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烟台市中医医院2019年第二批急需高层次短缺人才招聘公告

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绿色治疗中晚期肿瘤 Green treatment for late-stage tumors

肿瘤科特色 Oncology Feature

绿色治疗中晚期肿瘤 Green treatment for late-stage tumors

Green medical treatment for advanced malignant tumors

For the treatment of advanced malignant tumors, the oncology department of Yantai City Traditional Chinese Medicine Hospital put forward the concept of “green medical care”, to maintain the patient’s quality of life as the primary goal. The pain of treatment cannot be greater than the pain of the disease itself as the fundamental principle. Under this premise, To protect the body's normal structure and function to the extent and pursue the extension of life as much as possible.

The Department of Oncology advocates "Both good and evil are important " It mainly uses modern medical technology, natural Chinese herbal medicine, human meridian acupuncture points, and natural remedies. It uses a combination of traditional Chinese medicine and Western medicine, combined local treatment with overall treatment, also oral and external combined. Other methods, such as the use of different Chinese medicine comprehensive treatment programs, are used at different stages of the disease. Local treatment is based on the principle of "low-injury and minimally-invasive". Systemic treatment uses "promoting righteousness and warding off pathogen " as the main way, making the entire treatment process "low-injury, high-performance, easily tolerable, and sustainable." In this way, through the combination of traditional Chinese medicine and modern technology, while enhancing the body's immune system and stimulating the body's self-healing ability, it can be combined with low-toxicity and low-injury anti-tumor therapy to eventually achieve "a peaceful coexistence of human tumors and long-term survival with tumors." .

Firstly, in stabilizing or shrinking tumors and prolonging survival:

1. Chemotherapy combined with Chinese medicine

For chemotherapy-relatively sensitive tumors, we use the method of “chemotherapy combined with traditional Chinese medicine” to fully utilize the attenuated and synergistic effects of Chinese medicine, so that patients can safely and easily complete the chemotherapy process, so that there is no obvious adverse reaction. According to the patient's different conditions, we will use the right support film soup, spleen and kidney soup and other agreements, with a good taste, strong efficacy of the characteristics of tea, paste recipes, such as the rise of white tea, ordination of tea, stomach tea, kidney Health medullary paste, kidney tonic hair cream, etc., and the use of special effects powder point acupuncture, acupuncture, Chinese medicine smoked medicine and other Chinese medicine external means, through proper combination of internal and external therapy, and reasonable and appropriate comprehensive treatment, so that patients with hair loss, blood cell decline, The incidence of adverse reactions such as nausea and vomiting and cancer fatigue has been reduced to the lowest point.

Case 1

Patient Wang, male, 80 years old, was diagnosed as middle to late rectal adenocarcinoma in 2010. Due to advanced age and poor cardiopulmonary function, no surgery or radiotherapy was performed. No painful chemotherapy was used to achieve complete disappearance of rectal cancer and follow up for 8 years. relapse.

 Before treatment (2010)

 After treatment (2013)

Case 2

The patient Xing , female, 38 years old, stage IV breast cancer. In early 2018, he was diagnosed with liver tumors of varying sizes and tumors. His body was extremely debilitated, his cachexia status, and hepatic function were significantly impaired (aspartate aminotransferase increased to more than four times his normal value). We use multi-cycle, standardized, individualized chemotherapy, syndrome differentiation and treatment of group prescriptions, protocol prescription Fuzheng Humo Oral, special effects methods Huyuzhitong powder acupoint application, navel therapy Liqijianyun, moxibustion to stronger spleen, and strengthening the body. , to make chemotherapy smoothly, significant effect, the liver's lesions basically disappeared, physical strength gradually improved from the original need to stay in bed for a long time, and now normal labor and social.

Before treatment (January 2018)

 After treatment (April 2018)

2. Targeted Treatment Combined With Chinese Medicine

For the skin reactions caused by targeted drugs through the traditional Chinese medicine side wash; Hypertension through the ear pressure beans, bloodletting therapy, etc.; through the differentiation of traditional Chinese medicine to delay the occurrence of targeted drug resistance, relieve adverse reactions.

