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Regulate Spleen And Stomach Treatment Of Advanced Prostate Cancer Clinical Observation

Posted on:2013-03-10Degree:MasterType:Thesis
Country:ChinaCandidate:Z QiaoFull Text:PDF
GTID:2244330371981532Subject:Chinese medicine
Abstract/Summary:PDF Full Text Request
Professor Gao Ronglin, the chief physician of the Guang An Men Hospital of China Academy of Traditional Chinese Medicine-old Chinese Research, doctoral tutor, enjoy special government allowances, also Member of the State Food and Drug Administration new drug evaluation experts, difficult diseases of the central health expert consultation,the Association ofChinese Medicine Internal Medicine professional Committee, vice chairman and president of the professional Committee of the world Federation of Traditional Chinese Medicine sleep Medicine, the part-time professor of Beijing University of Traditional Chinese Medicine, the academic experience of the country’s fourth installment of old Chinese medicine experts inherit the instructor. Professor Gao Ronglin studied under Lu Zhi Guo Yi master, familiar with the medical classic, King Chong Shangzhong doctrine, emphasis on the harmonization of the whole person, dialectical focus on organs relations, clinical emphasis on contingency conditioning, good governance medicine cardiopulmonary disease, sleep disorders and other difficult diseases.More comprehensive, systems and summarize the academic Ideological Origins of Professor Gao Ronglin spleen and stomach regulating, Professor Gao Ronglin spleen and stomach regulating academic thinking and clinical application of two aspects. On the basis of learning inherited Normal conditioning stomach academic thinking and Lu division Western medicine to treat advanced prostate cancer, clinical experience, from the perspective of tone stomach of starting treatment with advanced prostate cancer, and to carry out the Clinical study of conditioning spleen and stomach regulating treatment of late stage prostate cancer, for the Chinese medicine the treatment of advanced prostate cancer provide new ideas.PART1:The spleen and stomach method in treating tumor research overviewChinese medicine as early as the 《Plain Question》 and the concept of a stomach for the day after tomorrow, the function of the spleen and stomach determines the Rise and Fall of the body upright and the ability to resist disease. On the concept of TCM oncology and the "accumulation","Zhengjia" can be traced back to the 《The Miraculous Pivot》. Chinese medicine believes that is related to the formation of tumors etiology and pathogenesis of spleen and stomach function.At present, the causes of Western medicine for cancer is not entirely clear. The large number of clinical research data show that tumorigenesis and eating habits. Therefore, the normal spleen and stomach function is to ensure that the key to immune function and anti-tumor.While modern tumor therapy will appear a large number of side reaction to consumption of upright body injury. Only in the improvement of patients with spleen and stomach function, can reduce the side reaction. While the reaction decreased and in can increase appetite, enhance gas under the condition of the normal function of spleen and stomach, to play, to slow the course of disease. This is the complementary process. So the treatment should follow the" gas is born, no gas is dead" principle, treatment with Fuzheng as the core, so that the function of the spleen and stomach recovery, increase patient healthy atmosphere, improve the quality of life, extend the life expectancy of patients with.PART2:Regulation of spleen and stomach in the treatment of prostate cancer.ONE:Prostate cancer epidemiology, diagnosis, treatment and advanced treatment present situationProstate cancer is a common malignant tumor of Europe and the United States men, the incidence rate of all malignant tumors worldwide. Patients, mainly older men, newly diagnosed a median age of72years, the peak age of75to79years. Men50years of age is rare, but more than50years of age, morbidity and mortality has grown exponentially. With the social progress and technological development. The diagnosis and treatment of prostate cancer has been more mature. Endocrine therapy is the treatment of advanced prostate cancer. However, when the prostate cancer into a hormone-independent prostate cancer (including refractory prostate cancer), so that the progress of the disease, most of Western therapy side effects, can not get good effect.TWO:Overview of the academic thought of Professor Gao Ronglin spleen and stomach regulating.1.Theoretical basis of the spleen and stomach regulating.Teachers in clinical practice to focus on the movements of the stomach the actual situation and gas machine conditioning, application of the law of the spleen and stomach regulating can be described as handy. The high opinion that cohabitation in focal spleen and stomach, connected to the membrane, the full moon by the case of the stomach, spleen contact Meridian is a spleen and stomach meridian and both constitute a table with the relationship. Stomach with the source of qi and blood, the day after tomorrow, in the physiological processes in the food material receiving, digestion and water absorption, microscopic transfusion play a major role. Satisfied and chemical and functional characteristics of the stomach, spleen, up and down, to reflect the three aspects such as dry and wet.2. Professor Gao Ronglin spleen and stomach regulating theoretical point of view.(1) The metaplasia subtle, Rong Yang organs.Stomach the day after tomorrow, the source of qi and blood. Mizutani-based cereal essence of human life, the source power. Plains health movement, the strength Chong Sheng blood of the source of business health, skin Cou Li solid density, and the disorders are not born; if a stomach injury, the decline of strength, blood camp guard source scarcity, while riddled with Da. Contribute to the recovery of body functions through the spleen and stomach regulating, the benefits of its biochemical source.