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肿瘤问答 Cancer Q&A

肿瘤科特色 Oncology Feature

肿瘤问答 Cancer Q&A

一、
问:癌症患者忌口常有“发物”一说,发物指什么,哪些食物属于发物?
答:发物泛指辛辣燥热刺激、肥甘厚味及低级海产生物等一类食物。《素问•评热病论》谓:“热病少愈,食肉则复”,指热性病稍好转进食发物时会复发。
戒吃发物是癌症戒口常听到的话题,癌症的发物包括狗肉、公鸡、羊肉、蚕蛹、虾、蟹、螺、蚌、烟、酒等容易动风化火、生痰的食物,癌病者吃后虽不至于每吃必“发”,但多数人容易出现食物变态反应,并以此为诱因导致机体的进一步虚衰。肿瘤是一种全身性疾病,患者常有神经-内分泌功能失调,使机体处于免疫应激状态,免疫功能低下,并伴有消化腺分泌障碍,胃肠充血而表现为消化吸收紊乱,此时如暴饮烈酒、滥吃虾蟹,容易对刺激性食物或异性蛋白的过敏原起变态反应,出现发热腹痛、食欲减退,使正气更虚,继而诱发癌症的加重和复发,因此癌症戒吃发物具有一定的理论依据和实践验证。
I
Q: cancer patients often avoid the word "hair", hair refers to what, which food belongs to hair?
A: hair products refer to spicy hot and hot stimulation, fat and thick taste and low-level marine products and other foods. "Su Wen • Review of Heat Disease Theory" said: "The fever is less healed and the meat is restored." It means that the heat and sexually transmitted diseases will recur when eating the food.
Restraining hair is a topic often heard by cancer abstinence. Cancer hair includes dog meat, cock, mutton, Silkworm, shrimp, crab, snail, clam, cigarette, wine and other foods that are prone to weathering fire and sputum. Although cancer patients do not have to "hair" after eating, most people are prone to food metamorphosis and use this as an incentive to lead to further collapse of the body. Tumor is a systemic disease. Patients often have neuro-endocrine dysfunction, which puts the body in an immune stress state, has low immune function, and is accompanied by digestive gland secretion disorders. Gastrointestinal congestion is characterized by digestive and absorption disorders. At this time, such as binge drinking spirits, indiscriminate eating of shrimp and crabs, It is easy to respond to allergens of irritating foods or opposite-sex proteins, and there are fever and abdominal pain, loss of appetite, making the positive Qi more weak, and then inducing the aggravation and recurrence of cancer. Therefore, cancer withdrawal has a certain theoretical basis and practice. Verification.
问:患者化疗期间,配合哪些食疗方法可减轻化疗反应?
答:在化学药物治疗中,最常见的副作用是骨髓抑制和消化功能的紊乱。
减轻化疗药骨髓抑制反应,可从健脾益气养血和补益肝肾两方面人手,多食山药、扁豆、龙眼肉、大枣、花生仁、黑木耳、猪肝、糯米、甲鱼、猪骨、牛骨、羊骨等食物,但须注意消化问题。出现气血两亏的状况时,可选用十全大补汤。
胃纳减退,表现为舌苔厚腻,故应以理气和胃、化湿止呕为原则选择合适的食物,常用者如生姜、柑橘、陈皮、白萝卜、山楂、薏苡仁、白扁豆、山药、大枣、牛奶、蜂蜜、神曲等,可选用神曲粳米粥及薏苡仁粥等。恶心、呕吐时,可酌用生姜,将生姜频频嚼服,常有较好的效果。舌苔厚腻时,还可用生姜片轻擦舌苔。
口腔黏膜溃疡、糜烂、灼痛者,应选具有养阴、清热解毒作用的食物,如西瓜、苦瓜、蜂蜜、藕、绿豆、梨、西红柿、芦根、荠菜、甘蔗、香蕉等。
II.
Q: during chemotherapy, which therapeutic diet can reduce the chemotherapy response?
