刘尚义从"引疡入瘤"辨治直肠癌经验OA

This paper summarizes the experience of professor LIU Shangyi in differentiating and treating rectal carcinoma from the perspective of"treating ulcers as tumors".It is believed that the manifestations of rectal cancer,such as anal itching,cauliflower-like or ulcerative tumors,and bloody stools,are similar to external skin itching,skin ulceration,swelling,and skin bleeding.Therefore,the treatment principles of sores and ulcers department can be applied to treat tumors.Following the diagnostic and treatment approach of dermatology regarding the clinical typi-cal symptoms,for anal itching,the main treatment is to dispel wind and remove dampness,clear heat to relieve itch-ing,using"skin medicinals"such as Difuzi(Fructus Kochiae)and Baixianpi(Cortex Dictamni),as well as wind medicinals such as Shengma(Rhizoma Cimicifugae)and Fangfeng(Radix Saposhnikoviae).For constipation,the method of clearing heat and resolving toxins,unblocking the bowels and discharging heat can be used,commonly us-ing Baitouweng(Radix Pulsatillae),Donglingcao(Herba Rabdosiae Rubescentis)and Dahuang(Radix et Rhizoma Rhei).In terms of mucosal ulcers,it is critical to differentiate between yin and yang;the treatment of yang ulcers should focus on clearing heat and resolving toxins,commonly using modified Xianfang Huoming Beverage(仙方活命饮);for yin ulcers,emphasis should be placed on removing dampness and resolving phlegm,commonly with modified Yiyi Fuzi Baijiang Powder(薏苡附子败酱散).For bloody stool,differentiation is made between deficiency and excess,with the use of Diyu(Radix Sanguisorbae)and Huaihua(Flos Sophorae)for excess syndrome to cool and stop blee-ding,and both herbs dry-fried until charred combined with liver-tonifying medicinals for deficiency syndrome