[1]李迎巧,高二超,王茂生.杨淑莲治疗多发性骨髓瘤经验[J].陕西中医,2022,(5):628-631,652.[doi:DOI:10.3969/j.issn.1000-7369.2022.05.020]
 LI Yingqiao,GAO Erchao,WANG Maosheng.YANG Shulian's experience in treating multiple myeloma with famous traditional Chinese medicine[J].,2022,(5):628-631,652.[doi:DOI:10.3969/j.issn.1000-7369.2022.05.020]
点击复制

杨淑莲治疗多发性骨髓瘤经验
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年5期
页码:
628-631,652
栏目:
名中医经验
出版日期:
2022-05-05

文章信息/Info

Title:
YANG Shulian's experience in treating multiple myeloma with famous traditional Chinese medicine
作者:
李迎巧高二超王茂生
(廊坊市中医医院,河北 廊坊 065000)
Author(s):
LI YingqiaoGAO ErchaoWANG Maosheng
(Langfang Traditional Chinese Medicine Hospital,Langfang 065000,China)
关键词:
多发性骨髓瘤 辨证论治 辨病论治 分期论治 虫类药
Keywords:
Multiple myeloma Syndrome differentiation Disease differentiation Treating the disease according to its stage Insect drugs
分类号:
R 733.3
DOI:
DOI:10.3969/j.issn.1000-7369.2022.05.020
文献标志码:
A
摘要:
总结名中医杨淑莲教授治疗多发性骨髓瘤(MM)的临床经验。杨教授指出“虚”“毒”“瘀”为MM的主要病机特点,强调本病以肾虚为本,首辨虚实,邪毒、瘀血为标,杨教授针对本病机,在临床治疗过程中提出益肾、活血、解毒三法,结合现代医学研究以精准分层、分期论治、辨证辨病相结合,动态灵活运用三法,疗效显著。现从中医病因病机、辨证施治、分期论治等角度对杨教授治疗MM的临床经验进行总结,并在治疗过程中强调活血化瘀贯穿疾病始终,审时度势运用虫类药物以直达病所,发挥祛邪扶正之功效。
Abstract:
To summarize the professor YANG Shulian,in the treatment of multiple myeloma(MM).Professor YANG pointed out that “virtual” “poison” “stasis” as the main pathogenesis characteristics of MM,emphasizes the disease based on kidney empty,first distinguishes between deficiency and excess,poison,blood stasis as the standard,professor YANG on the pathogenesis,kidney and activating blood in the process of clinical treatment,detoxification three laws,combined with modern medical research based on precise stratification,stages differentiation and combination of disease and syndrome differentiation dynamic and flexible use of the three methods,the curative effect is remarkable.This paper summarizes professor YANG's clinical experience in the treatment of MM from the perspectives of etiology and pathogenesis of traditional Chinese medicine,dialectical treatment,staged treatment,etc.In the treatment process,it is emphasized that activating blood circulation and removing stasis runs through the disease,and insect drugs are used to evaluate the situation to reach the disease site and play the role of dispelling evil and reinforcing right.

参考文献/References:

