Make a diagnosis and give treatment middle-late old ideas discussed metropolises

MaDaiZhao The ministry of health the sino-japanese friendship hospital

ZhangPeiYu China's traditional Chinese medicine academy of sciences hospital gate

China's traditional Chinese medicine to

        China is a country with one of the highest incidence of cancer, cancer is one of the most common form of the disease among middle-aged and old one, in the city, it is various kinds of disease to die first, in rural second.

        Up is not happen overnight, but after a very long process of pathological changes, it's quite a long incubation period, about 10 ~ 15 years, or even 20 to 30 years. As the growth of the age, the incidence of carcinoma with rising, so once in the human body formed up, most patients are already arrived in senile, plus after old age, the body internal organs physiological function decline, endocrine disorders, immune function decline; Some old people due to long time by mental trauma, or disease of interference, or work, living environment pollution and poor life and the diet custom, etc., can accelerate the origin and development of the metropolises.

        40 years, our country using traditional Chinese medicine and the combination of traditional Chinese and western medicine diagnosis and treatment methods of metropolises, more and more be large Numbers of medical workers and patients accepted. We will make a diagnosis and give treatment middle-late elderly up ideas is explored in this paper.

        Body virtual and real is old metropolises middle-late syndrome characteristics

        Traditional Chinese medicine think that there are many old age qi and blood is insufficient, viscera is deficient, modern medicine also think people to the old later, viscera physiological function decline, endocrine disorders, Immune function decline, or spirit and disease interference, living or working environment pollution, and diet is not section, long-term smoking, a large number of drinking and other bad habits and customs and so on all can accelerate the origin and development of the metropolises.

        Old up when illness development to middle-late later, tumor recurrence or distant metastasis, increase, general constitutions is weak, according to reports in the literature, about 85% of the cancer patients detected the cellular immune function are less than normal range. These physique weak syndrome is the old middle-late cancer disease human virtual and real (tumor diffusion transfer) the characteristics of the symptoms.

        Righting culture this is given priority to, an ounce of prevention is worth a cancer detoxification is the main therapeutic principles

        Righting culture this also called righting the foundation, "righting" namely AIDS upright, "culture this", that is, cultivating the yuan, righting culture is the treatment of traditional Chinese medicine disease in the important treatment rule, is the essence of traditional Chinese medicine treatment rule.

        Traditional Chinese medicine to the tumor know attaches great importance to the overall concept, the YiZong required of tumor puts forward this: "the product into also insufficient, upright, and then the global evil." Zhang jingyue said: "whoever spleen and kidney deficiency and weak disorder, is accumulation of disease." So the occurrence of cancer, development is a positive virtual evil real process, in the vital qi deficiency is tumor occurrence and development of root causes, most of the external carcinogenic factors, also is in the human body is virtual reality and under the condition of the body and of the disease invaded. Therefore, this paper puts forward the culture of righting therapeutic principle and a series of relevant formulae, is an important way to explore the prevention and control of the tumor, this is our country's first.

        Treat middle-late elderly patients by the righting culture this is given priority to, anti-cancer detoxification treatment principle is an ounce of prevention is worth our many years through a large number of elderly patients with diagnosis and treatment of metropolises middle-late clinical experience, such as can achieve righting leave no evil, to eliminate pathogenic factors cancer do not hurt the positive (upright), this is the best treatment ideas.

        Righting culture this: the main therapeutic principles to fill gas keep blood, spleen and stomach and nourishing liver kidney.

        Relieve symptoms, reduce pain and improve the quality of life is the main purpose

        Middle-late elderly metropolises, especially in the late stage patients symptoms, illness is heavy, and the general condition is poor, when there is a persistent cancerous pain more after the patient pain very much, so treat middle-late cancer patient care is first cancer, treatment mainly tumor? Or to remove the patient's symptoms and mainly pain? Years of clinical experience has shown that this kind of patients for the aim of treatment for the patient shall first remove the biggest pain and symptoms and improve the patient's quality of life is given priority to, in as far as possible not to increase the patient's pain and symptoms, further injury patients, and the body's immunity and disease resistance lemmas, for certain, the patient can afford the anti-cancer therapy (such as chemotherapy, radiation therapy, and traditional Chinese medicine anticancer treatment), in order to control the development of metropolises, so as to achieve stable condition, improve the quality of life.