A: The most common side effects in chemotherapy are bone marrow inhibition and digestive disorders.
Mitigating the marrow inhibition reaction of chemotherapy drugs can be used to nourish blood from spleen and Qi, and to supplement liver and kidney. They can eat Yam, lentils, longan meat, jujube, peanut kernel, black fungus, pig liver, glutinous rice, turtle, pig bone, beef bone, sheep bone and other foods. However, it is necessary to pay attention to digestion problems. When there is a condition of two losses of Qi and blood, you can choose Shiquan Da Bu soup.
The stomach is reduced, and the expression is thick and thick of tongue coating. Therefore, the principle of rational Qi and stomach and moist retching should be used to select suitable foods. Commonly used such as ginger, citrus, tangerine peel, white radish, hawthorn, coix, white lentil, Yam, jujube, milk, honey, Shenqu, etc., you can choose Shenqu rice porridge and coix porridge. When nausea, vomiting, you can use ginger, ginger will be chewed frequently, often better results. When the tongue is thick and greasy, raw ginger can also be used to wipe the tongue.
Oral mucosal ulcers, erosion, burning pain, should be selected with Yin, heat and detoxification of the effect of food, such as watermelon, bitter melon, honey, Lotus, mung beans, pears, tomatoes, root, leeks, sugar cane, bananas and so on.
三、
问:癌性疼痛中医有哪些外治法?
答:癌性疼痛中医以“不通则痛”立论,认为病机主要是邪毒内蕴、经络壅阻、气滞血瘀所致。中药外治法,经体表给药,通过皮肤和黏膜表面吸收,药力直达病所,无内服药的肝脏首过效应,毒副作用小,起效较快,维持时间长。我们科化瘀止痛散活血化瘀、行气止痛,十六种中药超微粉碎,蜂蜜调匀,制成膏剂,贴敷相关穴位以达到止痛目的,如肺癌疼痛外敷乳根穴,肝癌疼痛外敷期门穴,脑瘤疼痛外敷太阳穴,并可配合阿是穴的贴敷,根据疼痛位置、范围灵活调整膏药大小,临床疗效明显。
III.
Q: What are the external treatments for cancerous pain in traditional Chinese medicine?
Answer: the theory of cancer pain in traditional Chinese medicine is "no pain is pain", that the main cause of the disease is the evil venom, Meridian obstruction, Qi and blood stasis. The traditional Chinese medicine method, which is administered by the body surface, is absorbed through the surface of the skin and mucous membranes, and the drug power reaches the disease site. The liver first effect without internal medicine has small toxic and side effects, and the effect is faster and the maintenance time is long. Our branch of blood stasis pain scattered blood circulation, blood stasis, Qi pain, 16 kinds of Chinese medicine ultra-crushed, honey adjusted, made into a paste, apply related points to achieve pain relief purposes, such as lung cancer pain external application of milk root point, liver cancer pain external dressing door point, brain tumor pain external application of the temple, And it can be applied with Ashe points, flexibly adjust the size of the ointment according to the location and range of pain, and the clinical effect is obvious.
四、
问:癌症患者术后需要服用中药吗?
答:肿瘤病人手术损伤气血,临床表现多为气血亏虚或气阴两伤、或脾胃失调等。古人云:“留得一分胃气,便得一分生机”,手术后通过中医药调理,可以补益脾胃、益气养血,以四君子汤为基础方加减。临床上并可根据不同症候辨证施治。如:气虚重者用人参代替党参,加炙芪。血虚重者加阿胶、炙芪、当归、熟地。病人情绪低落时,加用疏肝、解郁、行气、活血通络药,如郁金、青皮、丹参、香附等。因此服用中药能够促进患者术后恢复,使患者能够更好的耐受下一步的化疗或放疗。
IV.
Q: Do patients with cancer need to take Chinese medicine after surgery?
