LI Zhenyu,ZHANG Shuxin.Postoperative Treatment of Pseudomyxoma Peritonei in the Light of "Edema Due to Yang Deficiency, Cold-Phlegm Coagulation"[J].Journal of Traditional Chinese Medicine,2024,65(22):2373-2377.
LI Zhenyu,ZHANG Shuxin.Postoperative Treatment of Pseudomyxoma Peritonei in the Light of "Edema Due to Yang Deficiency, Cold-Phlegm Coagulation"[J].Journal of Traditional Chinese Medicine,2024,65(22):2373-2377.DOI: 10.13288/j.11-2166/r.2024.22.015.
Postoperative Treatment of Pseudomyxoma Peritonei in the Light of "Edema Due to Yang Deficiency, Cold-Phlegm Coagulation"
Pseudomyxoma peritonei (PMP) is a low-grade malignant mucinous tumour, which can be classified under the category of "tympanites" in traditional Chinese medicine. It is believed that
yang
deficiency of the spleen and kidney is the basis of the pathogenesis of postoperative PMP patients, and cold-phlegm and water are the main pathological products of PMP. The focus of postoperative treatment of PMP is to improve the postoperative clinical symptoms and phlegm-dampness constitution of patients, and to control the recurrence of PMP is the main difficulty of the treatment. It is proposed that warming and supplementing the spleen and kidney, dissolving phlegm and draining water should be the main treatment principle, prescribed by modified
Fuzi Lizhong Pill
(附子理中丸) plus
Zhenwu Decoction
(真武汤), to achieve the purpose of improving the symptoms, enhancing the quality of life, and preventing the recurrence of the disease, and to provide ideas for postoperative treatment of PMP in clinic.
关键词
Keywords
references
RIZVI SA , SYED W , SHERGILL R . Approach to pseudomyxoma peritonei [J]. World J Gastrointest Surg , 2018 , 10 ( 5 ): 49 - 56 .
CARR NJ , CECIL TD , MOHAMED F , et al . A consensus for classification and pathologic reporting of pseudomyxoma peritonei and associated appendiceal neoplasia: the results of the Peritoneal Surface Oncology Group International (PSOGI) modified Delphi process [J]. Am J Surg Pathol , 2016 , 40 ( 1 ): 14 - 26 .
MITTAL R , CHANDRAMOHAN A , MORAN B . Pseudomyxoma peritonei: natural history and treatment [J]. Int J Hyperthermia , 2017 , 33 ( 5 ): 511 - 519 .
SPRATT JS , ADCOCK RA , MUSKOVIN M , et al . Clinical delivery system for intraperitoneal hyperthermic chemotherapy [J]. Cancer Res , 1980 , 40 ( 2 ): 256 - 260 .
MORAN B , BARATTI D , YAN TD , et al . Consensus statement on the locoregional treatment of appendiceal mucinous neoplasms with peritoneal dissemination (pseudomyxoma peritonei) [J]. J Surg Oncol , 2008 , 98 ( 4 ): 277 - 282 .
SOUCISSE ML , FISHER O , LIAUW W , et al . Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy with or without early post-operative intraperitoneal chemotherapy for appendix neoplasms with peritoneal metastases: a propensity score analysis [J]. Eur J Surg Oncol , 2021 , 47 ( 1 ): 157 - 163 .