岐黄学者程海波运用癌毒病机理论辨治鼻咽癌验案一则
增强出版A Case Study on the Treatment of Nasopharyngeal Carcinoma by Cheng Hai-bo, a QiHuang Scholar, 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,南京 210023
2.江苏省中医药防治肿瘤协同创新中心,南京 210023
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郭天灏, 程海波. 岐黄学者程海波运用癌毒病机理论辨治鼻咽癌验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29501213&Fpath=home&index=0
GUO Tianhao, CHENG Haibo. A Case Study on the Treatment of Nasopharyngeal Carcinoma by Cheng Hai-bo, a QiHuang Scholar, by Using the Pathogenesis Theory of Cancerous Toxin[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29501213&Fpath=home&index=0
郭天灏, 程海波. 岐黄学者程海波运用癌毒病机理论辨治鼻咽癌验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29501213&Fpath=home&index=0 DOI:
GUO Tianhao, CHENG Haibo. A Case Study on the Treatment of Nasopharyngeal Carcinoma by Cheng Hai-bo, a QiHuang Scholar, by Using the Pathogenesis Theory of Cancerous Toxin[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29501213&Fpath=home&index=0 DOI:
病史摘要,2,万某某,男,54岁,主因“鼻咽癌放化疗后4月余”就诊。2020年12月患者因“鼻中涕血1月余”行鼻镜检查病理示:低下非角质化鳞癌,确诊鼻咽癌。后经34次放疗,3次化疗(具体不详)。目前放化疗结束。2021年9月8日鼻咽MRI示:鼻咽癌治疗后复查,较前无明显改变,右乳突炎症较前改善,与所见情况较前大致相似。四诊信息:耳鸣,饭后、语后加重;痰液及鼻涕中时有血块,质粘,色暗红;咽干,异物感,饮热水稍有缓解。跑步时自觉双下肢沉重;纳寐可,二便调;舌暗红,苔黄腻,脉细弦滑。中医诊断 颃颡岩(气阴两虚,痰瘀热毒)。西医诊断 鼻咽恶性肿瘤。干预措施 中医治法:益气养阴,清热化痰,凉血化瘀,消癌解毒。方药:六味地黄汤合沙参麦冬汤及六君子汤加减化裁。疗效转归 服药后患者症状明显好转,现患者病情稳定。
Summary of case history, Wan, male, 54 years old, went to the hospital because of "nasopharyngeal cancer 4 months after radiotherapy and chemotherapy". In December 2020, he was diagnosed with "nasopharyngeal carcinoma". He received the pathology of nasal endoscopy because of blood in the nose for more than 1 month. The pathology of nasal endoscopy showed: low non keratinized squamous carcinoma. He underwent 34 times of radiotherapy and 3 times of chemotherapy. The current radiotherapy and chemotherapy are over. Nasopharyngeal MRI (2021-09-08) showed: Review after nasopharyngeal cancer treatment, no significant change compared with before, the inflammation of the right mastoid process was improved, roughly the same as before. Diagnostic information: Tinnitus, the symptom aggravates after meal and speaking. There are viscous, dark red blood clots in the sputum and nasal mucus sometimes. Dry throat, foreign body sensation, slight relief after drinking hot water. Feeling heavy lower limbs when running. Eating and sleeping are good. Feces and urine are normal. Dark red tongue, yellow greasy tongue fur, thin stringy and slippery pulse.,TCM diagnosis, Nasopharyngeal carcinoma (the appearance of phlegm, blood stasis, heat and cancerous toxin, qi and yin deficiency).,Western medicine diagnosis, Nasopharyngeal carcinoma.,Therapeutic methods, TCM treatment: tonifying qi and nourishing yin, clearing heat and reducing phlegm,cooling blood and removing stasis,eliminating cancer and detoxify. Treatment: Liuwei Dihuang Decoction combining with Decoction of Glehnia and Ophiopogon and Liujunzi Decoction.,Clinical outcomes, After taking the medicine, The patient's symptoms improved significantly, and the patient's condition is now stable.
程海波鼻咽癌中医药中西医结合治疗
Cheng Hai-boNasopharyngeal carcinomaChinese medicineIntegrated Chinese and Western Medicine Treatment
Zhao W,Tang L,Gao S, et al.Junduqing extractive promotes the apoptosis of nasopharyngeal carcinoma cells through down-regulating Mcl-1 and Bcl-xL and up-regulating Caspase-3, Caspase-8 and Caspase-9[J].Artif Cells Nanomed Biotechnol,2019,47(1):3904-3912
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