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Analysis on the idea of “staging treatment” of oropharyngeal carcinoma-related xerostomia
Hits 604  Download times 280  Received:January 19, 2023  
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DOI   10.11656/j.issn.1672-1519.2023.06.13
Key Words   oropharyngeal carcinoma;xerostomia;treatment by stages;train of thought
Author NameAffiliationE-mail
ZUO Jinhui First Teaching Hospital of Tianjin University of Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300193, China  
KONG Fanming First Teaching Hospital of Tianjin University of Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300193, China kongfanming08@163.com 
JIA Yingjie First Teaching Hospital of Tianjin University of Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300193, China  
Abstract
    As one of the malignant tumors of the head and neck,oropharyngeal carcinoma has a dangerous condition and special position, and its clinical benefit from radiotherapy is obvious,but its easily damaged pharyngeal mucosa and glands cause xerostomia,which not only affects the life quality of the patients,but also further hinders the progress of treatment. Therefore,the pathogenesis of xerostomia as following:first,there are deficiency of vital qi,endogenesis of cancer toxin,diffuse blockage of oropharynx meridians,followed by heat toxin invasion,injury and consumption of qi,hidden evil and so that the veins wither. Based on the method of “Sanjiao syndrome differentiation”,the curative effect is quite good through staging,differentiation and analysis of the pathogenesis of the disease,flexible use of drugs,combination of dryness and dampness,attack and tonic,and appropriate rise and fall. Now the ideas of clinical differential treatment and the characteristics of drug use are summarized as follows,and combined with the case for further analysis,in order to draw lessons from.

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