中医治疗晚期肺癌验案一则
Treatment for Lung Cancer with Traditional Chinese Medicine: A Case Report
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1.重庆市中医院肿瘤科,重庆市 400011
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赵宾, 刘平宇, 程俊. 中医治疗晚期肺癌验案一则[DB/OL].(2023-07-21)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40059386&Fpath=home&index=0
ZHAO Bin, LIU Pingyu, CHENG Jun. Treatment for Lung Cancer with Traditional Chinese Medicine: A Case Report[DB/OL].(2023-07-21)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40059386&Fpath=home&index=0
赵宾, 刘平宇, 程俊. 中医治疗晚期肺癌验案一则[DB/OL].(2023-07-21)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40059386&Fpath=home&index=0 DOI:
ZHAO Bin, LIU Pingyu, CHENG Jun. Treatment for Lung Cancer with Traditional Chinese Medicine: A Case Report[DB/OL].(2023-07-21)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40059386&Fpath=home&index=0 DOI:
病史摘要,2,患者李某,男性,65岁,2021年5月28日因“肺癌术后2个月余”就诊。患者于2021年3月9日在重庆市肿瘤医院行“右肺肺癌切除术”,术后化疗2周期。患者自诉不耐受化疗,故来我院门诊寻求中医药治疗。四诊信息:患者少咳无痰,手足冷,冬日尤甚,饮食可,眠一般,大便3次/日、质偏稀,小便正常。舌紫暗、有裂纹,舌底静脉曲张,苔白厚,脉沉涩。中医诊断 肺癌(肺脾气虚,心肺阳虚,寒痰伏肺证)。西医诊断 右肺下叶中分化鳞状细胞癌IV期 ;右肺上叶腺癌伴肉瘤样分化;双肺多发转移瘤;骨转移;肺恶性肿瘤化疗后;白细胞减少症。干预措施 中医治以温化之法,予阳和汤合二陈汤加减治疗。疗效转归 患者肿瘤无明显进展,肿瘤标志物处于正常范围。白细胞升高至正常水平,肝功能、肾功无明显异常。手足冷、咳嗽等不适症状改善,生活质量明显提高。
Summary of case history, The patient Li, male, 65 years old, visited the hospital on May 28,2021 due to "more than 2 months after lung cancer surgery". On March 9,2021, the patient underwent "right lung cancer resection" in Chongqing Cancer Hospital, with 2 cycles of postoperative chemotherapy. The patient complained of intolerance to chemotherapy, so he came to the outpatient clinic of our hospital for treatment with traditional Chinese medicine. Symptoms and signs: The patient had less cough without sputum, cold hands and feet, especially in winter, good diet, general sleep, loose stool 3 times/day, and normal urination. The tongue is dark purple, with cracks, varicose veins at the bottom of the tongue, white and thick fur, and deep and astringent pulse.,TCM diagnosis, Lung Cancer (Deficient Qi of the lung and spleen, Deficient Yang of the lung and heart, Location of cold-fluid in the lung).,Western medicine diagnosis, Stage IV moderately differentiated squamous cell carcinoma of the right lower lobe; Right upper lobe adenocarcinoma with sarcomatoid differentiation; Multiple lung metastases; Bone metastases; After chemotherapy for lung cancer; Leukopenia.,Therapeutic methods, Chinese medicine is treated with the method of warming, and treated with Yanghe Decoction and Erchen Decoction.,Clinical outcomes, There was no significant tumor progression in the patients, and the tumor markers were in the normal range. White blood cells increased to normal levels, liver function and renal function had no obvious abnormalities. Hand cold, cough and other symptoms improved, the quality of life improved significantly.
肺肿瘤肺鳞状细胞癌中医药阳和汤二陈汤
lung tumorlung squamous cell carcinomatraditional Chinese medicineyanghe decoctionerchen decoction
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