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肺癌之防治

Prevention and Cure of Lung Cancer

摘要


肺癌是國人罹患之各種惡性腫瘤中極為常見而重要的一種癌症,從死亡率而言,肺癌居男性癌症死亡率之第二位(僅次於肝癌),而女性則居第一位,若從死亡率之增加率而言,則男女性皆以肺癌最快。台灣肺癌病人之性別比是男:女=2:l,此一比例在世界各國中是最低者。其細胞型之分步以腺癌為多,也異於歐美各國以鱗狀細胞癌爲多。 根據世界衛生組織(WHO)的分類,肺癌之分類如下: 1.鱗狀細胞癌(squamous cell ca) 2.小細胞癌(small cell ca) 3.腺癌(adenocarcinoma) 4.大細胞癌(large cell ca) 5.腺鱗狀癌(adenosquamous ca) 6.類癌(carcinoid) 7.支氣管腺癌(bronchial gland ca) (a)類腺囊癌(adenoid cystic ca) (b)粘類上皮癌(mucoepidermoid ca) 以l-4項為較常見者,若以臨床治療而言,可簡單區分為小細胞與非小細胞癌二類。 肺癌的發生率在都會區與鄉村中有明顯差別,多數病人被確診時年齡約35-75歲,發病年齡高峰期爲55-65歲。 中醫認爲肺癌是由於正氣虛損,陰陽失調,邪毒乘虛而入,邪滯於肺,導致肺臟功能失調,肺氣不暢,宣降失司,氣機不利,氣血受阻,津液失於輸佈,津聚爲病症,病症爲氣滯瘀阻絡脈,於是瘀毒膠結,日久形成肺部積塊。治療方法拜科技之賜已有一些突破,而傳統中醫的辨証論治療法及中西醫結合的治療,更有不可思議的效果。

關鍵字

肺癌 中醫 辨証論治 中西醫結合

並列摘要


The lung cancer is an extremely common malignant tumor in Taiwan. It has the second high death rate in male cancer (only second to the liver cancer), and its death rate is first place for women. As regarding the increment rate of death rate, then men and women are all the fastest ones with the lung cancer. The sex ratio of the lung cancer patients in Taiwan is male: female=2:1. This ratio is the lowest one in the world. Its cell type is regarded as the adenocarcinoma mainly, which is different from the squamous cell ca in American-European countries. According to the classification of World Health Organization (WHO), the lung cancer can be classified as follows: 1. Squamous cell ca 2. Small cell ca 3. Adenocarcinoma 4. Large cell ca 5. Adenosquamous ca 6. Carcinoid 7. Bronchial gland ca (a) Adenoid cystic ca (b) Mucoepidermoid ca Items 1-4 are the more common ones. As for the clinical treatment, it can be divided into the small cell ca and non-small cell ca. There is obvious difference in the occurrence rate of lung cancer in urban and rural area. Most patients are found at 35-75 years old, The peak period s 55-65 years old. The Chinese Medicine thinks the lung cancer is the deficiency of lung, improper care of Yin and Yang, silt of blood, and stagnation of Qi. The combination of Chinese Medicine syndrome and western medicine can get very good curative effect.

被引用紀錄


黃彥霖(2016)。營造業之致肺癌工作環境與從業人員之防護認知之研究〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU201600710

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