刘伟胜教授辨治胰腺癌临证思路

Clinical thought of Professor LIU Weisheng in the treatment of pancreatic cancer

关键词:  胰腺癌  辨证论治  健脾疏肝  带瘤生存  刘伟胜

Key words:  pancreatic cancer  syndrome differentiation  invigorating spleen and soothing liver  survival with tumor  LIU Weisheng

摘要:

文章总结了刘伟胜教授治疗胰腺癌的临证经验。病因病机方面，刘教授认为外感六淫、饮食不调、情志失调而致使脾胃失调，肝胆失泄，湿热、瘀、毒、虚等交积，日久形成本病，其病位在胰腺（脾），与肝胆脾胃肾相关。治疗上重视健脾祛湿，清热解毒；强调疏肝利胆，清热祛湿，调畅情志；善用虫类药以毒攻毒，攻坚散结；总则以辨证、辨病、对症相结合，中西合璧，增效减毒，序贯始终，以减轻患者临床症状，提高患者生活质量，延长患者生存时间，实现“带瘤生存”。

Abstract:

This paper summarized the clinical experience of Professor LIU Weisheng in the treatment of pancreatic cancer. The causes and mechanism of the disease include the six excesses,dietary irregularities,emotional disorders which lead to the dysfunction of the spleen and stomach with liver-gallbladder disharmony,and gradually bring about the mixture of heat dampness,blood stasis,toxic substance,and deficiency. Its location is in the pancreas (spleen),closely relating to liver,gallbladder,spleen,stomach and kidney. The treatment emphasis has been focused on invigorating the spleen and dispelling dampness,and harmonizing emotions. It is necessary to soothe the liver and drain gallbladder,and to harmonize emotions. In addition,seeking for better treatment,it is essential to make good use of worm Chinese medicine for reducing toxic substance,removing accumulation and dissipating binds. The general principle is known as “ascertaining the disease factor and prescribing appropriate treatment”. The integration of traditional Chinese and Western medicine could achieve the better treatment efficiency and reduce toxin substance. Thereby,the method of the integration of traditional Chinese and Western medicine is proposed to relief the clinical symptoms of the patients,improve their life quality,prolong their survival length,and to achieve a state of “maintaining survival with tumor”.