        Combining traditional Chinese and western medicine treatment is the main way to enhance the curative effect

        1. The combination of TCM and western medicine therapy can complement each other, comprehensive treatment

        Malignant tumor is a systemic disease local performance, current tumor therapy methods each has its indications and limitations. The surgical treatment for early metropolises and limitations of tumor can achieve effect a radical cure effect, but up local recurrence, tumor larger range or transfer by surgical treatment effect is poor. Radiation therapy at present for some metropolises already can reach the effect a radical cure effect, but radiation therapy is still a local therapy. Chemotherapy is a kind of systemic treatment, over the past 20 years have great development, this kind of therapy for the chorionic carcinoma and malignant lymphoma, acute lymphocytic leukemia, testicular tumor, Hodgkin disease etc all have good treatment effect, but most chemotherapy drugs to the tumor selective inhibition is not strong, and often have a certain adverse reaction. Immunotherapy can kill a certain number (a small amount of or survival) tumor cells, at present only as a kind of adjuvant therapy. The doctor of traditional Chinese medicine of traditional Chinese medicine on tumor patient in righting culture, improve the immune function and disease-resistant ability, and reduce the side effects of chemotherapy, etc can play good treatment effect, on the early cervical cancer and skin cancer and also can obtain good therapeutic effect, but for most metropolises anti-cancer effect is still in the exploration. So, in the last two hundred and thirty years, at home and abroad specialist agreed that the treatment of cancer have to go the way of comprehensive treatment, and its aim is to maximize tumor patient surial, clinical cure rate, as far as possible to reduce the patient's pain, symptoms, prevent recurrence and metastasis and improve the quality of life for the principle.

        2. The combination of TCM and western medicine therapy has good curative effect, survival quality improvement

        For decades our country combining traditional Chinese and western medicine treatment tumor workers through the above the reasonable combination of traditional Chinese and western medicine treatment of senile tumor clinical practice, to lung, stomach, colorectal cancer (straight colon cancer, liver cancer, nasopharyngeal carcinoma, breast and cervical cancer has made of common tumor than pure Chinese medicine or western medicine are good treatment effect, in the near future also make a patient's quality of life and long-term survival rate are improved to some extent.

        Such as phase III stomach cancer surgery, by original 5 years survival rate was 20% ~ 30% increase to 50% ~ 60% above, nasopharyngeal carcinoma radiotherapy after the 5 year survival rate is increased from the original 40% to more than 60%, over the past 20 years experimental study also fully prove that the radiation and chemotherapy of some Chinese medicine to improve immune function, and promote the reticuloendothelial system phagocytosis, protect bone marrow hematopoietic function and reduce white blood cells, platelets down role. Some promoting blood circulation to remove blood stasis drugs can improve the microcirculation, increased vascular permeability and improve local tumor hypoxia, so as to facilitate the role of radiotherapy sensitization.

        We through the years of clinical, has summed up a complete and effective prevention and control of traditional Chinese medicine in cancer patients in the adverse reaction of chemotherapy in evidence law cure. Cancer patients in the main therapeutic radiation in clearing away heat and toxic material, fluids, dryness, cool complement qi and blood, spleen and stomach, nourishing liver kidney and promoting blood circulation to remove blood stasis is given priority to. In the main therapeutic principle of chemotherapy in righting is given priority to, that is to make up for gas keep blood, spleen and stomach and nourishing liver kidney primarily. For many years we and national scientific research institutes of traditional Chinese medicine application of the prevention and control of radiation and chemotherapy side reaction of obtaining better treatment effect: combine traditional Chinese and western medicine group (radiation and chemotherapy plus Chinese medicine group) the effeciency between 70% ~ 90%, and the control group (simple chemotherapy group) the effeciency between 50% ~ 70%, significantly statistical significance difference. At the same time in the combination of traditional Chinese and western medicine group the patient's whole body reaction, gastrointestinal reaction and reaction blood picture than the simple radiation chemotherapy group for light, so that combine traditional Chinese and western medicine treatment, the patient's constitution strengthened, quality of life improved obviously, many patients insist for a long time to combine traditional Chinese and western medicine treatment significantly improved forward survival rate.

