你好!欢迎进入成都京城御方堂官方网站!

电话咨询:028-61512772

健康热线

成都京城御方堂

028-61512772

康复案列

>>文章详情

大肠癌|李忠教授治疗案例,内附详细三诊过程及具体药方

2020-07-27
555
<p>&nbsp;</p> <section style="margin: 0px; padding: 0px; max-width: 100%; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; box-sizing: border-box !important; overflow-wrap: break-word !important;" data-tools="135编辑器" data-id="97330"> <section style="margin: 10px auto; padding: 0px 0px 4px; max-width: 100%; box-sizing: border-box; word-wrap: break-word !important; text-align: center;"> <section style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; display: inline-block;"> <section style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; display: flex; justify-content: center; align-items: flex-start;"> <section style="margin: -4px -1px 0px 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; width: 10px; height: 10px; background: #953734; overflow: hidden;"></section> <section style="margin: 0px 0px 0px 5px; padding: 0px 0px 5px; max-width: 100%; box-sizing: border-box; word-wrap: break-word !important; background: #fefefe; border: 1px solid #ffffff;"> <section style="margin: -5px 5px 0px -5px; padding: 0px; max-width: 100%; box-sizing: border-box; word-wrap: break-word !important; background-color: #953734; overflow: hidden; border: 1px solid #953734;"> <section style="margin: 0px; padding: 6px 1em; max-width: 100%; box-sizing: border-box; word-wrap: break-word !important; font-size: 16px; font-weight: bold; letter-spacing: 1.5px; line-height: 1.75em; color: #ffffff;" data-brushtype="text"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 18px;">一、大肠癌病案</span></section> </section> </section> </section> </section> </section> </section> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; line-height: 1.75em; text-indent: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px; text-indent: 2em;">李某某,男,63岁</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">于某年4月无明显诱因出现便血,伴大便次数增多,日4-5次,元腹痛。就诊于肿瘤医院,行结肠镜检查,诊断为乙状结肠癌。4月25日在肿瘤医院行手术治疗,术后病理为:</span><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px; color: #7b0c00;">乙状结肠浸润性腺癌,中分化。术后行草酸铂+替加氟+亚叶酸钙化疗方案6周期。化疗过程中,出现Ⅱ度消化道反应及手足综合症。</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px; text-indent: 2em;">【初诊】</span></strong><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px; text-indent: 2em;">当年11月2日</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">【症状】</span></strong><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">下腹部隐痛,乏力,食欲差,食后腹胀,睡眠可,大便粘腻不爽,手足麻木。舌淡暗苔白腻,脉滑。</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">【辨证】</span></strong><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">脾胃虚弱,湿浊内阻。</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">【治法】</span></strong><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">益气健脾,化湿解毒。</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">【辨治要点】</span></strong><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px; color: #7b0c00;">大肠癌病机特点在于脾虚湿重,故治疗健脾化湿应贯穿始终。方用六和汤为基础加味。方中以四君子汤健脾补气为主,佐以生薏仁、扁豆、木瓜健脾除湿,助脾运,而绝生痰生湿之源。&ldquo;大肠者,传导之官&rdquo;,以通为用,加用藿香、杏仁、砂仁、厚朴、枳壳等行气通腑之品,合用守宫通络解毒,共奏健脾&middot;化湿、解毒之功。综观全方,补从脾胃入手,泻从湿浊入手,以补为要。</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px; text-indent: 2em;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">【二诊】</strong>12月8日</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">【症状】</span></strong><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">服用上方后,</span><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px; color: #7b0c00;">腹胀较前明显好转,食欲可,</span><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">手足仍麻木,偶有胃脘部不适,大便调,舌淡暗苔白,脉濡。</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">【辨证】</span></strong><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">脾肾不足,血虚络阻。</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">【治法】</span></strong><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">健脾补肾,养血通络。</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">【辨治要点】</span></strong><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">手足综合症是部分细胞毒性药物在治疗中的较常见副反应。手足综合症虽然不会危险患者的生命,却给患者带来极大痛苦,影响患者生活质量,重者可能使化疗无法进行,影响疗效。