林丽珠治疗大肠癌常用药物及药对浅析

发布时间：2018-04-25 17:16

本文选题：大肠癌 + 林丽珠　；参考：《辽宁中医杂志》2017年10期

【摘要】：目的:探索和总结林丽珠教授治疗大肠癌的临床思维和用药规律。方法:通过收集整理林丽珠教授辨证治疗大肠癌的178张门诊处方,运用频数分析方法,分析病案中的药物和药对使用频次,并对统计结果进行总结和归纳。结果:大肠癌患者46例,共就诊178次,共用中药69味,用药频次共1642次,使用频次最高的药物包括:土鳖虫、桃仁、地榆、槐花、党参、白术、枳壳、半枝莲、木香等;使用频次最高的药对包括:土鳖虫与桃仁、地榆与槐花、党参与白术、柴胡与白芍、山慈菇与半枝莲、牡丹皮与白芷;证型出现频次最高为:瘀毒内结。结论:林丽珠教授对大肠癌的治疗上,以辨证论治为核心,重视辨证与辨病相结合,以祛瘀解毒法为基本法,注重攻补兼施、通利腑气,灵活运用药对,临床疗效显著。
[Abstract]:Objective: to explore and summarize the clinical thinking and drug use of Professor Lin Lizhu in the treatment of colorectal cancer. Methods: 178 out-patient prescriptions of Professor Lin Li-zhu for treating colorectal cancer were collected and analyzed by frequency analysis, and the statistical results were summarized. Results: there were 46 patients with colorectal cancer, with 69 herbs and 1642 times. The most frequently used drugs included: hillbilly worm, peach kernel, elm, Sophora japonica, Codonopsis pilosula, Atractylodes macrocephala, Fructus aurantii, Scutellaria Scutellariae, Radix Atractylodes aurantii and so on. The most frequently used drug pairs included: hillbilly insect and peach kernel, elm and Sophora japonica, Party participation in Atractylodes macrocephala, Radix Bupleurum and Radix Paeoniae Alba, Herba Tushi and Scutellaria barbata, Peony Peony and Radix angelicae dahurica. Conclusion: professor Lin Lizhu's treatment of colorectal cancer is based on syndrome differentiation and treatment, the combination of syndrome differentiation and disease differentiation, the basic law of dispelling blood stasis and detoxification, the combination of attack and nourishment, and the flexible use of drugs.
【作者单位】：广东省人民医院(广东省医学科学院);广州中医药大学第一附属医院;广州中医药大学;
【基金】：国家自然科学基金(81403227)
【分类号】：R249;R273

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