恶性肿瘤中西医结合治疗模式探索

王俊壹; 李柳; 沈卫星; 吴勉华; 周仲瑛; 程海波

doi:10.14148/j.issn.1672-0482.2024.0217

恶性肿瘤中西医结合治疗模式探索

doi: 10.14148/j.issn.1672-0482.2024.0217

王俊壹^{1, 2,},
李柳^{2, 3},
沈卫星^{2, 3},
吴勉华^{2, 3},
周仲瑛^{2, 3},
程海波^{1, 2, 3, ,}

1.
南京中医药大学附属医院, 江苏南京 210029
2.
江苏省中医药防治肿瘤协同创新中心，江苏南京 210023
3.
南京中医药大学第一临床医学院，江苏南京 210023

基金项目:

国家中医药管理局中医药创新团队及人才支持计划 ZYYCXTD-C-202208

国家重点研发计划资助“中医药现代化”重点专项 2022YFC3500200

国家重点研发计划资助“中医药现代化”重点专项 2022YFC3500201

国家中医药管理局高水平中医药重点学科建设项目国中医药人教函〔2023〕85号

江苏高校优势学科建设工程资助项目 PAPD

详细信息

作者简介:
王俊壹，女，主治中医师，E-mail：njwangjunyi@126.com

通讯作者:
程海波，男，教授，岐黄学者，主要从事中医药防治恶性肿瘤的研究，E-mail：haibocheng@njucm.edu.cn

中图分类号: R259
计量
- 文章访问数: 312
- HTML全文浏览量: 35
- PDF下载量: 58
- 被引次数: 0
出版历程
- 收稿日期: 2023-07-05
- 网络出版日期: 2024-03-15
- 发布日期: 2024-03-10

Exploration of Integrated Traditional Chinese and Western Medicine Treatment Mode for Malignant Tumors

WANG Junyi^{1, 2
,},
LI Liu^{2, 3},
SHEN Weixin^{2, 3},
WU Mianhua^{2, 3},
ZHOU Zhongying^{2, 3},
CHENG Haibo^{1, 2, 3
, ,}

1.
The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210029, China
2.
Jiangsu Collaborative Innovation Center of Traditional Chinese Medicine for Tumor Prevention and Treatment, Nanjing 210023, China
3.
The First School of Clinical Medicine, Nanjing University of Chinese Medicine, Nanjing 210023, China

摘要

摘要: 恶性肿瘤是严重威胁人类健康的重大疾病，虽然目前中西医结合已成为我国恶性肿瘤治疗的专家共识，但尚未形成成熟的中西医结合治疗模式。通过探索构建恶性肿瘤中西医结合治疗模式，即中西医协同治疗、中医姑息治疗和中医防变治疗，覆盖恶性肿瘤不同阶段，以期在恶性肿瘤治疗过程中充分发挥中西医结合治疗的优势与特色。
- 恶性肿瘤 /
- 中西医结合 /
- 治疗模式 /
- 协同治疗 /
- 姑息治疗 /
- 防变治疗
Abstract: Malignant tumors are major diseases that seriously threaten human health. Although the integration of traditional Chinese and Western medicine has become an expert consensus on treatment of malignant tumors in China, a mature treatment mode of integrated traditional Chinese and Western medicine has not yet been formed. This paper explores the construction of integrated traditional Chinese and Western medicine treatment mode for malignant tumors, namely synergistic therapy, palliative therapy, and preventive therapy, covering different stages of malignant tumors, in order to give full play to the advantages and characteristics of integrated traditional Chinese and Western medicine treatment in the treatment of malignant tumors.
- malignant tumors /
- integration of traditional Chinese and Western medicine /
- treatment mode /
- synergistic therapy /
- palliative therapy /
- preventive therapy

HTML全文

图 1 恶性肿瘤全程中西医结合模式

Figure 1. Integrated traditional Chinese and Western medicine mode for the entire process of malignant tumors

下载: 全尺寸图片幻灯片

参考文献(20)