For example: Patient Wang, 48 years old, we use targeted Chinese medicine for brain metastasis of lung adenocarcinoma. Now we have controlled the disease for 5 years and the condition is still stable.

3. Radiotherapy combined with Chinese medicine

Through yang yin tea, clothing, flower gargle, syndrome differentiation treatment of oral ulcers or dry mouth or dry cough during radiotherapy; through acupuncture, ear acupuncture, etc. to stimulate the spleen Jian Pi Yi Qi; for radioactive Enteritis uses Qingrejiedu, YangyinZhixue Chinese medicine retention enema; special effects powder points acupoints Huoxuehuayu, Liqizhitong. For patients with head radiation therapy, they can wear Chinese medicine caps to relieve headaches and dizziness.

4, pure Chinese medicine therapy

For chemoradiation and target-insensitive tumors, we used acupuncture points, acupuncture, static Chinese medicines, oral Chinese medicines (including soups, pills, capsules, etc.), and special-effect powders for acupoint application to stabilize or even reduce tumors. The purpose of the body. For common tumors, the Department of Oncology has created more than a dozen prescriptions under the leadership of Hou, such as Jianwei Sanjie Decoction for stomach cancer, Kangfei Sanjie Decoction for lung cancer, Yichang Sanjie Decoction for colorectal cancer, and Yugan SanJie Decoction for liver cancer. Soup and so on. And developed several in-hospital preparations, such as mussels FanBei scattered capsules, XianQiFuzheng granules. Through the oral treatment of traditional Chinese medicine decoction, a person's traditional Chinese medicine pill, ointment, hospital preparation capsules, special Chinese medicine decoction rectal instillation, special effects Chinese medicine scattered cream acupoint application and other comprehensive treatment, to achieve the purpose of disease treatment.

For example: Li, a patient with rectal cancer, 65 years old, unable to undergo surgery, radiotherapy and chemotherapy because of heart disease, we use pure Chinese medicine to treat it, by oral Chinese herbal decoction, rectal instillation of traditional Chinese medicine, Huayuzhitong powder acupoint application, It has been two and a half years and surveillance has shown that the tumor lesions are stable without any metastases and the patient has no obvious symptoms.

Secondly, in improving clinical symptoms and improving quality of life:

1, treatment of loss of appetite, nausea and vomiting:

The use of Jianpi Zhuyun Powder acupoint application; Jianpi pills and Baohe pills such as oral; acupuncture and so on.

2, treatment of abdominal distention and abdominal pain:

The use of Liqijianyunsan, Huayuzhitongsan, XiaoZhang Lishui Powder and other special points acupoint application; the use of stronger spleen and clearing damp and promoting diuresis, blood circulation expectorant herbs and other syndrome differentiation.

3, treatment of abnormal stool:

For constipation, acupoint application such as rhubarb powder, slow drink of laxative tea, rectal instillation of Chinese medicine, etc. can be used. For diarrhea, acupuncture points such as navel therapy and Zhixie San can be applied;

Thirdly, in improving cancer complications

1, cancer pain

50% to 80% of patients with advanced stage cancer are often accompanied by cancer pain. For this reason, we use painkillers in combination with Chinese medicine. On the one hand, through the use of Chinese medicine, it can reduce cancer pain and reduce opioid use. General use of powdered acupoints for topical application, auricular acupuncture, analgesia, external application, navel moxibustion, analgesia, floating needles, and buccal acupuncture, acupuncture, moxibustion, meridian analgesia, injection of Chinese medicines, and injection of tumors to reduce tumor pain, etc.; on the other hand, With Chinese medicine, reduce the adverse reactions caused by opioids. Such as drug-induced abdominal distension, can be acupoint application of Li QiJianYunSan, navel moxibustion, acupuncture to promote gastrointestinal motility, ear buried needle and other methods; for drug-induced constipation, rhubarb powder and other points can be applied, laxative tea drink , Chinese medicine rectal instillation, gastrointestinal laxative and Chinese medicine syndrome differentiation and oral administration; for drugs caused by dizziness, drowsiness, can use oral Chinese medicine, acupuncture, Chinese medicine medicine pillow, medicine caps and other means.

