胰腺癌全程中医论治思路
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国家科技重大专项项目-重大新药创制专项(2019ZX09201004-002-001)——双黄升白口服液新药研究及关键技术;北京市东城区优秀人才培养资助项目(2020-dchrcpyzz-38)——益髓颗粒调节Wnt通路DNA甲基化治疗低中危骨髓增生异常综合征效应机制研究


Traditional Chinese Medicine Treatment Ideas for Pancreatic Cancer
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    胰腺癌恶性极高,素有“癌王”之名,近年来在全球范围内发病率持续上升。因其进展迅速,生存期普遍较短,临床诊治极具挑战性。中医药作为多学科协作背景下胰腺癌综合治疗的有效手段之一,具有很高的灵活性及良好的兼容性,既可与其他治疗方式协同作用于胰腺癌进展全程,亦可成为高龄及晚期患者主要治疗方式,能够明显改善患者生命质量。古医籍中胰腺癌相关专项记载较少,多以黄疸、腹痛、癥瘕、积聚等病证散载,未能形成系统的中医药诊疗体系,当代医家基于对医学古籍及自身临床经验的总结,也进行了一系列基础及临床研究,形成了多种胰腺癌的中医治疗思路,其各有侧重但又有内在统一之处,为中医药在临床胰腺癌多学科治疗模式中的应用提供经验借鉴。本文结合古籍及多位临床胰腺癌专家的研究成果,系统归纳总结中医药在胰腺癌临床诊治中的应用思路。

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    Pancreatic cancer with a high degree of malignancy is known as the “king of cancer”,and its incidence keeps rising worldwide in recent years.The rapid progression leads to the generally short survival and pose a great challenge for the clinical diagnosis and treatment of this disease.As one of the effective means for comprehensive treatment of pancreatic cancer in the context of multidisciplinary collaboration,traditional Chinese medicine(TCM) demonstrates high flexibility and compatibility.It can act synergistically with other treatment methods in the whole progression process of pancreatic cancer and also become the main treatment method for elderly and advanced patients,being capable of improve the quality of life of patients.The ancient medical books have few records of pancreatic cancer,and the available records focus on symptoms such as jaundice,abdominal pain,abdominal mass,and accumulation,lacking a comprehensive TCM diagnosis and treatment system.Based on the summary of ancient medical books and their own clinical experience,contemporary doctors have carried out a series of basic and clinical studies,forming a variety of TCM treatment ideas for pancreatic cancer.With both common and unique points,the ideas provide references for the application of TCM in the multidisciplinary model for treating pancreatic cancer.On the basis of the research results of ancient books and pancreatic cancer experts,this article systematically summarizes the ideas for applying TCM in the clinical diagnosis and treatment of pancreatic cancer.

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苗璐,田劭丹,罗美,吕丽媛,陈信义,王婧.胰腺癌全程中医论治思路[J].世界中医药,2023,(10).

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  • 收稿日期:2022-03-28
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  • 在线发布日期: 2023-06-06
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