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蔡小平治疗恶性肿瘤放疗及化疗后口腔炎经验OA

Professor Cai Xiaoping's Experience in Treating Stomatitis After Radiotherapy and Chemotherapy for Malignant Tumors

中文摘要英文摘要

放疗、化疗虽是恶性肿瘤的重要治疗手段,但因其严重的口腔炎严重影响了患者的生活质量,并导致后期的抗肿瘤治疗效果也大打折扣.对于口腔炎,西医治疗主要以预防及对症治疗为主,目前缺乏比较有效的治疗方法.蔡小平教授结合其近 30 年的临床实践经验,总结出放疗、化疗后口腔炎的主要证候特点是"火""湿""瘀""虚",其中放疗被视为"火邪",其灼伤阴液;化疗药物对脾胃造成毒性损伤,导致阴液不足,虚火上升.长期疾病影响脾肾,造成脾肾双亏.蔡小平教授提出"脾肾双调、水火既济"的治疗模式,选用甘草泻心汤联合三才封髓丹加减治疗,每获良效.

Radiotherapy and chemotherapy are important treatment methods for malignant tumors,but the severe oral stomatitis they cause significantly affects patients'quality of life and reduces the efficacy of subsequent antitumor treatments.Western medicine mainly focuses on prevention and symptomatic treatment for oral stomatitis,with a lack of effective treatment methods at present.Based on nearly 30 years of clinical practice,Professor Cai Xiaoping has summarized that the main syndrome characteristics of oral ulcers after radiotherapy and chemotherapy are"fire","dampness","blood stasis",and"deficiency".Radiotherapy is regarded as"fire pathogen",which consumes the body's yin fluids;chemotherapy drugs cause toxic damage to spleen and stomach,leading to insufficient yin fluids and ascending deficiency fire.Long-term illness affects spleen and kidney,resulting in deficiency of both spleen and kidney.Professor Cai Xiaoping proposes an innovative treatment model of"regulating both spleen and kidney,and balancing water and fire"based on his years of clinical experience.He uses modified Gancao Xiexin Decoction combined with Sancai Fengsui Pill,achieving good therapeutic effects.

魏征;张俊萍

河南省中西医结合医院医务部,河南 郑州 450000河南省中西医结合医院肿瘤血液科,河南 郑州 450000

医药卫生

放疗、化疗后口腔溃疡甘草泻心汤三才封髓丹

oral ulcers after radiotherapy and chemotherapyGancao Xiexin DecoctionSancai Fengsui Pill

《中医肿瘤学杂志》 2026 (2)

55-63,9

国家自然科学基金(编号:82305349)河南省中医药科学研究专项课题(编号:20-21ZYZD19&31)河南省中医管理局拔尖人才项目(编号:2022ZYBJ27)国家中医药管理局第七批全国老中医药专家学术经验继承工作项目(编号:国中医药人教函[2022]76号)。

10.19811/j.cnki.ISSN2096-6628.2026.03.008

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