2, cancerous fever:

The use of Chinese medicine intravenously guttae, oral, characteristic antipyretic powder acupoint application, acupuncture bloodletting, rectal instillation retention fever and other means.

3, pleural effusion and pericardial effusion

Using local puncture and drainage, special Chinese medicine body cavity infusion, special acupoint application of Lishui powder, oral special effects decoction, combined with body cavity heat infusion therapy and other comprehensive treatment, effectively control the effusion.

4, cancerous fatigue

First of all, the use of "Huang Di Nei Jing" static and dynamic combination, conform to nature, the overall coordination of health principles, through the five elements of music, Tai Chi, five animals, a reasonable diet guidance, so that patients with cancer develop a good life. On this basis, the patients were given oral administration through syndrome differentiation, such as decoction, protocol, herbal tea, and ointment, together with special-effect powder acupoint application, navel treatment, qi and health promotion, and moxibustion to improve the body immunity, etc., supplemented by psychological counseling. , music therapy, medicine pillows and other methods to relieve patients of cancer fatigue and tension, depression.

5,Myelosuppression

The main methods used are: moxibustion Zusanli, Fuzheng tea, Yishen ShengSui tea, Jianpi Busheng orally, hospital preparation Xianqi Fuzheng Granules and oral Chinese medicine.

Typical cases after comprehensive treatment by Chinese and Western medicine

Case 1

Patient Ni, 60 years old, diagnosed advanced liver cancer in 1998, after 2 operations, 4 interventions, plus intravenous Chinese medicine, dialectical Chinese medicine continued oral, has now been with tumor survival more than 20 years, is still working, is still oral Chinese medicine , has insisted 13 years and a half. AFP occasionally fluctuates and persists for nearly 4 years (1500U/L at the onset). And after 2 years of continuous oral Chinese medicine treatment, the hepatitis B surface antigen also turns negative and produces surface antibodies. At present, the quality of life of patients is good.

Case 2

Patient Li , male, 65 years old, discovered small cell carcinoma in 2014 with lung cancer associated with brain metastases, bronchoscopy and biopsy: the right ventricle upper wall of the opening shows new biogenic airway obstruction. Pathology: Small cell carcinoma, immunohistochemistry: CK (+), SYN (+), CGA (+), CD56 (+), TTF-1 (+), LCA (-), Ki-67 positive rate 90%. More than 10 cycles of chemotherapy, brain radiation therapy 15 times, since then has been insisting on Chinese medicine treatment, to Kangfei Sanjie soup differentiation addition and subtraction, hospital preparations FanBeiSanjie capsule oral, the condition has stabilized.

 

Before treatment (2014)

 

After treatment (2017)

Case 3

Patient Qu, female, 75 years old, 2014 gastroscope pathology: moderately differentiated adenocarcinoma of the antrum, partial mucinous adenocarcinoma, first diagnosis of gastric cancer, stage IV, lymphatic metastasis. The first stage of treatment: Chinese medicine combined with chemotherapy to improve the efficacy of chemotherapy, reduce the side effects of chemotherapy, and improve the objective remission rate; the second stage: 2016.07.05-present, pure Chinese medicine anti-tumor therapy, stable lesions, improve the quality of life, Extend the survival time. So far the patient is in stable condition and there is no obvious discomfort.

 

 

Before treatment (2014)    After treatment (2015)

 

Before treatment (2014)      After treatment (2017)

