吴良村治疗肠癌经验撷菁(1.浙江中医药大学，浙江杭州310053；2.浙江中医药大学附属第一医院，浙江省中医院，浙江杭州310006)摘要：吴良村教授认为正气不足是肠癌发生发展的内在原因，也是被邪毒伤耗的结果。正虚邪积为肠癌的根本病机。肠癌属因虚而致积、因积而益虚，本虚而标实之病证。在肠癌的病因病机中，除了正气不足外，最重要的便是热毒内蕴，而热毒内蕴势必耗气伤阴，临床多以气阴两虚为基础。吴教授结合辨证,按人体正气盛衰将肠积分为初中末3个阶段，治疗按此3阶段与攻补二法相结合,用药特点以益气养阴清热为本。"留得一分阴液，便有一分生机”。在治疗中，常以沙参麦冬汤为底，结合辨证，加减用药,尤善用黄英、党参、生晒参、太子参、沙参、麦冬、石斛、玉竹、生地、天花粉等，以求“养正积自消”之功。此乃吴教授治疗肠癌特色之最，其之重要性可以说是贯穿治疗过程的始终。且吴教授很重视中医药配合放化疗治疗的阶段区别，加减用药，以期达到配合放化疗、减毒增效的治疗效果。关键词：吴良村；中医药；名医经验；肠癌❷：R249文献标识码：A：1673-7717(2010)04-0732-03收稿日期：2009-11-03基金项目：国家“十一五”科技支撑计划项目(2007BAI10B01-036)---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---作者简介：叶晔(1984-),女，浙江瑞安人，硕士研究生，研究方向：中医药防治肿瘤学。通讯作者：沈敏鹤(1963-),男，浙江平湖人，主任中医师,博士研究生导师，研究方向：名老中医临证经验、学术思想传承和肿瘤证候和治法治则的研究。E-mail：smh3288@yahoo.省略。TheExperienceofWULiang-cunforTreatingintestinalcancerYEYe❷1,SHENMin❷he❷2,RUANShan^ming❷2,SONGQiao❷ling❷1,CHENXue❷mei❷1仃.Zhe激angChineseMedicalUniversity,Hangzhou310053,Zhe激ang,China；2.Zhe激angProvincePelple，sHospital,Hangzhou310006,Zhe激ang,China)Abstract：TheprofessorWULiang-cunthinksthatthedeficiencyofanti-pathogenicqi,whichisdepletedbytoxin,istheinternalreasonforintestinalcancer?.Therefore,theradicalmechanismofintestinalcanceristhedeficiencyofanti-pathogenicqiwithstagnancy・Intestinalcancerisadeficientandexcessivepatternasfollow：firstly,excessivepattern,asaresuItofdeficiency,andthenthest---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---agnantfactorexacerbatesdeficientpattern・Intermsofthediseaseetiology,besidesthedeficiencyofanti-pathogenicqi,themostimportantfactoristheaccumulationofheattoxin,whichdepleteqiandyin,soqiandyindeficiencyismostcommoninclinic・Accordingtothedeficiencyofanti-pathogenicqithroughpatterndifferentiation,TheprofessorWUclassifiesthisdiseaseasthreephases:initialphase,metaphaseandfinalphase・Andthetreatmentisbasedonthisthreephases,simuItaneity?accoinpaniedwithtonifyinganddissipatingmethods・Thetreatmentischaracterizedbytheprescriptionwithtonifyingqiandyin,clearingexcessiveheatfounction.“retainingfluidinthebody,thenlifewillberetained”・Inthetreatment,ProfessorWUoftenchoosessha-shen-mai-dongtangasfoundationalformulae,alsowithherbaladditionordeductionaccordingtopa/tterndifferentiation.Heisaccomplishedinusingsuchherbalashuangqi,dangshen,shengshaishen,taizishen,shashen,maidong,shihu,yuzhu,shengdi,tianhuafenandsoon,allthoseherbalhavethefunctionof"tonifyingtheanti-pathogenicqiandthestagnancywilldisappearautomatically^---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---・ThisismostremarkabletherapycharacterforProfessorWUtotreatthisdisease,andtheprincipiaofthistherapyisappliedthroughthewholephrase・Inadditiontothat,ProfessorWUattachesgreatimportancetoapplyTCMtherapyincombinationwithchemotherapyindifferenttherapyphases,i...