[1]吕 晶,赵晓平,范小璇,等.赵晓平基于“虚瘀毒损”治疗脑胶质瘤术后复发经验[J].陕西中医,2024,(7):955-958.[doi:DOI:10.3969/j.issn.1000-7369.2024.07.021]
 LYU Jing,ZHAO Xiaoping,FAN Xiaoxuan,et al.ZHAO Xiaoping's experience in treatment of glioma recurrence after surgery using theory of deficiency stasis and toxic damage[J].,2024,(7):955-958.[doi:DOI:10.3969/j.issn.1000-7369.2024.07.021]
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赵晓平基于“虚瘀毒损”治疗脑胶质瘤术后复发经验
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年7期
页码:
955-958
栏目:
长安医学
出版日期:
2024-07-05

文章信息/Info

Title:
ZHAO Xiaoping's experience in treatment of glioma recurrence after surgery using theory of deficiency stasis and toxic damage
作者:
吕 晶1赵晓平2范小璇2黄 岚1齐 帆1陈紫莹1唐笛笛1
(1.陕西中医药大学第一临床医学院,陕西 咸阳 712046; 2.陕西中医药大学附属医院,陕西 咸阳 712021)
Author(s):
LYU JingZHAO XiaopingFAN XiaoxuanHUANG LanQI FanCHEN ZiyingTANG Didi
(Shaanxi University of Traditional Chinese Medicine,First Clinical Medical College,Xianyang 712046,China)
关键词:
脑胶质瘤 脑胶质瘤术后复发 “虚瘀毒损”理论 益气祛瘀解毒方 癌毒
Keywords:
Glioma Postoperative recurrence of glioma Deficiency stasis blood and poison damage Yiqi Quyu Jiedu formula Cancer toxin
分类号:
R 739.41
DOI:
DOI:10.3969/j.issn.1000-7369.2024.07.021
文献标志码:
A
摘要:
总结赵晓平对脑胶质瘤术后复发患者的中医病机认识及其临证诊治经验。赵晓平基于“虚瘀毒损”理论提出脑胶质瘤术后复发的核心病机为“气虚毒染以致瘀”,认为益气祛瘀解毒为本病的根本治法,并运用益气祛瘀解毒方治疗脑胶质瘤术后患者。选取赵晓平既往临床预防脑胶质瘤术后复发的一例经典临证医案,详细分析案例中患者病情转归过程的各阶段用药思路,对赵晓平运用益气祛瘀解毒法治疗脑胶质瘤术后复发经验进行分析总结,为中医药防治脑胶质瘤复发提供借鉴和参考。
Abstract:
Summarizes ZHAO Xiaoping's understanding of pathogenesis of TCM in patients with recurrence of glioma after surgery and experience in clinical diagnosis and treatment.Based on the theory of deficiency and stasis poisoning,ZHAO Xiaoping proposed that core pathogenesis of postoperative recurrence of glioma is “Qi deficiency and poison infection resulting in stasis”,and believed that fundamental treatment of the disease is to benefit Qi,dispel stasis and detoxification,and use formula to treat patients with glioma after surgery.Selects classic clinical case of ZHAO Xiaoping in previous clinical prevention of postoperative recurrence of glioma,analyzes in detail medication ideas of each stage in process of the patient's disease prognosis.Analyzes and summarizes treatment experience of ZHAO Xiaoping in the treatment of postoperative recurrence of glioma using method of invigorating Qi,removing stasis and detoxification,so as to provide reference for prevention and treatment of glioma recurrence with traditional Chinese medicine.

参考文献/References:

