理论辨治蕈样肉芽肿[DB/OL].（2023-07-14）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.3969/j.issn.1673-7202.2021.17.021

CHEN Xiaoli, YU Hui, KONG Xiangtu, et al. Analysis of Syndrome Differentiation and Treatment for Mycosis Fungoidesby Pathogenesis Theory of Cancerous Toxin[DB/OL].（2023-07-14）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.3969/j.issn.1673-7202.2021.17.021
陈晓丽, 于慧, 孔祥图, 等. 运用癌毒病机理论辨治蕈样肉芽肿[DB/OL].（2023-07-14）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.3969/j.issn.1673-7202.2021.17.021 DOI：

CHEN Xiaoli, YU Hui, KONG Xiangtu, et al. Analysis of Syndrome Differentiation and Treatment for Mycosis Fungoidesby Pathogenesis Theory of Cancerous Toxin[DB/OL].（2023-07-14）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.3969/j.issn.1673-7202.2021.17.021 DOI：

摘要

目的：,2,阐述国医大师周仲瑛教授癌毒病机理论指导下蕈样肉芽肿的病因病机及辨证治疗。,方法：,2,基于癌毒病机理论对蕈样肉芽肿的病因病机及辨证治疗进行系统阐释，回顾目前西医治疗的现状及难点，结合具体病案论述中西结合治疗的辨证思路。,结果：,2,对疾病早期患者采用以皮肤为靶向的局部治疗，中医辨证多为风热，以祛风清热、凉血解毒为主要治法。随着疾病的进展，采用全身系统治疗为主，病机属虚实夹杂，以益气养阴、凉血解毒为主要治法。,结论：,2,蕈样肉芽肿早期诊断困难，确诊主要依靠病理形态学及免疫组织化学。西药综合治疗效果不理想，中医治疗结合癌毒病机理论，分期分阶段紧扣核心病机，可有效控制症状，提高患者生命质量。

Abstract

Objective:,2,To narrate the etiology, pathogenesis and syndrome differentiation of the treatment of mycosis fungoides (MF) by ZHOU Zhongying (National TCM Master) 's pathogenesis theory of cancerous toxin.,Methods:,2,The pathogenesis and the treatment of MF were systematically expounded based on pathogenesis theory of cancerous toxin. We reviewed the current status and difficulties of Western medicine treatment, and discussed the syndrome differentiation thinking of integrated Chinese and Western medicine combined with specific cases.,Results:,2,Patients in early stages of MF were treated with skin-directed therapies. While the TCM syndrome differentiation was based on wind-heat type, and the therapeutic method was focused on wind-expelling, heat-clearing, cooling blood and detoxification. Systemic treatment is mainly used in the advanced stage of the disease. The pathogenesis be-longed to a mixture of deficiency and excess, and treated with supplementing qi, nourishing yin, cooling blood and detoxification.,Conclusion:,2, Early diagnosis of MF is difficult, and the diagnosis mainly depends on pathomorphology and immune tissue chemotherapy. The comprehensive treatment effect of Western medicine is not satisfactory. TCM treatment combined with the theory of cancer virus pathogenesis, closely focusing on the core pathogenesis in stages, can effectively control symptoms and improve the quality of life of patients.

关键词

癌毒病机理论蕈样肉芽肿辨证论治病因病机皮肤T细胞淋巴瘤中西医结合中医疗效

Keywords

Pathogenesis theory of cancerous toxinMycosis fungoidesSyndrome differentiationEtiology and pathogenesisCutaneous T-cell lymphomaChinese and Western medicineTraditional Chinese medicineEfficacy

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