XU Xinyu,PENG Yu,ZHU Wenjing,et al.PENG Peichu's Experience in Staged Differentiation and Treatment of Prostate Cancer[J].Journal of Traditional Chinese Medicine,2024,65(07):678-683.
XU Xinyu,PENG Yu,ZHU Wenjing,et al.PENG Peichu's Experience in Staged Differentiation and Treatment of Prostate Cancer[J].Journal of Traditional Chinese Medicine,2024,65(07):678-683.DOI: 10.13288/j.11-2166/r.2024.07.004.
PENG Peichu's Experience in Staged Differentiation and Treatment of Prostate Cancer
This paper summarized Professor PENG Peichu's experience in the differentiation and treatment of prostate cancer in three phases and four stages. It is considered that prostatic cancer is categorized into root deficiency and branch excess, with depletion of healthy
qi
as the root, and the accumulation of cancer toxin as the minifestation. Clinical diagnosis and treatment of prostatic cancer can be divided into three phases and four stages according to the exuberance and decline of pathogenic and healthy
qi
and the changes of deficiency and excess of
yin
and
yang
. In the initial accumulation phase of cancer toxin (
yang
excess stage), the key pathogenesis is the accumulation of dampness, heat and static blood, and internal generation of cancer toxin, and the treatment should be resolving toxins, fighting cancer and dispelling
yang
excess. In the phase of healthy
qi
deficiency and toxin accumulation (
yin
deficiency stage), with the lung and kidney
yin
deficiency, dampness, heat and static toxin accumulation as the key pathogenesis, the treatment should be centered on mutual generation between metal and water to nourish kidney
yin
, supplemented with the method of clearing heat and draining dampness, activating blood and resolving toxins, for which self-made
Nanbei Formula
(南北方)is usually used. In the phase of
yang
deficiency and cold stagnation (
yang
deficiency stage and
yin
excess stage), with the spleen and kidney
yang
deficiency, cold dampness stagnation, static heat and toxin accumulation as the key pathogenesis, the treatment should be warming and tonifying spleen and kidney to dissipate cold accumulation; for deficiency of both
yin
and
yang
, and excess pathogen obstruction, modified
Yanghe Decoction
(阳和汤) is recommended, while for
yang
deficiency, cold congealing and blood stasis, self-made
Wenshen Sanjie Formula
(温肾散结方) can be used, and for cold dampness binding with cancer toxin, and cold complex with heat, self-made
Quanan Formula
(泉安方) is advised.
关键词
Keywords
references
CAO W , CHEN HD , YU YW , et al . Changing profiles of cancer burden worldwide and in China:a secondary analysis of the global cancer statistics 2020 [J]. Chin Med J , 2021 , 134 ( 7 ): 783 .