[1] MARIAPPAN A,GORANCIBG,RICCIV L,et al.Trends and challenges in modeling glioma using 3D human brain organoids[J].Cell Death Differ,2021,28(1):15-23.
[2] 国家卫生健康委员会医政医管局.脑胶质瘤诊疗规范[J].中华神经外科杂志,2019,35(3):217-239.
[3] 上海市中西医结合学会神经外科专业委员会,脑胶质瘤中西医结合临床诊疗专家共识(上海)写作组,费智敏,等.脑胶质瘤中西医结合临床诊疗专家共识(上海)[J].上海中医药大学学报,2023,37(5):1-10.
[4] 张伟,王政.中国抗癌协会脑胶质瘤整合诊治指南(精简版)[J].中国肿瘤临床,2022,49(16):811-818.
[5] 程孟祺,秦英刚,姜菊玲,等.中医药治疗脑胶质瘤临床研究进展[J].辽宁中医药大学学报,2020,22(12):147-151.
[6] ELLISON D W,HAWKINS C,JONES D T W,et al.Cimpactnow update 4:Diffuse gliomas characterized by myb mybl1 or fgfr1 alterations or BRAFV600E mutation[J].Acta Neuropathol,2019,137(4):683-687.
[7] 曾普华.从炎性微环境探析肿瘤恶液质的“癌毒致虚”病机观[J].陕西中医,2021,42(8):987-990,1137.
[8] 李懿韵,韩祖成,陈楚,等.长安中风病刚柔相济流派基于心脑同治理论治疗神志病[J].陕西中医,2024,45(3):384-386.
[9] 周振国,柏鲁宁,侯文,等.赵晓平治疗脑胶质瘤经验[J].陕西中医药大学学报,2020,43(6):22-25.
[10] 梅胜锦,高娜,赵萌,等.围手术期中医证候虚实变化研究进展[J].陕西中医,2024,45(2):278-281.
[11] 章建兵,陈文捷,付丽丽.基于中医整体观和辨证思维的个体化麻醉方案探讨[J].中医药管理杂志,2023,31(23):223-225.
[12] 廖文豪,牟钰,赵茂源,等.基于毒邪致病理论治疗肿瘤疾病的思考[J].中国中药杂志,2023,48(5):1413-1419.
[13] 程海波,李柳,周学平,等.中医肿瘤癌毒病机辨证体系的创建[J].中医杂志,2020,61(20):1767-1770.
[14] 周晴晴,李慧杰,李秀荣.基于癌毒理论探讨攻毒治法抗肿瘤血管生成[J].陕西中医,2020,41(8):1134-1138.
[15] 于娟.基于PI3K/AKT信号通路研究益气祛瘀解毒方对大鼠C6胶质瘤细胞的作用机制[D].咸阳:陕西中医药大学,2022.
[16] 张东霞.黄芪中黄酮类化合物药理作用研究进展[J].内蒙古中医药,2021,40(2):148-149.
[17] 邓雅文,李军.基于活性筛选和网络分析阐释“川芎-葛根”配伍功效机制[J].中医学报,2020,35(11):2417-2426.
[18] 郭天灏,周红光.基于癌毒理论浅谈虫类药在肿瘤治疗中的应用[J].时珍国医国药,2019,30(5):1163-1165.
[19] 李梓盟,张佳彦,李菲,等.白花蛇舌草抗肿瘤化学成分及药理作用研究进展[J].中医药信息,2021,38(2):74-79.
[20] 严绪华,梅格格,梅凌,等.半枝莲二萜类化学成分及药理作用研究进展[J].广东化工,2023,50(18):69-74.
[21] 陈诗,赵玥,王振,等.山慈菇药理作用及临床应用研究进展[J].中华中医药学刊,2023,41(6):247-250.
[22] 赵晓平,吕杨,范小璇,等.健脑益智胶囊提取工艺研究[J].陕西中医学院学报,2013,36(5):83-85.
[23] 于娟,赵晓平,范小璇,等.和法治疗脑系疾病浅析[J].环球中医药,2023,16(2):252-256.
[24] 贾金曦,姚春旭,刘畅,等.脑胶质瘤患者术后远期预后影响因素分析[J].实用癌症杂志,2024,39(3):514-517.
[25] 赵晓平,范小璇,侯文,等.健脑益智胶囊对创伤性颅脑损伤大鼠血浆降钙素基因相关肽含量的影响[J].中国中西医结合急救杂志,2012,19(5):290-292.

备注/Memo

备注/Memo:
基金项目:国家重点研发计划项目(2017YFC1703500,2017YFC1703502); 国家中医药管理局高水平中医药重点学科建设项目(2023-2028); 陕西省重点研发计划项目(2019ZDLSF04-06-01); 陕西省中医脑病临床医学研究中心建设项目(201704); 长安医学——陕西省中医药管理局陕西张氏脑病学术流派传承工作室建设项目[陕中医药发(2018)40号]
更新日期/Last Update: 2024-07-09