26. the role of chinese medicine in integrative cancer therapies liu yu-ling
1. 癌症中西醫結合治療中醫角色
The role of Traditional Chinese Medicine
in Cancer Integrative Treatment
主讲:香港浸會大學中醫藥學院臨床部高級講師
劉宇龍博士
Speaker: Dr LIU Yu-long, Senior Lecturer, Clinical
Division, School of Chinese Medicine, HKBU
2013/9/13
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2. 內容提要
( 1)中醫藥與手術放化療聯合應用以減毒增效;
TCM can enhance the effect of
chemotherapy/radiotherapy and reduce side-effect of
chemotherapy/ radiotherapy/surgery。
(2)老年人、體力狀態差不能耐受手術放化療的患
者,以單純中醫藥治療;
Those patients with poor body status, the elderly, can
not tolerate surgical radiotherapy and chemotherapy
should receive pure TCM treatment
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3.
(3) 完成多次手術或放化療療程後,腫瘤仍然復發
轉移,已經不能在再次手術放療化療中獲益的患
者,可以採用中醫藥鞏固和維持治療
After completed multiple surgery or radiotherapy and
chemotherapy, if the tumor remains recurrence and
metastasis, the patient should receive TCM as
consolidation and maintenance therapy
(4)中醫藥減輕靶向藥物副反應。
Chinese medicine can reduce the side-effect of targeted
drug.
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4. 1.手術(Surgery )
1.1手術治療(Surgical treatment )
手術適應:早期和部份中期癌症,體質能
耐受手術者。
Surgical Adaptation: early and mid stage of
cancer, body can tolerate surgery.
手術目的:切除腫瘤病灶降低癌瘤負荷。
Surgery Objective: reduce tumor load because of
resection of the tumor lesion.
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5.
手術不足:無法防止術後的復發和轉移。
Shortcomings of surgery: Unable to prevent
postoperative recurrence and metastasis.
手術副作用:創傷,出血,損傷臟腑經絡,
耗傷氣血。
Side effects of surgery: trauma, bleeding, damage
organs and meridians, loss of Qi and blood.
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7.
(2)提升體質,為術後化療和/或放射治
療創造條件(2-4周)。
to enhance physical fitness and build the suitable
body conditions for the postoperative
chemotherapy and / or radiation therapy (2-4
weeks).
(3)降低術後復發轉風險(6-24月)。
reduce the risk of recurrence and metastasis (624 months)
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8.
治法(Treatment) :
肺癌術後:咳嗽,胸痛,氣喘,乏力。
postoperative lung cancer: cough, chest pain,
shortness of breath, fatigue.
補益肺脾,寬胸理氣,化瘀止痛。
invigorate Lung and spleen Qi, relaxing the
chest and regulating the flow of Qi /vital energy ,
activating blood circulation to dispel
stasis,relieving pain.
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9.
胃腸腫瘤術後:腹脹,食慾差,腹痛,便秘或腹
瀉。
gastrointestinal tumor surgery: abdominal distension,
poor appetite, abdominal pain, constipation or diarrhea.
健脾和胃,理氣化濕(手術後2-4周的中藥調理)。
Invigorating spleen and Reconciling stomach ,regulating
Qi and expelling dampness(2-4 weeks after surgery
Herbal Treatment).
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42.
这类患者:多種慢性疾病,存在多臟器功
能的減退甚至衰竭。
The elderly or patients with poor physical
condition: a variety of chronic disease, the
presence of multiple organs dysfunction or
failure.
應該以中醫治療為主。
these patients should receive traditional Chinese
medicine treatment.
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44.
辯證論治,扶正培元以“治人治本”
Treatment based on syndrome differentiation
and the principle of reinfording the vital energy
and consolidating the constitution will improve
body condition.
辨病論治,軟堅解毒以“治癌治病”。
Treatment based on differentiation of disease
and dissipating hard mass and remove toxic evil
may control cancer.
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45.
5.復發轉移患者維持與鞏固治療
Recurrence and metastasis in patients with maintenance
and consolidation therapy
適應症:病人經過多次手術,放射治療,多療程
化療后仍然出現復發轉移,患者體質狀況尚可者。
Indications: Patients after multiple courses of repeated
surgeries, radiation therapies, chemotherapies.
recurrences and metastasis of cancer still occurs in
patients with fair physical condition.
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49.
“調心”目的:是消除恐懼焦慮,消除悲觀
抑鬱情緒,積極面對腫瘤診治與康復。
The purpose of Cancer patients ' self-aligning "
is to eliminate fear, anxiety, depression eliminate
pessimism, patient took a positive attitude on
tumor diagnosis, treatment and rehabilitation
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52.
調胃首重飲食調理。要重視患者大便的調
理:要治理好便秘及腹瀉。
to maitain good function of stomach,the first we
have to do is having a balanced diet.
Patients should pay attention to the stool
conditioning: To treat constipation and
diarrhea。.
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