Staged rehabilitation treatment strategy of traditional Chinese medicine after non⁃small cell lung cancer surgery

GU Yifeng; WANG Yichao; QI Ao; ZHANG Congmeng; JIAO Lijing; XU Ling

doi:10.16305/j.1007-1334.2023.2211037

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Staged rehabilitation treatment strategy of traditional Chinese medicine after non⁃small cell lung cancer surgery

更新时间：2023-06-16

- Staged rehabilitation treatment strategy of traditional Chinese medicine after non⁃small cell lung cancer surgery
- Shanghai Journal of Traditional Chinese Medicine Vol. 57, Issue 6, Pages: 16-19(2023)
- 作者机构：
  
  1.上海中医药大学附属岳阳中西医结合医院肿瘤一科（上海 200437）
  2.上海中医药大学附属岳阳中西医结合医院临床免疫研究所（上海 200437）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2023.2211037
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顾怿丰,王怡超,亓奥,等.非小细胞肺癌术后中医药分阶段康复治疗策略[J].上海中医药杂志,2023,57(6):16-19.

GU Yifeng,WANG Yichao,QI Ao,et al.Staged rehabilitation treatment strategy of traditional Chinese medicine after non⁃small cell lung cancer surgery[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(6):16-19.
顾怿丰,王怡超,亓奥,等.非小细胞肺癌术后中医药分阶段康复治疗策略[J].上海中医药杂志,2023,57(6):16-19. DOI： 10.16305/j.1007-1334.2023.2211037.

GU Yifeng,WANG Yichao,QI Ao,et al.Staged rehabilitation treatment strategy of traditional Chinese medicine after non⁃small cell lung cancer surgery[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(6):16-19. DOI： 10.16305/j.1007-1334.2023.2211037.

摘要

手术是根治早期非小细胞肺癌（NSCLC）的首要方式，然而术后并发症、肺功能下降等问题影响患者的预后及生活质量，因此NSCLC术后康复治疗逐渐被重视。根据病症阶段特点，提出NSCLC术后分为快速康复、巩固康复和善后防复三个阶段。快速康复阶段病机以痰饮停肺、中焦气滞、瘀阻经络为主，治宜化痰逐饮、通腑运脾、通络止痛；巩固康复阶段病机以肝肺不调、因治生毒为主，治宜调畅气机、减毒纠偏；善后防复阶段病机以肝气郁结、阴虚阳亢为主，治宜疏肝解郁、滋阴潜阳。

Abstract

Surgery is the primary approach to eradicate early-stage non-small cell lung cancer（NSCLC）. However， postoperative patients are prone to postoperative complications， lung function decline and other issues， which affect the prognosis and quality of life of patients. Therefore， postoperative rehabilitation of NSCLC is gradually being emphasized. In this paper， we put forward that postoperative rehabilitation of NSCLC can be divided into three stages： rapid rehabilitation， consolidation rehabilitation and rehabilitation for recurrence prevention according to the characteristics of each stage. In the stage of rapid rehabilitation， the pathogenesis encompasses phlegm-fluid retained in the lung， qi stagnation in the middle energizer， and stasis obstructing meridians and collaterals. The treatment should be resolving phlegm and expelling fluid retention， unblocking bowel movement and restoring transformation of the spleen， and removing obstruction in collaterals to relieve pain. In the stage of consolidation rehabilitation， the pathogenesis focuses on liver-lung dysregulation and toxicity due to treatment. The treatment should be regulating qi circulation and reducing toxicity and correcting deviation. In the stage of rehabilitation for recurrence prevention， the pathogenesis centers on stagnation of liver-qi and yin deficiency and yang hyperactivity. The treatment should be dispersing stagnated liver qi for relieving qi stagnation， and nourishing yin for suppressing hyperactive yang.

关键词

非小细胞肺癌术后康复化学疗法放射治疗靶向治疗中医药疗法

Keywords

non-small cell lung cancerpostoperative rehabilitationchemotherapyradiotherapytargeted therapytraditional Chinese medicine therapy

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