Answer: Surgical injury of tumor patients is Qi and blood, and the clinical manifestations are mostly Qi and blood deficiency or Qi and Yin, or spleen and stomach disorders. The ancients said: "If you have a point of stomach gas, you will have a point of vitality." After surgery, you can use Chinese medicine to recuperate your spleen, stomach, and Qi to raise blood. Clinically, it can be treated according to different symptoms. Such as: Qi Qi heavy people use ginseng instead of Codonopsis, plus Qi Qi. Blood deficiency plus gum, gongs, Angelica, ripe. When the patient is depressed, he uses liver thinning, depression, Qi, and blood circulation drugs such as Yujin, Qingpi, Salvia miltiorrhiza, and Xiangfu. Therefore, taking Chinese medicine can promote the patient's postoperative recovery and enable the patient to better tolerate the next step of chemotherapy or radiotherapy.
五、
问:中药有明确的抑制肿瘤作用吗?
答:在《神农本草经》已经记载一类具有抗肿瘤作用的药物,如大黄能“破癥瘕,积聚”、斑蝥能“蚀死肌、破石癃癃瘕”、苦参“主……瘕瘕积聚”、夏枯草能“破胀,散瘿结气”。现代研究也显示,很多中药有明确的抑制肿瘤作用,如莪术(莪术油)治疗宫颈癌;斑蝥(斑蝥素,衍生甲基斑蝥胺、去甲斑蝥素),治疗原发性肝癌;喜树( 含喜树碱) 治肝癌;鸦胆子( 含鸦胆子油) 治宫颈癌及肺癌;山慈菇( 含秋水仙碱) 治乳癌。广谱化疗药物紫杉醇即是从我国中药红豆杉中提取,有紫杉醇、多西紫杉醇、紫杉醇脂质体、白蛋白紫杉醇等不同制剂。 
V)
Q: does Chinese traditional medicine have a definite effect on tumor suppression?
A: A class of anti-tumor drugs has been recorded in the Shennong Materia Medica, such as rhubarb, which can "break through and accumulate", spotted beetle, which can "eat dead muscles, break stones," and bitter ginseng, "main ... accumulation" and summer dead grass can "burst. Scattered gas. " Modern studies have also shown that many Chinese medicines have a clear inhibitory effect on tumors, such as Curcuma(Curcuma) treatment of cervical cancer; Blockworm(cantharidin, derived methylantharidaridamine, demethylanidaridin), treatment of primary liver cancer; Hibiscus(including hibiscus) for liver cancer; Crow courage(including Crow bile oil) for cervical cancer and lung cancer; Shan Ci mushroom(including colchicine) for breast cancer. The broad spectrum chemotherapy drug paclitaxel is extracted from Chinese traditional Chinese medicine yew, and there are different preparations such as paclitaxel, doxanthol, paclitaxel liposomes, and albumin paclitaxel.
六、
问:膏方是什么,有哪些作用?
答:在中医理论里,膏方是一种具有高级营养滋补和治疗预防综合作用的成药。它是在大型复方汤剂的基础上,根据人的不同体质、不同临床表现而确立不同处方,经浓煎后掺入某些辅料而制成的一种稠厚状半流质或冻状剂型。膏方具有补虚和治病两大特点;以“阴平阳秘,以衡为补”为主要原则,完全体现了传统医学的整体观念。能够补虚扶弱、抗衰延年、纠正亚健康状态、防病治病。适用于慢性病病人、亚健康人群、老年人及女性。对于癌症病人,在冬令服食扶正膏滋药,不仅能提高免疫功能,而且能在体内贮存丰富的营养物质,有助于来年防复发,抗转移,增强抵抗力。
VI.
Q: What is the cream side and what is its role?
A: In the theory of traditional Chinese medicine, ointment is a medicine with advanced nutritional tonic and preventive effects. It is a thick, semi-liquid or frostlike formulation made of different prescriptions based on different physical conditions and different clinical manifestations of human beings. Paste Square has two major characteristics of deficiency and cure; The main principle of "Yin Ping Yang secret, to balance as a supplement" fully reflects the overall concept of traditional medicine. It can make up for weakness, resist decay, correct sub-health status, and prevent and treat diseases. For chronic patients, sub-healthy people, the elderly and women. For cancer patients, taking positive cream in winter can not only improve immune function, but also store abundant nutrients in the body, which will help prevent recurrence, anti-metastasis, and strengthen resistance in the coming year.