        3. The main connotation of combining traditional Chinese and western medicine treatment

        (1) syndrome differentiation and combination of diagnosis of disease

        60 years or older is cancer incidence age. Because the old immune function decline, digestion hypothyroidism, blood stream is slow, blood viscosity increased, more elderly patients with cerebrovascular disease, diabetes, hypertension, osteoporosis and other diseases, some old people for liver and kidney function decline, drain and detoxification function abate, treatment of senile physique weak tumor patients should be correctly grasp the differentiation of symptoms and signs of traditional Chinese medicine and western medicine combined with the differentiation of disease treatment, fully understand the situation of patients with low immunity, tumor biological characteristics that the malignant degree how, tumor pathologic stage, and surgery, radiotherapy, and chemotherapy, immune therapy, Chinese medicine in the treatment of various therapy indication, contraindication, curative effect level, side effects on patients with mental body brought about by the damage, and a comprehensive analysis in the disease on the basis of love, work out a combination of traditional Chinese and western medicine, planned, suitable for individual patients, its physical and economic ability can bear the comprehensive treatment plan. Practice has proved that after such a reasonable comprehensive treatment of the patients, the quality of life are better, recurrence and metastasis rate is low, its survival rate also can be obviously improved.

        (2) the whole body treatment and combination of local treatment

        Middle-late elderly patients metropolises general constitutions is weak, low immune function, disease-resistant ability is poor, its physical often can't afford to excessive tapping cut, so the attending doctor must attach importance to the patient's general condition, given the systemic therapy or systemic and local combination of treatment, the international praise highly "survival with tumor" concept, emphasizes to destroy tumors in patients with advanced carcinoma shows is not the main purpose, as long as stable occlusion or development is slow, the quality of life is good, life cycle extended, such as can achieve the therapeutic effect, even if the good curative effect.

        (3) combined with the patient's physical and chemotherapy

        Common old up when illness development to middle-late later, tumor recurrence or distant metastasis, increase, general constitutions is weak, so should be combined with chemotherapy patients constitution (life force) radiation and chemotherapy.

        In radiotherapy, chemotherapy should fully understand the patient before the constitution, strong or weak, then worked out the size of the radiation dose, radiation time length, or choose chemotherapy regimens and drug dose, etc., it will achieve better treatment effect. The tumor hospital, Chinese academy of medical sciences, the former director, domestic and international famous radiologists WuHengXing professor, since the 1960 s after radiation therapy clinical, often to the same kind of tumor patient (such as nasopharyngeal carcinoma, etc.), according to different patients physical strength with different dose and duration of treatment time, he often personally to patient positioning, or wild, quantitative, and sometimes also personally to patient radiotherapy. After he such "syndrome differentiation" + radiotherapy of tumor patient, the radiation side reaction is low, survival quality is good, cure rate is also high.

        Rehabilitation therapy enhance patients over the confidence of the metropolises

        Rehabilitation therapy is the treatment of mid and late stage of cancer patients important part of rehabilitation therapy in clinical significance is to make the patient after reasonable comprehensive treatment, make its body and mind will soon get health recovery, we think "governance body is moving, treat heart is static". The doctor requested patient activities according to each patient's different physical, told its strengths, not hard line to demand, the so-called "to heart", that is, the psychological rehabilitation is the meaning, is to make the patient thought is open, mood optimistic and happy, get rid of "cancer = death" of the heavy mental burden, make patient calm god beautiful, set up over the metropolises win confidence.