 
        肿瘤科治疗中晚期恶性肿瘤提出“绿色医疗”理念,以维持患者生活质量为首要目标,在保障患者基本生活质量的前提下追求生命的延长,最大限度的保护机体正常结构和功能,治疗带来的痛苦不能大于疾病本身引起的痛苦。
通过中国传统医学和现代技术的结合,扶正祛邪并重,在增强机体免疫力,激发机体自愈能力同时,再配合低毒低损伤的抗肿瘤治疗,到达“人瘤和平共处,长期带瘤生存”。主要治疗方法:借助现代技术、天然中草药、人体经络穴位、自然疗法等多种手段,局部治疗低损伤、微创化,同时天然中草药全身治疗,内服外用结合内托正气,祛邪毒,达到“低损伤、高效能、易耐受、可持续”的治疗。在疾病不同治疗阶段,配合不同中医综合治疗方案。
一、在稳定或缩小肿瘤,延长生存期方面:
1、对于化疗相对敏感肿瘤  我们通过化疗联合中医药减毒增效左右,让病人安全、轻松的完成化疗计划,且无明显不良反应。我们通过协定方如扶正护膜汤、健脾益肾汤等,配合特色药茶、膏方等如升白茶、升板茶、健胃茶、补肾生髓膏,补肾固发膏等,使药物口感好、效力强。特效散剂穴位贴敷、针灸、中药熏药等多种中医外用手段恰当组合,通过内外合用综合治疗,使患者脱发、血细胞下降、恶心呕吐、癌性疲乏等不良反应的发生率降到最低点。
病例1患者王某,男,80岁,2010年诊断为中晚期直肠腺癌,因高龄,心肺功能差,未行手术及放疗,采用无痛苦化疗技术,达到直肠肿瘤完全消失,且随诊8年未复发。
 治疗前(2010年)  治疗后(2013年)
病例2患者邢某,女,38岁IV期乳腺癌,2018年年初来诊,因肝脏密布大小不等的肿瘤病灶,身体极度衰弱,恶液质状态,肝功能明显损害(谷草转氨酶升高到正常值的4倍以上)。我们采用多周期规范化个体化的化疗,辨证论治组方遣药,协定方扶正护膜汤口服,特效方化瘀止痛散穴位贴敷,脐疗理气健运、艾灸健脾扶正固本等,使化疗顺利进行,疗效显著,肝脏的病灶基本消失,体力逐步改善从原来需要长时间卧床,到现在正常劳动、社交。
 治疗前(2018年1月)    治疗后(2018年4月)
2、靶向联合中医药  对于靶向药引起的皮肤反应通过中药外洗方;高血压通过耳穴压豆、放血疗法等;通过辨证中药推迟靶向药物耐药的发生,缓解不良反应。例如:患者王某,48岁,因肺腺癌脑转移我们采用靶向联合中医药治疗,现已控制疾病5年,病情仍稳定。
3、放疗联合中医药  通过养阴茶漫服,花香漱口液漱口,辨证施治协定方治疗放疗期间口腔溃疡或口干咽干或干咳;通过针灸、耳穴埋针等刺激健脾益气养阴穴位;对于放射性肠炎采用清热解毒、养阴止血中药保留灌肠;特效散剂穴位外敷活血化瘀、理气通腑止痛。对于头部放疗患者可以佩戴中药药帽减轻头痛、头晕等症状。
4、对于放化疗及靶向不敏感肿瘤,我们采用子午流注开穴、针灸、中成药静点、配合口服中药(包括汤药、丸药、胶囊等)、特效散剂穴位贴敷,从而达到稳定甚至缩小瘤体的目的。例如:直肠癌患者李某,65岁,因心脏疾病,无法进行手术、放化疗等,我们采用纯中医治疗,通过口服中药汤剂、中药直肠滴入、化瘀止痛散膏穴位贴敷,现已经2半年监测,肿瘤病灶稳定,无任何转移,患者无明显不适症状。
对于常见肿瘤,肿瘤科在侯院长带领下创制了十几种协定方,如胃癌的健胃散结汤、肺癌的康肺散结汤、肠癌的益肠散结汤、肝癌的愈肝散结汤等。并研制了几种院内制剂,比如矾贝散结胶囊、仙芪扶正颗粒等。通过口服中药汤剂、一人一方的中药丸剂、膏剂、院内制剂胶囊、特制中药煎剂直肠滴入、特效中药散膏穴位贴敷等综合治疗,达到治疗疾病的目的。
二、在改善临床症状,提高生活质量方面:
1、治疗食欲不振、恶心呕吐:运用健脾助运散穴位贴敷;健脾丸及保和丸等口服;针灸等。
2、治疗腹胀腹痛:运用理气健运散、化瘀止痛散、消胀利水散等特色散剂穴位贴敷;采用健脾利水、活血化瘀方药等辨证施治。
3、治疗大便异常:对于便秘,可用大黄粉等穴位贴敷、通便茶漫饮,中药直肠滴入等。对于腹泻,可用脐疗、止泻散等穴位贴敷;采用健脾补肾、理气润肠通腑等中药辨证施治。
三、改善癌症并发症:
1、癌性疼痛:对于50%至80%中晚期癌症患者常伴有的癌性疼痛,一方面联合中医药治疗减轻癌性疼痛,减少阿片类药物用量,可以采用特色散剂穴位贴敷、耳穴埋针、止痛酊外涂、脐灸解痉止痛、浮针及颊针、针灸通络止痛、中成药瘤体注射减瘤止痛;二方面,通过配合中医药,减轻阿片类药物带来的不良反应,如针对药物性腹胀可以通过理气健运散穴位贴敷,脐灸、针灸促进胃肠蠕动,耳穴埋针等;针对药物引起便秘,可用大黄粉等穴位贴敷、通便茶漫饮,中药直肠滴入、理气润肠通便中药辨证口服等;针对药物引起头晕、嗜睡,可以采用辨证中药口服,针灸,中药药枕、药帽等手段。
2、癌性发热:采用中药静点、口服、特色退热散剂穴位贴敷、针刺放血、中药直肠滴入保留退热等手段。
3、胸腹水及心包积液:采用局部穿刺引流,特色中药体腔灌注,特色利水散剂穴位贴敷,特效汤剂口服,配合体腔热灌注治疗等综合治疗有效控制积液。
4、癌性疲乏:通过运用《黄帝内经》养生原则,指导肿瘤患者生活起居,饮食情志,动静结合,顺应自然,整体协调,养成良好生活状态。常用通过五行音乐、太极拳、五禽戏、合理饮食指导等养成良好生活习惯基础上,采用辨证施治汤药、协定方、药茶、膏方口服;特效散剂穴位贴敷,脐疗理气健运、艾灸提高机体免疫力,治疗癌性疲乏;通过心理疏导、音乐疗法、中药药枕舒缓患者因疾病带来的紧张、抑郁情绪。
5、骨髓抑制 采用艾灸足三里、扶正茶及益肾生髓茶漫服、健脾补肾膏方口服、院内制剂仙芪扶正颗粒及辨证中药口服。
 
