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

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