[1]	HAN B F, ZHENG R S, ZENG H M, et al. Cancer incidence and mortality in China, 2022[J/OL]. J Natl Cancer Cent, (2024-02-02)[2024-03-01]. https://www.sciencedirect.com/science/article/pii/S2667005424000061.
[2]	WHITE M C, HOLMAN D M, GOODMAN R A, et al. Cancer risk among older adults: Time for cancer prevention to go silver[J]. Gerontologist, 2019, 59(Suppl 1): S1-S6.
[3]	CHEN W Q, ZHENG R S, BAADE P D, et al. Cancer statistics in China, 2015[J]. CA A Cancer J Clinicians, 2016, 66(2): 115-132. doi: 10.3322/caac.21338
[4]	包宇, 禄保平, 周睿, 等. 中西医思维在治疗学上的同一性[J]. 时珍国医国药, 2021, 7(10): 2474-2476. doi: 10.3969/j.issn.1008-0805.2021.10.43 BAO Y, LU B P, ZHOU R, et al. Discussion on the identity of Chinese and Western medicine thinking in therapeutics[J]. Lishizhen Med Mater Med Res, 2021, 7(10): 2474-2476. doi: 10.3969/j.issn.1008-0805.2021.10.43
[5]	毛静远, 毕颖斐, 王贤良, 等. 对中西医结合发展战略的检视和思考[J]. 中国中西医结合杂志, 2019, 39(9): 1036-1038. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXJ201909007.htm MAO J Y, BI Y F, WANG X L, et al. Review and reflection on the development strategy of integrated traditional Chinese and western medicine[J]. Chin J Integr Tradit West Med, 2019, 39(9): 1036-1038. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXJ201909007.htm
[6]	黄博臻, 汪梅龄, 贺海霞, 等. 循序渐进协同发展: 张伯礼院士对中西医结合问题的一些思考[J]. 中国中西医结合杂志, 2020, 40(9): 1121-1124. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXJ202009024.htm HUANG B Z, WANG M L, HE H X, et al. Gradual and coordinated development: Some thoughts of academician ZHANG boli on the integration of Chinese and western medicine[J]. Chin J Integr Tradit West Med, 2020, 40(9): 1121-1124. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXJ202009024.htm
[7]	徐喆, 柴润东, 赵舒武, 等. 中西医结合诊疗模式思路探讨[J]. 天津中医药大学学报, 2022, 41(5): 563-566. https://www.cnki.com.cn/Article/CJFDTOTAL-TZYY202205005.htm XU Z, CHAI R D, ZHAO S W, et al. Discussion on diagnosis and treatment mode of integrated traditional Chinese and Western medicine[J]. J Tianjin Univ Tradit Chin Med, 2022, 41(5): 563-566. https://www.cnki.com.cn/Article/CJFDTOTAL-TZYY202205005.htm
[8]	田劭丹, 陈信义. 中医药治疗恶性肿瘤特色与优势[J]. 现代中医临床, 2019, 26(2): 8-17. https://www.cnki.com.cn/Article/CJFDTOTAL-JZYL201902004.htm TIAN S D, CHEN X Y. Characteristics and advantages of Chinese medicine in the treatment of malignant tumors[J]. Mod Chin Clin Med, 2019, 26(2): 8-17. https://www.cnki.com.cn/Article/CJFDTOTAL-JZYL201902004.htm
[9]	谢海媚, 李华超, 陈前军. 探讨黄芪甲苷对乳腺癌干细胞化疗增敏作用的体外研究[J]. 中医肿瘤学杂志, 2022, 4(5): 43-49. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYZL202205008.htm XIE H M, LI H C, CHEN Q J. In vitro study of chemotherapy-sensitizing effect of astragaloside Ⅳ on breast cancer stem cell during[J]. J Oncol Chin Med, 2022, 4(5): 43-49. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYZL202205008.htm
[10]	黄炜平, 王洪琦, 郭婷婷, 等. 姜黄素对恶性肿瘤放射增敏作用研究进展[J]. 中华中医药学刊, 2017, 35(11): 2855-2857. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYHS201711032.htm HUANG W P, WANG H Q, GUO T T, et al. Progress of radiosensitizing effect of curcumin on malignant tumor[J]. Chin Arch Tradit Chin Med, 2017, 35(11): 2855-2857. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYHS201711032.htm