</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">&nbsp;</p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px; text-indent: 2em;">中医认为,脾主四肢,脾虚则四肢乏养。</span><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px; text-indent: 2em;">同时,化疗又容易导致络脉受损,络虚受风,是手足综合征的主要病因。</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px; text-indent: 2em;">所以,</span><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; color: #7b0c00;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px; text-indent: 2em;">手足综合症的治疗应以健脾补肾,养血通络为大法,选用健脾补肾的药物(黄芪、党参、灵芝、淫羊藿等)基础上,配合定风丹(首乌、白蒺藜)加鸡血藤、桑桂枝等养血祛风通络。诸药合用,使脾肾得健,络脉通畅,四肢</span>末<span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px; text-indent: 2em;">得养,则症状可见缓解。</span></span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">&nbsp;</p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; text-indent: 2em; font-size: 16px; letter-spacing: 1px;">另外,</span><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; text-indent: 2em; font-size: 16px; letter-spacing: 1px; color: #7b0c00;">对于手足综合症,还可配合中医外治法</span><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; text-indent: 2em; font-size: 16px; letter-spacing: 1px;">(桑桂枝各15克、鸡血藤30克、威灵仙15、生首乌15克、白蒺藜155克、木瓜15克、红花10克、生黄芪30克。水煎外用,温水泡洗手足,每日2-3次,每次15分钟。)临床有很好的疗效。</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; text-indent: 2em; font-size: 16px; letter-spacing: 1px;"><img style="display: block; margin-left: auto; margin-right: auto;" src="https://cdjcyft.com/public/editor/image/20200727/40fd636b2427690effdf9d8079b2c085.jpg" width="675" height="450" /></span></p> <section style="margin: 0px; padding: 0px; max-width: 100%; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; box-sizing: border-box !important; overflow-wrap: break-word !important;" data-tools="135编辑器" data-id="97330"> <section style="margin: 10px auto; padding: 0px 0px 4px; max-width: 100%; box-sizing: border-box; word-wrap: break-word !important; text-align: center;"> <section style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; display: inline-block;"> <section style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; display: flex; justify-content: center; align-items: flex-start;"> <section style="margin: -4px -1px 0px 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; width: 10px; height: 10px; background: #953734; overflow: hidden;"></section> <section style="margin: 0px 0px 0px 5px; padding: 0px 0px 5px; max-width: 100%; box-sizing: border-box; word-wrap: break-word !important; background: #fefefe; border: 1px solid #ffffff;"> <section style="margin: -5px 5px 0px -5px; padding: 0px; max-width: 100%; box-sizing: border-box; word-wrap: break-word !important; background-color: #953734; overflow: hidden; border: 1px solid #953734;"> <section style="margin: 0px; padding: 6px 1em; max-width: 100%; box-sizing: border-box; word-wrap: break-word !important; font-size: 16px; font-weight: bold; letter-spacing: 1.5px; line-height: 1.75em; color: #ffffff;" data-brushtype="text"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 18px;">二、患者病情明显好转&nbsp;诸症得解</span></section> </section> </section> </section> </section> </section> </section> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; text-indent: 2em;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">【三诊】</span></strong><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; text-indent: 2em; font-size: 16px; letter-spacing: 1px;">9月2日。</span><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; text-indent: 2em; font-size: 16px; letter-spacing: 1px; color: #7b0c00;">患者近4年来一直坚持服用中药,病情明显好转,手足麻木基本消失,诸症得解,定期复查胸腹部CT等均未见明显异常。</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; text-indent: 2em;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">【症状】</span></strong><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; text-indent: 2em; font-size: 16px; letter-spacing: 1px;">一般情况较好,食欲正常,睡眠可,偶有胃脘部不适,二便调,舌淡苔薄白,脉濡。</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; text-indent: 2em;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">【辨证】</span></strong><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; text-indent: 2em; font-size: 16px; letter-spacing: 1px;">脾肾亏虚。