七、
问:对于癌症患者四季膏方适合吗?
答:冬季是一年四季中进补的最好季节。长期以来,人们就讲究“冬令进补”,在冬天,内服滋补膏方,强壮身体,到了来年春天,精神抖擞,步行矫捷,思维灵敏,在民间也有“冬令一进补,春天可打虎”的说法,是很有道理的。另一方面,膏方也可以实时调补,不在冬季,如处在慢性损耗性疾病的过程中或大病后,手术后,患者身体非常虚弱时,可以采用膏方调治。
    癌症患者作为慢性疾病,不仅仅冬季进补,可以根据患者病情实时调补,如化疗后病人,出现白细胞、血小板、血红蛋白下降,给予升血膏方健脾补肾、益气升血;再者,应用中药汤剂进行辨证施治后,继用膏方又是一个很重要的方面。一是它可以继续配伍其他治疗的药物,二是服用方便,三是符合虚弱身体进行缓慢康复的原则,其补益是王道缓缓收工,决不能采用霸道蛮补,根据患者阴阳虚实情况调整用药。
VII.
Q: is it appropriate for cancer patients to have four seasons of cream?
A: Winter is the best season for supplement all year round. For a long time, people have paid attention to "winter supplements". In the winter, they take tonic remedies and strengthen their bodies. In the spring of the coming year, they will be energetic, walking quickly, and thinking sensitively. In the folk, they also have "winter supplements. Spring can hit tigers." It makes a lot of sense. On the other hand, the paste side can also be adjusted in real time, not in the winter, such as in the process of chronic loss of disease or after a major illness, after the operation, the patient is very weak, can use the paste side adjustment.
Cancer patients as chronic diseases, not only winter supplements, can be adjusted according to the patient's condition in real time, such as after chemotherapy patients, white blood cells, platelets, hemoglobin decline, to give the blood cream Fang Jianqi spleen kidney, Qi Sheng blood; Furthermore, the application of traditional Chinese medicine decoction for syndrome differentiation and treatment, followed by the use of ointment is a very important aspect. The first is that it can continue to be compatible with other treatments, the second is easy to take, and the third is in line with the principle of slow recovery of the weak body. Its supplement is that Wang Dao slowly closes work and must not use overbearing and brutal supplements. Adjust the medication according to the patient's yin and Yang reality.
八、
问:晚期肿瘤患者中医药有哪些作用?
答:对于晚期肿瘤患者失去手术、放化疗的机会,特别是消耗较重、年龄过大、出现恶液质的患者,机体正气损伤严重,自身免疫力下降明显,病情进入晚期、终末期,此时的患者肿瘤相关症状明显,并食欲极差,卧床不起,不能耐受任何对机体有损伤的治疗,此时,中医中药显示出了明显的治疗优势,使用中药治疗既能缓解患者的部分症状,又能提高机体抗病力及免疫力,改善食欲,减轻痛苦,有效延长患者的生存期,提高其生活质量。
VIII.
Q: What are the effects of traditional Chinese medicine on patients with advanced tumors?
A: For patients with advanced tumors who have lost the opportunity for surgery and chemotherapy, especially those who consume heavy, over-age, and develop foul fluid, the body's positive air damage is serious, and its autoimmunity has dropped significantly, and the condition has entered the late stage and the final stage. At this time, the patient's tumor-related symptoms are obvious, and the appetite is extremely poor. He is bedridden and can not tolerate any treatment for damage to the body. At this time, Chinese medicine and traditional Chinese medicine have shown obvious therapeutic advantages. The use of Chinese medicine can relieve some of the patients. Symptoms, It can also improve the body's disease resistance and immunity, improve appetite, reduce pain, effectively prolong the patient's survival period and improve his quality of life.
 

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