南京中医药大学国医大师周仲瑛工作室
纸质出版:2015
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[1]赵惠,王志英,周仲瑛.周仲瑛从痰辨治恶性肿瘤用药分析[J].中医杂志,2015,56(09):740-744.
ZHAO Hui, WANG Zhiying, Nanjing University of Traditional Chinese Medicine. Analysis of Herb Used in Malignant Tumor Treatment Based on Phlegm Syndrome Differentiation by ZHOU Zhongying[J]. Journal of Traditional Chinese Medicine2015, 56(9): 740-744.
[1]赵惠,王志英,周仲瑛.周仲瑛从痰辨治恶性肿瘤用药分析[J].中医杂志,2015,56(09):740-744. DOI: 10.13288/j.11-2166/r.2015.09.006.
ZHAO Hui, WANG Zhiying, Nanjing University of Traditional Chinese Medicine. Analysis of Herb Used in Malignant Tumor Treatment Based on Phlegm Syndrome Differentiation by ZHOU Zhongying[J]. Journal of Traditional Chinese Medicine2015, 56(9): 740-744. DOI: 10.13288/j.11-2166/r.2015.09.006.
目的探讨周仲瑛从痰辨治恶性肿瘤的组方经验和用药特色。方法全部病案内容均由周仲瑛教授本人亲诊并口述
学生随时记录存档
记录内容逐一输入Visual Fox Pro 6.0周仲瑛教授诊疗资料管理系统。采用频数法、Logistic回归分析等方法分析常用药物
采用关联规则、聚类分析对病机与药物、症状与药物进行相关性分析。结果本研究1374诊次癌症病案中共涉及453味药物
分别为化痰抗癌解毒类:山慈菇、僵蚕、白花蛇舌草等;化痰抗癌祛瘀类:肿节风、石打穿、鬼馒头等;化痰抗癌补虚类:太子参、白术、黄芪等;化痰抗癌清热类:半枝莲、半边莲、蜂房等;化痰抗癌解郁类:香附、郁金、陈皮等;化痰抗癌散结类:猫爪草、天南星、法半夏等。痰瘀常应用山慈菇、猫爪草、鬼馒头、泽漆
痰热常应用山慈菇、漏芦、龙葵、白花蛇舌草、半枝莲
痰毒常应用山慈菇、僵蚕、肿节风、泽漆、白花蛇舌草、半枝莲
气虚常应用太子参、黄芪、仙鹤草
阴虚常应用南沙参、北沙参、麦冬
痰湿常应用法半夏
气郁常应用陈皮、八月札
风痰常应用白附子、天南星。结论周仲瑛治疗恶性肿瘤从痰论治
注重抗癌解毒;扶正补虚
着眼益气养阴;审证求机
倡导复法大方;标急从权
强调缓其所苦。
Objective To explore Professor ZHOU Zhongying’s prescription experience and herb use features in malignant tumor treatment based on phlegm syndrome differentiation. Methods All the cases were diagnosed
treated and dictated by Professor ZHOU Zhongying. Students recorded and reserved the data
and contents recorded were input into Visual Fox Pro 6. 0 ZHOU Zhongying’ s Diagnosis and Treatment Database Management System.Analyze common herbs with drug using frequency and Logistic regression analysis. Analyze correlation between pathogenesis and herbs
symptoms and herbs using association rule and cluster analysis. Results Totally 453 herbs were involved in 1374 visits of cancer cases. Phlegmreducing
detoxification and cancer-preventing drugs includes:Shancigu( Pseudobulb of Appendiculate Cremastra)
Jiangcan( Bombyx Batryticatus)
Baihua Sheshecao( Radix Ampelopsis) etc; Phlegm-reducing
cancer-preventing and stasis-removing drugs includes: Zhongjiefeng( Glabrous Sarcandra Herb)
Shidachuan( Chinese Sage Herb)
Guimantou( Climbing Fig Receptacle) etc; Phlegm-reducing
cancer-preventing and deficiency-tonifying drugs includes: Taizishen( Radix Pseudostellariae)
Baizhu( Rhizoma Atractylodis Macrocephalae)
Huangqi( Radix Astragali) etc; Phlegm-reducing
cancer-preventing and heat-clearing drugs includes: Banzhilian( Herba Scutellariae Barbatae)
Banbianlian( Chinese lobelia)
Fengfang( Nidus Vespae)etc; Phlegm-reducing
cancer-preventing and stagnancy-relieving drugs includes; Xiangfu( Rhizoma Cyperi)
Yujin( Radix Curcumae)
Chenpi( Pericarpium Citri Reticulatae) etc; Phlegm-reducing
cancer-preventing and stagnationdissipating drugs includes: Maozhuacao( Radix Ranunculi Ternati)
Tiannanxing( Rhizoma Arisaematis)
Fabanxia( Rhizoma Pinelliae Preparatum) etc. Shancigu
Maozhuacao
Guimantou and Zeqi( Euphorbia Helioscopia) are often used in phlegm-stasis syndrome. Shancigu
Loulu( Radix Rhapontici)
Longkui( Black Nightshade)
Baihuasheshecao and Banzhilian are often used in phlegm-heat syndrome. Shancigu
Jiangcan
Zhongjiefeng
Zeqi
Baihuasheshecao and Banzhilian are often used in phlegm-toxin syndrome. Taizishen
Huangqi and Xianhecao( Hairyvein Agrimony)are often used in qi-deficiency syndrome. Nanshashen( Radix Adenophorae)
Beishashen( Radix Glehniae) and Maidong( Radix Ophiopogonis) are often used in yin-deficiency syndrome. Fabanxia is often used in phlegm-damp syndrome. Chenpi and Bayuezha( Akebia Quinata) are often used in qi-stagnancy syndrome. Baifuzi( Rhizoma Typhonii) and Tiannanxing are often used in wind-phlegm syndrome. Conclusion Professor ZHOU Zhongying treats malignant tumor based on phlegm syndrome differentiation
and emphasizes on detoxification and cancer prevention. He strengthens the body resistance
tonifies deficiency
and pay attention to tonifying qi and nourishing yin; He advocates comprehesive methods and large prescriptions; He balances the underlying causes and the urgent symptoms
and lays emphasis on relieving patients’ pain.
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