| 摘要: |
| 国医大师潘敏求教授临床防治肿瘤血证经验丰富且见解独到，认为肿瘤出血以“虚、瘀”为主因，肾为先天之本，脾为后天之本，且脾主统血、固摄血行；其基于“脾肾同治”理论，以“补虚消瘀”为基本治则，遣方用药讲究补脾益肾、化瘀止血等原则，并善用炭类中药。该文整理其专著的相关案例收录，择肺癌和消化道肿瘤出血进行阐述，肺癌咯血治以清上固下，金水相生，培土生金；消化道肿瘤出血治以调中摄下，温清兼施，脾肾双补。后附2则验案阐明。 |
| 关键词: 肿瘤血证 消化道出血 咯血 脾肾同治 国医大师 潘敏求 |
| DOI： |
|
|
| Experience of Pan Minqiu in prevention and treatment of tumor-related blood syndrome based on the theory of “simultaneous treatment of the spleen and kidney” |
| TANG Wei,LIU Mengjiao,PAN Minqiu,XING Yehui,SONG Cheng |
| (Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine, Changsha 410006, Hunan, China;Hunan University of Chinese Medicine, Changsha 410208, Hunan, China;Hunan Cancer Hospital, Changsha 410013, Hunan, China) |
| Abstract: |
| National Chinese Medicine Master Professor Pan Minqiu possesses rich clinical experience and unique insights in the prevention and treatment of tumor-related blood syndrome. He believes that deficiency and stasis are the primary causes of tumor-related hemorrhage, with the kidney as the congenital foundation and the spleen as the acquired foundation, and furthermore, the spleen governs blood and consolidates blood circulation. Based on the theory of “simultaneous treatment of the spleen and kidney”, he formulates the basic treatment principle of “tonifying deficiency and eliminating stasis” and applies the principles of tonifying the spleen and kidney, removing stasis, and stopping bleeding in prescription and medication, and he makes the best use of carbonized Chinese medicinals. This article summarizes related cases from his monographs and elaborates on bleeding due to lung cancer and gastrointestinal tumors. The treatment of hemoptysis caused by lung cancer focuses on clearing the upper and consolidating the lower, promoting the mutual generation of metal and water, and strengthening earth to generate metal , while the treatment of bleeding caused by gastrointestinal tumors focuses on regulating the middle and containing the lower, combining warming and clearing methods, and tonifying both the spleen and the kidney and applies the self-made Ganfufang prescription. The medical records of a case are attached at the end for clarification. |
| Key words: tumor-related blood syndrome gastrointestinal bleeding hemoptysis simultaneous treatment of the spleen and kidney National Chinese Medicine Master Pan Minqiu |
