1.北京中医药大学(北京 100029)
2.中国中医科学院望京医院(北京 100102)
姜朋媛,女,硕士研究生,主要从事中西医结合防治肿瘤的研究工作
朱世杰,教授,主任医师,博士研究生导师;E-mail:zhushij@hotmail.com
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姜朋媛, 李林潞, 于成凤, 等. 朱世杰辨治肺癌术后咳嗽的临证经验[J]. 上海中医药杂志, 2021,55(1):23-26.
Pengyuan JIANG, Linlu LI, Chengfeng YU, et al. ZHU Shijie’s experience in treating cough after lung cancer operation[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(1):23-26.
姜朋媛, 李林潞, 于成凤, 等. 朱世杰辨治肺癌术后咳嗽的临证经验[J]. 上海中医药杂志, 2021,55(1):23-26. DOI: 10.16305/j.1007-1334.2021.2008042.
Pengyuan JIANG, Linlu LI, Chengfeng YU, et al. ZHU Shijie’s experience in treating cough after lung cancer operation[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(1):23-26. DOI: 10.16305/j.1007-1334.2021.2008042.
介绍朱世杰教授治疗肺癌术后咳嗽的临证经验。认为肺癌术后咳嗽不同于普通咳嗽,传统止咳药物对其疗效甚微,治疗时应根据疾病的病因病机,结合证候虚实及病情轻重加以论治。病机属本虚标实,以气阴亏虚为本,瘀毒阻络为标,肺的宣肃功能失常是导致肺癌术后咳嗽发生的根本所在。临床治疗以攻补兼施为主,注重宣畅气机,同时应重视调理脾胃。重用海浮石为君药,常用药对如海浮石和旋覆花、牛膝和桔梗、桃仁和芦根等。并附验案1则。
To introduce Professor ZHU Shijie’s experiences in treating cough after lung cancer operation. Professor Zhu believes that cough after lung cancer operation is different from common cough, and traditional cough-relieving medicine has little effect on it. The treatment should be based on the etiology and pathogenesis of the disease, combined with the deficiency and excess of the syndrome and the severity of the disease. The pathogenesis of cough after lung cancer operation is deficiency in the root aspect and excess in the branch aspect, with deficiency of qi and yin as the root, blood stasis and toxin blocking collaterals as the branch, and the dysfunction of the lung in dispersion and descent is the root cause of postoperative cough of lung cancer operation. The clinical treatment is mainly based on the method of simultaneous application of purging and nourishing Chinese medicine, focusing on regulating qi activity and regulating the function of the spleen and stomach. Professor ZHU Shijie often uses a large amount of Haifushi (,Pumex,) as the monarch drug, and medication pairs such as Haifushi (,Pumex,) and Xuanfuhua(,Flos Inulae,), Niuxi(,Radix Achyranthis Bidentatae,) and Jugeng(,Radix Platycodi,), Taoren(,Semen Persicae,) and Lugen (,Rhizoma Phragmitis,)and so on. One proven case is presented.
肺癌术后咳嗽中医药疗法临床经验朱世杰
cough after lung cancer operationcoughtherapy of traditional Chinese medicineclinical experienceZhu Shijie
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