</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; text-indent: 2em;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">【治法】</span></strong><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; text-indent: 2em; font-size: 16px; letter-spacing: 1px;">益气健脾滋肾。</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; text-indent: 2em;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">【辨治要点】</span></strong><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; text-indent: 2em; font-size: 16px; letter-spacing: 1px;">患者素体脾肾亏虚,且疾病日久,肿瘤消耗,加之年老脏腑功能减弱,使正虚之本加剧,脾肾亏虚尤甚。目前病情相对稳定,症状较前明显缓解,故治疗以补养先后天之本为重点。</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; text-indent: 2em;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">【治疗现状】</span></strong><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; text-indent: 2em; font-size: 16px; letter-spacing: 1px;">患者在此后的中药治疗中沿用益气健脾滋肾之大法至今。症状上有明显缓解。尤其是在纳差、腹胀、大便不调、易疲乏等方面改善明显。</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">&nbsp;</p> <section style="margin: 0px; padding: 0px; max-width: 100%; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; box-sizing: border-box !important; overflow-wrap: break-word !important;" data-tools="135编辑器" data-id="97330"> <section style="margin: 10px auto; padding: 0px 0px 4px; max-width: 100%; box-sizing: border-box; word-wrap: break-word !important; text-align: center;"> <section style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; display: inline-block;"> <section style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; display: flex; justify-content: center; align-items: flex-start;"> <section style="margin: 6px 0px 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; width: 10px; height: 10px; background: #953734; overflow: hidden;"></section> <section style="margin: -4px -1px 0px 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; width: 10px; height: 10px; background: #953734; overflow: hidden;"></section> <section style="margin: 0px 0px 0px 5px; padding: 0px 0px 5px; max-width: 100%; box-sizing: border-box; word-wrap: break-word !important; background: #fefefe; border: 1px solid #ffffff;"> <section style="margin: -5px 5px 0px -5px; padding: 0px; max-width: 100%; box-sizing: border-box; word-wrap: break-word !important; background-color: #953734; overflow: hidden; border: 1px solid #953734;"> <section style="margin: 0px; padding: 6px 1em; max-width: 100%; box-sizing: border-box; word-wrap: break-word !important; font-size: 16px; font-weight: bold; letter-spacing: 1.5px; line-height: 1.75em; color: #ffffff;" data-brushtype="text"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 18px;">三、大肠癌预防与调护</span></section> </section> </section> </section> </section> </section> </section> <section style="margin: 10px 8px; padding: 0px; max-width: 100%; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; line-height: 1.75em; text-indent: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; color: #7b0c00;"><strong style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">预防</span></strong></span></section> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">应注意以下3点:</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">1、改进饮食习惯,合理安排每日饮食,多吃含粗纤维的蔬菜及水果,适当増加主食中粗粮、杂粮的比例,不宜过细过精。保持大便通畅,不吃变质食物及高脂饮食。</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">&nbsp;</p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">2、积极防治肠道疾病。如各种息肉、慢性肠炎(包括溃疡性结肠炎)、血吸虫病、慢性痢疾等。对有大肠息肉(尤其是家族性腺瘤病)的患者,一经发现,应尽量手术摘除,如不便摘除者,应定期复查,如发现息肉变大,应立即手术。</span></p> <p style="margin: 10px 8px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; color: #333333; font-family: -apple-system-font, BlinkMacSystemFont, 'Helvetica Neue', 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei UI', 'Microsoft YaHei', Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; background-color: #ffffff; text-indent: 2em; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important; font-size: 16px; letter-spacing: 1px;">3、对大肠癌的高危人群,如40岁以上的男性,家族性多发性肠息肉患者,溃疡性结肠炎患者,慢性血吸虫病患者及有大肠癌家族史的人应定期检查,警惕大肠癌的警号及早期症状,如大便习惯改变,腹泻、便秘交替,大便带血或黑便,大便形状变扁变细等。</span></p>
下一篇:她肺癌晚期,几度治疗,已经绝望,是谁唤起她的希望?