肺癌合併多處轉移之中醫會診病例報告

Chinese Medicine Consultation for Lung Cancer with Multiple Metastasis Inpatient

吳逸羣(Yi-Chiun Wu) ； 郭世芳(Shih-Fang Kuo)

《中醫內科醫學雜誌》 7卷2期 (2009/12) Pp. 43-50

https://doi.org/10.7102/JTCIM.200912.0043

摘要

一位55歲女性患者經西醫診斷為肺癌末期，併腦部、肝臟及多處骨骼轉移，歷經4次住院化療及腦部放射治療後，又曾因貫穿孔性潰瘍住院腹腔手術，本次因骨轉移腰痛明顯再次住院接受化療及骨盆腔放療，患者會診中醫時表現久病氣陰虧虛之象，中醫辨證定位以肺脾氣虛、胃腎陰虛為主，治療上先以六君子湯加減石斛、玉竹、女貞子平補胃、脾、腎之陰，川七、牛膝、車前子活血強腰膝而利水，在取得初步療效後，再逐步增加熟地、何首烏滋養肝腎以利金水相生，經中醫會診後患者食慾增進、精神轉佳、水腫消退、大便較暢，本例在中醫介入後取得不錯的療效也提升了患者的生活品質，增加了西醫化放療的順應性。

關鍵字

肺癌 ； 中醫藥

並列摘要

The 55-year-old female is a case of terminal stage lung cancer complicated with brain, liver, and bone metastases had received 4 cycles chemotherapies, whole-brain radiotherapies, and had a admission history about laparotomy for peptic ulcer perforation. Another chemotherapy and pelvic radiotherapy were performed after this re-admission due to bone metastasis and prominent waist pain.
Qi-yin deficiency appeared during the Chinese Medicine consu1tation. The Chinese Medicine pattern-identifications were lung-spleen qi deficiency and stomach-kidney yin deficiency mainly. The formula with Liu-Jun-Zi-Tang plus Shi-Hu, Yu-Zhu, and Nu-Zhen-Zi was prescribed preliminarily to reinforce stomach, spleen, and kidney's yin; Chuan-Qi, Niu-Xi and Che-Qian-Zi, to activate blood circulation, invigorate waist's muscle, and promote diuresis.
After the primary therapeutic effect, Shu-Di and He-Shou-Wu were added stepwise to invigorate the liver and kidney for the intergeneration between lung (metal) and kidney (water). The better appetite, more energy, decreased lower leg edema, and easier stool passage occurred after the Chinese Medicine consultation and the Chinese Medicine intervention. Thus, the life quality was improved, and so was the western medicine chemo-radiotherapy compliance.

並列關鍵字

lung cancer ； Chinese medicine