北京、广州中医名家论治肺癌的专家共识及南北用药特色

作者	单位
王淑美	重庆医科大学中医药学院临床教研室
聂慧	广州中医药大学DME中心
林丽珠	广州中医药大学第一附属医院肿瘤科

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中文摘要:

收集中国中医科学院广安门医院、广州中医药大学第一附属医院、广东省中医院8位中医肿瘤专家门诊治疗肺癌患者处方800张,从抗肿瘤中药的用药频次、配伍规律及用药归类等角度探析中医药治疗肺癌的专家共识和南北用药特点。结果显示,南北方专家在肺癌治疗中共识度最大的3味中药为薏苡仁、茯苓、半夏,表明健脾化痰法得到一致公认,为肺癌的基本治法。其次,养阴润肺方面也有一定共识,如白芍、太子参、麦冬等药频次较高。第三,清热解毒抗癌方面体现了一致性,南北共同用药有土茯苓、白花蛇舌草、半枝莲。南北相异及各具特色之处体现为,南方专家更重视热毒和瘀血,而北方用药更注重气阴双补。

英文摘要:

To study the consensuses on lung cancer treatment by Chinese medicine experts from North China and South China,and to analyze their medication features from viewpoints such as the medication frequency,combination laws,medication classification by collecting 800 recipes on the treatment of lung cancer patients prescribed by 8 Chinese oncologists from Guanganmen Hosptial of China Academy of Chinese Medical Sciences,the Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,and Guangdong Provincial Hospital of Traditional Chinese Medicine.Results showed that coix seed,poria,pinelliae tuber were the three herbs most commonly used in treatment of lung cancer by all experts.They generally accepted Pi invigorating and phlegm removing method as the basic treatment method for treating lung cancer.Secondly,they usually used white peony root,heterophylly falsestarwort root,and ophiopogonis tuber,etc.(with higher medication frequency) to nourish yin and moisten Fei.Thirdly,consistency was also shown in clearing heat,detoxication,and anti-cancer.Smilacis glabra,Rhizoma Smilacis Glabrae,Herba Hedyotis diffusae,Herba Scutellariae Barbatae were herbs used by all experts.However,there were differences between oncologists in North China and South China.Oncologists in South China paid more attention to heat toxin and blood stasis,while those in North China paid more attention to supplementing both qi and yin.

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