大腸癌合併肝臟轉移之中醫治療－病例追蹤報告

Treatment of Colorectal Cancer with Liver Metastasis: A Case Report

吳修安(Hsiu-An Wu) ； 邱榮鵬(Jung-Peng Chiu) ； 黃伯瑜(Po-Yu Huang) ； 陳建宏(Chien-Hung Chen) ； 陳重嘉(Chung-Chia Chen) ； 劉佳祐(Chia-Yu Liu) ； 陳怡如(I-Ju Chen) ； 許中華(Chung-Hua Hsu)

《中醫內科醫學雜誌》 10卷2期 (2012/12) Pp. 49-58

https://doi.org/10.7102/JTCIM.201212.0049

摘要

大腸癌合併肝臟轉移現在已經不再是不治之症了，化療藥物合併標靶藥物治療肝臟轉移的病人使腫瘤先縮小再進行開刀，可切除的大腸癌肝臟轉移的五年存活率為40%。但是仍然有些病人不耐化療藥物的副作用而無法進行完整的手術前化療，導致腫瘤不能開刀，喪失治療的契機。本文是報告一位55歲大腸癌肝臟轉移的病人因不耐西藥化療藥物的副作用尋求中醫治療，在中藥的治療下，完成手術治療的案例。治療原則為扶正祛邪，扶中焦脾胃之氣來緩解化療藥物的副作用，治療的主軸以藿香正氣散、香砂六君子湯扶中焦正氣，祛化療副作用遺毒。

關鍵字

大腸癌 ； 中醫藥治療 ； 藿香正氣散

並列摘要

It is no more untreatable disease about colon cancer with liver metastasis, chemotherapy with target therapy before surgery is a standard treatment for those with unresectable liver tumor; it can reduce tumor size and then do surgery with reported 5-years survival rate 40%.(1) Still some patients cannot tolerate the adverse effects of chemotherapy and it lead to lose the opportunity of surgery because of uncompleted chemotherapy. This article is about a 55 years old patient who could not tolerate the adverse effect of chemotherapy before surgery, he finally came for TCM intervention to help him complete the chemotherapy before surgery and then do the surgery. The principle of TCM treatment is to reinforce the healthy qi and eliminate the pathogenic factors, we reinforce the qi of spleen and stomach to ease the adverse effects of chemotherapy, we use Huoxiangzhengqi powder and Xiangsha Liujunzi decoction to treat patient.

並列關鍵字

Colon cancer ； traditional Chinese medicine(TCM) ； Huoxiangzhengqi