中医药在恶性肿瘤治疗中的“替代”与“补充”作用

本文复习了替代和补充医学的概念,并总结了中医药作为替代补充治疗在恶性肿瘤治疗中的作用和地位。中医药作为替代与补充治疗恶性肿瘤主要作用点包括以下方面:(1)不能从化放疗获益的晚期患者可以用单纯中医药替代治疗;(2)中医药与放化疗联合应用以减症或减毒、增效的补充治疗;(3)老年人、体力状态(PS)差患者的替代治疗;(4)中医药与新技术(体外高频热疗、粒子植入和射频消融等)结合的补充治疗;(5)中医药与分子靶向药物联合以增效减毒或增敏、改善生活质量及延长生存期等;(6)术后或放化疗后的中医药的维持治疗;(7)治未病:高危人群(癌前病变或"无瘤"患者)的预防。笔者还总结出中医药在治疗恶性肿瘤的处方规律,并展示了许多临床有效病例。

英文摘要:

In this article,the concept of complementary and alternative medicine (CAM) was reviewed,and the functions and status of Chinese medicine in malignant tumor therapy as a CAM were summarized. The major usage of Chinese medicine as a CAM in treatment of malignant tumor are as follows:(1) Chinese medicine alone can be used as an alternative therapy for advanced patients who cannot benefit from chemotherapy or radiotherapy; (2) Chinese medicine can be used together with chemotherapy or radiotherapy as a complementary therapy to alleviate signs and symptoms,reduce toxicities and increase effect; (3) Chinese medicine can be used as an alternative therapy for elderly or patients with poor performance status (PS); (4) it can also combine with new technology (e.g. extracorporeal high frequency thermotherapy,radioactive seed implantation,and radiofrequency ablation) as a complementary treatment; (5) Chinese medicine can work with molecular target therapeutic drugs to increase efficacy and sensitivity,reduce toxicities,improve quality of life and prolong survival; (6) Chinese medicine can act as a maintenance therapy after surgery,chemotherapy and radiotherapy; (7) Chinese medicine can also be taken as a preventive measure in high-risk patients with pre-cancerous diseases or "tumor-free" status. Finally,the author concluded the prescription pattern of Chinese medicine in treatment of malignant tumor,and presented several clinical effective cases treated with Chinese medicine.

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