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中医“治未病”与结直肠肿瘤的防治 被引量:16

Theory of traditional Chinese medicine “cure disease before occurrence” and prevention and treatment of colorectal cancer
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摘要 结直肠肿瘤在临床上具有极高的发病率及死亡率,预防与筛查结直肠腺瘤性息肉以及早期治疗是预防结直肠肿瘤的重要手段之一,中医药亦是结直肠肿瘤防治的重要手段之一。因此,运用中医药防治结直肠腺瘤性息肉,符合中医"治未病"的思想,对控制和降低结直肠癌发病率以及死亡率具有十分重要的现实意义。总结前人认识和现代临床经验,认为脾肾两虚是决定结直肠腺瘤性息肉、肿瘤复发的最主要因素,贯穿于结直肠肿瘤的始终。基于结直肠腺瘤性息肉的病因病机,选择以健脾扶正为主、燥湿化瘀为辅的中医治疗方案,尤其是对于先天不足、素体虚弱及术后元气亏虚、正虚邪恋而导致病情迁延、易复发的息肉等病症,可以起到明显的疗效,甚至预防其癌变。 Colorectal neoplasms had high rates of morbidity and mortality in clinical. The prevention, screening and early treatment of colorectal adenomatous polyps and were one of the important measures for the prevention and treatment of colorectal cancer, while Traditional Chinese Medicine(TCM) was also one of the important measures, which conforming to the thought of "treating no disease" in TCM.These two methods had great practical significance for controlling and reducing the incidence and mortality of colorectal neoplasms. Based on previous knowledge and modern clinical experience, asthenia of both the spleen and kidney was was considered the most important factor for the recurrence of colorectal adenomatous polyps from start to finish. For this reason, the Chinese Medicine treatment supplemented by dampness stasis, was based on strengthening the spleen and body resistance for patients who Illness deferred and recrudesce polyps because of congenitally deficient, constitutional vacuity deficiency of qi after the operation and linger of pathogen. This Chinese Medicine treatment could be effective, even to prevent cancer.
作者 陶灵佳 靖琳 臧明泉 桂奕文 张功 任建琳 TAO Lingjia;JIN Ling;ZANG Mingquan;GUI Yiwen;ZHANG Gong;REN Jianlin(Shanghai Hospital of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China)
出处 《吉林中医药》 2018年第8期897-900,共4页 Jilin Journal of Chinese Medicine
基金 国家自然基金(81473628) 上海市自然科学基金(14Z1438900) 上海市科委2016年度"科技创新行动计划"科普项目(16DZ2346400)
关键词 中医药疗法 治未病 结直肠肿瘤 结直肠腺瘤性息肉 therapy of TCM cure disease before occurrence colonic neoplasms rectal neoplasm adenomatous polyp of colorectal
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