毛宇湘教授治疗食管癌经验管窥

Professor MAO Yuxiang's experience in treating esophageal cancer

关键词:  食管癌  噎膈  浊毒  中医治疗  专家经验  毛宇湘

Key words:  esophageal cancer  dysphagia  turbidity and toxin  experience  treatment in traditional Chinese medicine  expert experience  MAO Yuxiang

摘要:

文章介绍毛宇湘教授治疗食管癌的临证经验。毛教授通过辨病提出食管癌基本病机为脾胃虚弱、浊毒内蕴，是本病发生发展的基础。随着疾病不断发展，在基本病机基础上突出阶段性的主要矛盾，通过辨证提出本病分为3期，分别为初期—浊毒初蕴期，中期—浊毒血瘀期，末期—浊毒阴虚期。在治疗上，重视辨病、辨证、辨症结合，采用健脾和胃、化浊解毒、活血养阴、软坚散结的具体治法，并在不同的治疗阶段，选取针对性的疗法，获得了良好疗效。

Abstract:

This paper introduces Professor MAO Yuxiang's clinical experience in the treatment of esophageal cancer. Through disease differentiation, Professor MAO proposed that the basic pathogenesis of esophageal cancer is weakness of spleen and stomach and turbid toxin accumulation, which is the basis of the occurrence and development of the disease. With the continuous development of the disease, the main contradictions in different stages are highlighted, on the basis of the basic pathogenesis, and the disease can be divided into three stages, namely, the initial stage (turbid toxin accumulation stage), the middle stage (turbid toxin blood stasis stage), and the end stage (turbid toxin yin deficiency stage). In the treatment, we pay attention to the combination of disease differentiation, syndrome differentiation and syndrome differentiation, and adopt the specific treatment methods of strengthening the spleen and stomach, resolving turbidity and detoxification, promoting blood circulation and nourishing yin, softening hardness and dispersing knot. At different stages of treatment, we select the targeted treatment and obtain good curative effect.