摘要
肺癌术后咳嗽为术后创伤致气道受损,其病因是虚、痰、瘀、癌毒聚集,总病机属本虚标实,以气血亏虚为本,瘀血阻络、痰湿聚集、邪毒侵袭为标。常规药物疗效欠佳,且停药后易反复发作。李世杰认为,肺癌术后咳嗽常见肺热阴虚型、气虚痰湿型,分别以玄麦甘桔汤加减滋阴清热,以参苏饮加减益气化痰,收到较好疗效,并附临床验案两例。
Cough of lung cancer patients after surgery results from the airway injury caused by surgical trauma,and its etiological factors are related with deficiency,phlegm,and accumulation of cancerous toxins.The pathogenesis of cough in postoperative lung cancer patients is characterized by deficiency in the origin and excess in the superficiality,and the deficiency in the origin manifests as the insufficiency of qi and blood,and excess in the superficiality manifests as blood stasis obstructing the collaterals,accumulation of phlegm-dampness,and invasion of pathogenic toxins.The curative effect of conventional medicine is poorer for the treatment of cough in postoperative lung cancer patients,and recurrent attacks occur once the medicine is suspended.Professor Shi-jie suggests that the cough in postoperative lung cancer patients can be usually differentiated as the lung heat with yin deficiency syndrome and qi deficiency with phlegm-dampness syndrome,and can be treated with Xuan Mai Gan Jie Decoction and Shen Su Decoction by modification respectively.And the satisfactory clinical curative effect is demonstrated by 2 proved cases.
作者
万慧
李世杰
WAN Hui;LI Shi-jie(Chengdu University of Traditional Chinese Medicine,Chengdu 610075 Sichuan,China;The Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610075 Sichuan,China)
出处
《中医肿瘤学杂志》
2021年第5期49-51,62,共4页
Journal of Oncology in Chinese Medicine
关键词
肺癌术后
咳嗽
中医
名医经验
postoperative lung cancer
cough
traditional Chinese medicine
experience of famous physician
