肝癌合併中醫治療病例報告

Case Study of Combining Traditional Chinese Medicine Treatment on Patient with Liver Cancer

林慶鐘(Ching-Chung Lin)

《台灣中醫臨床醫學雜誌》 13卷3期 (2007/10) Pp. 244-251

https://doi.org/10.6968/TJCCM.200710.0244

摘要

本病例爲一位結腸直腸癌轉移肝癌的47歲男性公務員患者，其母親有家族性之大腸息肉症。此患者雖經開刀切除惡性大腸腫瘤，癌細胞仍轉移到肝臟，再經過一次肝葉切除手術後，繼續使用化療藥物治療。患者於95年8月求診中醫。本病例處方採以健脾和胃，疏肝解鬱，清熱利濕退黃爲主，輔以理氣化痰、活血散結、清熱解毒爲治則。運用香砂六君子湯、茵陳蒿湯、柴胡疏肝散爲主方，加上白花蛇舌草、厚朴、木香、板藍根、三七、丹參以及其他藥物等作加減。這一年來經中西醫配合治療下，患者的血清CEA、Bilirubin、GOT、GPT均控制在一定的範圍內，故提出本病例治療過程進行探討，以供同道及教學病例參考。

關鍵字

結腸直腸癌 ； 肝癌 ； 香砂六君子湯 ； 茵陳蒿湯 ； 柴胡疏肝散 ； 白花蛇舌草

並列摘要

The patient in this case study is a 47-year-old male civic worker whose mother has familial polyposis coli, and he suffered from colorectal cancer and liver cancer metastases. The patient's malignant colon tumor was removed through operation, but the cancer cells metastasize to liver. The patient received right hepatectomy and is on chemotherapy since then. The patient requested TCM treatment in August, 2006. The primary treating principle is to supplement the spleen and harmonize the stomach, to soothe the liver, to clear heat and remove dampness, and the secondary treating principles focuses on regulating the flow of qi and dissolving phlegm, improving blood circulation to remove stagnation, clearing heat and detoxifying. Formulas prescribed are: XiangShaLiuJunZi decoction, YinChenHao decoction and ChaiHuShuGan powder with addition of BaiHuaSheSheCao, HouPo, MuXiang, BanLanGen, SanQi, DanShen and other herbs. With the cooperation of TCM and Western medicine, the patient's plasma CEA, Bilirubin, GOT and GPT were under control; therefore, the treatment procedure is provided here for discussion and reference.

並列關鍵字

colorectal cancer ； liver cancer ； XiangShaLiuJunZi decoction ； YinChenHao decoction ； ChaiHuShuGan powder ； BaiHuaSheSheCao