[1] Wang S,Xu L,Feng J,et al.Prevalence and incidence of multiple myeloma in urban area in China:A national population-based analysis [J].Frontiers in Oncology,2020(9):1513.
[2] Liu W,Liu J,Song Y,et al.Mortality of lymphoma and myeloma in China,2004-2017:An observational study[J].Journal of Hematology & Oncology,2019,12(1):22.
[3] 朱清红,李德奎,罗 英.血清尿酸、β2微球蛋白和尿液轻链联合检测在多发性骨髓瘤早期诊断中的应用[J].陕西医学杂志,2019,48(9):1235-1237.
[4] 路 瑾.多发性骨髓瘤诊治进展[J].山东大学学报:医学版,2019,57(7):12-15.
[5] 林全德,刘德龙,宋永平.多发性骨髓瘤免疫治疗进展[J].白血病?淋巴瘤,2021,30(1):5-10.
[6] 陈 玲,赵 华,赵培西,等.多柔比星脂质体联合沙利度胺治疗多发性骨髓瘤疗效观察[J].陕西医学杂志,2020,49(3):353-355.
[7] 陈信义,麻 柔,李冬云.规范常见血液病中医病名建议[J].中国中西医结合杂志,2009,29(11):1040-1041.
[8] 陈文明,徐瑞荣.多发性骨髓瘤中西医结合诊疗专家共识(2019)[J].中华医学杂志,2019,99(28):2169-2175.
[9] 杨淑莲,王茂生.血液病中医治验心悟[M].北京:人民军医出版社,2014:67-75.
[10] 余 莹,程 健,胡 玲.多发性骨髓瘤骨髓微环境“肾虚”本质的探讨与思考[J].中华中医药杂志,2020,35(1):267-273.
[11] 刘海英.中医辨证论治配合化疗治疗多发性骨髓瘤肾病及对患者生存质量的影响[J].陕西中医,2015,36(4):407-408.
[12] 蒋淳琪,刘文奇,山广志.小半夏汤治疗化疗后呕吐临床研究[J].黑龙江中医药,2013,42(2):20-21.
[13] 孙章艳,肖天宝.黄芪桂枝五物汤对化疗后周围神经病变临床及机制的研究进展[J].世界最新医学信息文摘,2017,17(24):23-27.
[14] 李 君,王茂生,孙长勇,等.杨淑莲结合精准医疗理念辨治骨髓增生异常综合征经验[J].山东中医杂志,2020,39(2):164-167,203.
[15] 王姗姗,陈卫琼,屈付君,等.多发性骨髓瘤相关性肾损伤的治疗进展[J].医学综述,2020,26(20):4043-4048.
[16] 黄露艳.肾损伤的中医认识与治疗[J].四川中医,2020,38(4):44-47.
[17] 向 玲,邓跃毅,刘旺意,等.邓跃毅教授活血化瘀法治疗膜性肾病经验荟萃[J].中国中西医结合肾病杂志,2019,20(3):189-191.
[18] 白东海,方 静,王艳云,等.中医外治法治疗慢性肾脏病的研究进展[J].北京中医药,2018,37(10):1001-1004.
[19] 孙志华,王会朋,关旭鸥,等.大剂量丹参注射液并CP方案治疗多发性骨髓瘤临床观察[J].中国实用医药杂志,2007,2(8):61-62.
[20] 关旭鸥,梁 勇,曹 军,等.丹参酮诱导多发性骨髓瘤RPMI8226细胞凋亡及其对CD54、VEGF表达的影响[J].河北医药,2013,35(1):43-44.
[21] 梁 勇,曹 军,关旭鸥.丹参酮诱导多发性骨髓瘤RPMI8226细胞凋亡并降低其VEGF表达[J].中国中医急症,2012,21(5):736-737.
[22] 高 想.虫类药的应用历史与展望[J].中华中医药杂志,2010,25(6):807-809.
[23] 刘西强,何 峰,孙飞虎,等.国医大师朱良春安全应用虫类药之经验[J].广州中医药大学报,2015,32(4):759-761.
[24] 田永林,龚婕宁.叶天士应用虫类药经验探析[J].新中医,2019,51(10):317-319.
[25] 孙敬宣,侯佑柱,马 凯,等.国医大师李士懋常用虫类药应用经验[J].中华中医药杂志,2021,36(8):4697-4700.
[26] 高学敏.中药学[M].北京:中国中医药出版社,2007:411-414.
[27] 李 辉,史哲新,陈海静,等.搜风通络法防治骨髓瘤周围神经病变的效果研究[J].内蒙古中医药,2018,37(8):44-45.
[28] 程依吉,周 洁.周洁运用虫类药治疗肿瘤经验[J].湖南中医杂志,2019,35(6):21-23.
[29] 邢 玉.益肾强骨扶正法联合化疗治疗多发性骨髓瘤临床研究[J].陕西中医,2018,39(7):935-937,946.

相似文献/References:

[1]贾 明,樊雅梦△,席 莉,等.新型冠状病毒肺炎中西医研究概述[J].陕西中医,2020,(3):281.
[2]王晓强,于佳佳,王晓雷△,等.从“升降出入”理论探讨糖尿病肾病蛋白尿治法[J].陕西中医,2020,(3):368.
[3]刘子瑄,李翠娟△,孔馨逸,等.中医“扶正祛邪”治则在新型冠状病毒感染防治中的应用[J].陕西中医,2020,(4):422.
[4]任鑫睿,刘 莎,王 昕,等.杨志宏教授治疗失眠经验采撷*[J].陕西中医,2020,(5):670.[doi:DOI:10.3969/j.issn.10007369.2020.05.033]
[5]姚苗苗,李永峰,金如玉,等.针刺论治原发性高血压病临床研究进展*[J].陕西中医,2020,(5):693.[doi:DOI:10.3969/j.issn.10007369.2020.05.039]
[6]黄凤怡,黄 婷,谢君成,等.新型冠状病毒肺炎诊疗方案中医治疗变化探讨[J].陕西中医,2020,(6):707.[doi:DOI:10.3969/j.issn.10007369.2020.06.003]
[7]刘 璐,李仁廷△,崔旭旭.李仁廷教授治疗化疗相关性骨髓抑制临床经验*[J].陕西中医,2020,(7):954.[doi:DOI:10.3969/j.issn.10007369.2020.07.035]
[8]方玲玲,唐久来,吴 德,等.张杰辨治小儿难治性癫痫经验总结*[J].陕西中医,2020,(9):1292.[doi:DOI:10.3969/j.issn.1000-7369.2020.09.033]
[9]郭天灏,周红光△,霍介格.基于癌毒理论探讨肿瘤患者兼见不寐的相关治疗*[J].陕西中医,2020,(10):1455.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.032]
[10]陈巨鹏,严晓莺,黄国淳△,等.从燮理肝脾肾治疗绝经后骨质疏松症探讨*[J].陕西中医,2020,(11):1635.[doi:DOI:10.3969/j.issn.1000-7369.2020.11.031]
 CHEN Jupeng,YAN Xiaoying,HUANG Guochun,et al.Treatment of postmenopausal osteoporosis by regulating liver,spleen and kidney[J].,2020,(5):1635.[doi:DOI:10.3969/j.issn.1000-7369.2020.11.031]

备注/Memo

备注/Memo:
基金项目:河北省中医药管理局中医科研计划项目(2020440)
更新日期/Last Update: 2022-05-09