国际医药卫生导报 ›› 2024, Vol. 30 ›› Issue (9): 1422-1425.DOI: 10.3760/cma.j.issn.1007-1245.2024.09.004

• 消化道疾病专栏 • 上一篇    下一篇

李世杰教授中医药治疗大肠癌患者术后腹泻临床思路探讨

刘欢  廖婷婷  张政委  李世杰   

  1. 成都中医药大学附属医院肿瘤一科,成都 610000

  • 收稿日期:2024-02-23 出版日期:2024-05-01 发布日期:2024-05-30
  • 通讯作者: 李世杰,Email:Chinajef@163.com
  • 基金资助:

    四川省中医药管理局科学技术研究专项课题(2021MS432)

Clinical experience of professor Li Shijie in treating patients with diarrhea after colorectal cancer surgery with traditional Chinese medicine

Liu Huan, Liao Tingting, Zhang Zhengwei, Li Shijie   

  1. First Department of Oncology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610000, China

  • Received:2024-02-23 Online:2024-05-01 Published:2024-05-30
  • Contact: Li Shijie, Email: Chinajef@163.com
  • Supported by:

    Special Project of Science and Technology Research Supported by Sichuan Administration Bureau of Traditional Chinese Medicine (2021MS432)

摘要:

大肠癌是常见的消化道恶性肿瘤之一,腹泻是大肠癌患者术后常见并发症之一。李世杰教授长期从事中西医结合治疗恶性肿瘤工作,尤其对中医药治疗恶性肿瘤及其并发症等工作有独到见解。本文阐述了李世杰教授中医药治疗大肠癌患者术后腹泻临床思路。他从癌症发生发展的一般规律出发,以正虚邪实致病为基本理论,总结出大肠癌患者术后腹泻的基本病机是脾气亏虚,脾虚湿盛是大肠癌术后腹泻的重要因素,并提出治疗大肠癌患者术后腹泻时应遵循“衷中参西,病证结合、扶正祛邪,益气健脾为基石、分期论治,凭证择方”的论治原则。

关键词:

大肠癌, 术后腹泻, 中医药, 名医经验, 李世杰

Abstract:

Colorectal cancer is one of the common malignant tumors in digestive tract, and diarrhea is one of the postoperative complications of colorectal cancer. Professor Li Shijie has engaged in the treatment of malignant tumors by combining traditional Chinese and western medicines for long, and especially has unique insight into the treatment of malignant tumors and their complications by traditional Chinese medicine. In this paper, Li's clinical experience on the treatment of postoperative diarrhea of colorectal cancer with traditional Chinese medicine is described. Starting from the general laws of cancer occurrence and development and based on the basic theory of the disease caused by the deficiency of genuine qi and excess of pathogenic factors, he summarized that the basic pathogenesis of postoperative diarrhea of colorectal cancer is the deficiency of spleen qi, and the deficiency of spleen qi with excessive dampness is the important factor of postoperative diarrhea of colorectal cancer. In addition, he also proposed that the treatment of postoperative diarrhea of colorectal cancer should follow the principles: combining the symptoms and evidences, reinforcing health qi and removing pathogenic factors, benefiting qi and strengthening spleen as the cornerstone, treating in stages, and selecting prescriptions based on evidences.

Key words:

Colorectal cancer, Postoperative diarrhea, Traditional Chinese medicine, Experience of famous doctor, Li Shijie