通过中西医综合治疗后的典型病例
病例1患者倪某,60岁,1998年诊断晚期肝癌,经2次手术,介入4次,加中成药静脉点滴、辨证中药持续口服,现已经带瘤生存20余年,仍正常工作,目前仍在口服中药,已坚持13年半。AFP偶有波动,近4年持续正常(发病初期1500U/L)。而且病人在持续口服中药治疗2年后,乙肝表面抗原也转阴,并产生表面抗体。目前患者生活质量良好。
病例2患者李某,男,65岁,2014年发现小细胞癌肺癌伴有脑转移,支气管镜检及活检:右肺上叶开口内侧壁 可见新生物致气管腔堵塞。病理:小细胞癌,免疫组化:CK(+),SYN(+),CGA(+),CD56(+),TTF-1(+),LCA(-),Ki-67阳性率90%。行十多周期化疗,颅脑放疗15次,此后一直坚持中医药治疗,予康肺散结汤辨证加减,院内制剂矾贝散结胶囊口服,病情至今稳定。
   
治疗前(2014年)
   
治疗后(2017年)
病例3 患者曲某,女,75岁,2014年胃镜病理:胃角中分化腺癌,部分粘液腺癌,初诊诊断胃癌IV期,淋巴道转移,治疗第一阶段:中医药与化疗相结合,提高化疗疗效、减少化疗副反应、提高客观缓解率;第二阶段:2016.07.05-至今 单纯中医药抗肿瘤治疗,稳定病灶、提高生活质量、延长生存时间。至今患者病情稳定,无明显不适。
   
治疗前(2014年)                 治疗后(2015年)
   
治疗前(2014年)                            治疗后(2017年)
 
 

主攻方向 Main attack direction

科室形象 Oncology Image