(2) Shengqingjiangzhuo stomach for the hubStomach cohabitation coke, spleen and stomach as a hub for air-lift, your health through Cheong. Teachers clinical air of great importance to adjust the body machine, as the hub to the stomach, or to the conditioning gas machine and organs, or viscera and to adjust the air-Teachers clinical often tells the author:To adjust the air-lift, not the other, do not focus on a single syndrome, be sure to focus on the entire air-movement.(3) Emphasis on gasification, the five viscera《Plain Question· ban on the articles》:"possession of the key must be aware of. Was born in the left liver, lung hidden in the right, the center table, kidney governance in spleen whom make, stomach whom the City."five internal organs, qi in the body is not isolated, but an organic link. In the maintenance of air-lifting process, the five internal organs carry out their duties, square so that the table and out of there often, and down movements ordered. Stomach and then lift access to the hub, conditioning air-first stomach.(4) Spleen, Imperial evil life extensionSpleen Habitat in the Central Plains irrigation all around, the Spleen is not evil. Teachers, citing 《Spleen and Stomach》:Ruofu along4of this gas, personal and sometimes, in order to avoid the cold and heat. Damage the spleen and stomach, infuriating the next slide, or discharged while a long time can not1, there is a winter without the spring and summer, is the growth of are from the gas trapped perish kill, but riddled with "pointed out that the method of nursing care the spleen and stomach, emphasizing its central position in the cure sickness.3. Spleen and stomach regulating to rule the five organs《Plain Question》:the splenic vein by soil, solitary dirty filling four near by, the five internal organs, are intrinsic gas in the stomach, stomach five internal organs of the."If the stomach healthy and vigorousstrong, normal gasification, blood, or organs limbs Bai Hai Chieh-te Yang, spleen and stomach health, while the five internal organs security; also can tune the other organs to obtain fill the stomach less than five organs, so the tone the stomach. Teachers starting from the relationship between the stomach and the five organs of the clinical, raised the spleen and stomach regulating heals the mind, spleen and stomach regulating Liver, spleen and stomach regulating Zhifei, conditioning the stomach of the kidneys, conditioning theory of the stomach cure stomach ailments. clinical confirmation of the spleen and stomach regulating to rule the five organs of objectivity. THREE:Regulation of spleen and stomach for advanced prostate cancer treated with basic treatmentSelection of the spleen and stomach as therapy of advanced prostate cancer basic method is first passed on their knowledge of etiology and pathogenesis, the spleen is the kidney. The second is based on the advanced prostate cancer clinical treatment characteristics of the decision. According to Professor Gao Ronglin, director Lu Jianxin follow in the process of learning the specific see case, try to Four Gentlemen Decoction for treatment of advanced prostate cancer of the basic method. The Four Gentlemen Decoction Chinese medicine agree elaborated this method for treating spleen and stomach gas deficiency based method, and combined with the side in the pharmacological analysis of further analysis of the spleen and stomach method in the treatment of advanced prostate cancer foundation.PART3:Regulating spleen and stomach treatment of advanced prostate cancer clinical studyBased on traditional Chinese medicine in the treatment of advanced prostate cancer" careful with Bushen" clinical practice, Gao Ronglin professor in the spleen and stomach academic thought foundation, proposed for the treatment of hormone-refractory prostate cancer" invigorating the spleen is the kidney"," Fuzheng Quxie is" theory, also carried out the regulation of spleen and stomach in patients with advanced prostate cancer clinical study.Clinical research purposes:Objective to evaluate the regulation of spleen and stomach (with Four Gentlemen Decoction is) in patients with advanced prostate cancer clinical curative effect.Methods:a randomized, controlled methods, choice of refractory prostate cancer patients30cases, the treatment group and the control group with15cases in each group. Treated by regulating spleen and stomach Four Gentlemen Decoction Combined with western medicine method of treatment (treatment combining traditional Chinese and Western medicine control group), using western medicine treatment scheme. The treatment period of3months. In March first before treatment, treatment, Karnofsky score, EORTC QOL C-30853score, clinical symptom score, peripheral white blood cell count (WBC), hemoglobin (Hb).Results:the method can significantly improve the spleen and stomach hormone refractory prostate cancer patients life treatment, improve cassette score, can reduce the EORTC QOL C-30853score in physical status score, voiding symptom score, pain symptom scores and somatic function score. The method can obviously improve the spleen and stomach in patients with prostate cancer anorexia, fatigue, difficulty in urination, dysuria and other symptoms. The regulation of spleen and stomach can retard the rate of growth of PSA. The spleen and stomach can enhance the peripheral blood of patients with WBC, Hb. Conclusion:the regulation of spleen and stomach can improve refractory prostate cancer patients quality of life; the regulation of spleen and stomach may become the traditional Chinese medicine in the treatment of advanced prostate cancer methods.
Keywords/Search Tags:Professor Gao Ronglin, Regulating Spleen and Stomach method, Advanced prostate cancer, Clinical evaluation
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