[11]	林丽珠, 王思愚, 黄学武. 肺癌中西医结合诊疗专家共识[J]. 中医肿瘤学杂志, 2021, 3(6): 1-17. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYZL202106001.htm LIN L Z, WANG S Y, HUANG X W. Expert consensus on the diagnosis and treatment of lung cancer by integrated traditional Chinese and western medicine[J]. J Oncol Chin Med, 2021, 3(6): 1-17. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYZL202106001.htm
[12]	任明名, 王俊壹, 程海波. 中医药与肿瘤免疫治疗[J]. 自然杂志, 2019, 41(4): 275-280. https://www.cnki.com.cn/Article/CJFDTOTAL-ZRZZ201904008.htm REN M M, WANG J Y, CHENG H B. Traditional Chinese medicine and tumor immunotherapy[J]. Chin J Nat, 2019, 41(4): 275-280. https://www.cnki.com.cn/Article/CJFDTOTAL-ZRZZ201904008.htm
[13]	程海波. 癌毒病机理论探讨[J]. 中医杂志, 2014, 55(20): 1711-1715. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY202302095.htm CHENG H B. Discussion on the pathogenesis theory of cancer toxin[J]. J Tradit Chin Med, 2014, 55(20): 1711-1715. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY202302095.htm
[14]	李中梓. 医宗必读[M]. 太原: 山西科学技术出版, 2006: 251. LI Z Z. Required readings from the medical ancestors[M]. Taiyuan: Shanxi Scientific & Technical Publishers, 2006: 251.
[15]	黄帝内经素问[M]. 北京: 人民卫生出版社, 2012: 364. The yellow emperor's inner classic: Basic questions[M]. Beijing: People's Medical Publishing House, 2012: 364.
[16]	程海波, 李柳, 孙东东, 等. 抗癌解毒法的建立与应用[J]. 中医杂志, 2022, 63(15): 1420-1426. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202215005.htm CHENG H B, LI L, SUN D D, et al. Establishment of anti-cancer and detoxification method and its clinical application[J]. J Tradit Chin Med, 2022, 63(15): 1420-1426. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202215005.htm
[17]	李奕, 申倩, 张国庆, 等. 精准医学视域下肿瘤全周期防治中西医结合实施思路[J]. 中医杂志, 2023, 64(11): 1085-1089, 1116. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202311002.htm LI Y, SHEN Q, ZHANG G Q, et al. Implementation of integrated traditional Chinese and western medicine for tumor full-cycle prevention and treatment in view of precision medicine[J]. J Tradit Chin Med, 2023, 64(11): 1085-1089, 1116. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202311002.htm
[18]	王俊壹, 程海波. 基于"治未病" 思想探讨癌毒病机理论在肿瘤防治中的应用[J]. 中医杂志, 2018, 59(12): 1014-1016. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ201812006.htm WANG J Y, CHENG H B. Application of the theory of cancer toxin pathogenesis based on the idea of "preventive treatment of disease" in cancer prevention and treatment[J]. J Tradit Chin Med, 2018, 59(12): 1014-1016. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ201812006.htm
[19]	程海波, 李柳, 沈卫星, 等. 癌毒病机辨治体系的构建[J]. 南京中医药大学学报, 2022, 38(7): 559-564. doi: 10.14148/j.issn.1672-0482.2022.0559 CHENG H B, LI L, SHEN W X, et al. System construction for the syndrome differentiation and treatment of cancer toxin[J]. J Nanjing Univ Tradit Chin Med, 2022, 38(7): 559-564. doi: 10.14148/j.issn.1672-0482.2022.0559
[20]	张介宾. 景岳全书[M]. 北京: 人民卫生出版社, 2023: 496. ZHANG J B. The complete works of Zhang Jingyue[M]. Beijing: People's Medical Publishing House, 2023: 496.