National Medical Master HE Ren's Treatment of Esophageal Cancer"Three Diseases of Choking and Diaphragm"and the Col-lection of Experimental Prescriptions
10.16466/j.issn1005-5509.2024.09.011
- VernacularTitle:国医大师何任教授辨治食管癌"噎膈三病"与处方集验
- Author:
Xinbing SUI
1
;
Qinyi LI
;
Ruoping HE
Author Information
1. 杭州师范大学 杭州 310015
- Keywords:
esophageal cancer;
diaphragm;
strengthening body resistance and eliminating evil;
medication experiences;
medical record;
HE Ren;
data analysis;
national medical master
- From:
Journal of Zhejiang Chinese Medical University
2024;48(9):1136-1140
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To summarize the academic experience of the first"National Medical Master"Professor HE Ren in the treatment of esophageal cancer choking.[Methods]By studying Professor HE Ren's academic works,distilling his academic experience in treating esophageal cancer with dysphagia,and conducting a frequency analysis of the prescriptions of 221 initial esophageal cancer patients to summarize the dosage regimen and frequently used drug pairs of Professor HE's treatment for esophageal cancer with dysphagia,with case histories provided for verification.[Results]The top herbs used in single prescriptions were milkvetch root,tangshen and spreading hedyotis herb,etc.The most frequently used herb pairs were tangshen+milkvetch root and root of valvate actinidia+spreading hedyotis herb,etc.Professor HE Ren treated patients according to three types of diagnosis:syndrome of intermingled phlegm and Qi,phlegm-stasis blocking and deficiency of both Qi and Yin,and gave the basic prescriptions of light-raising and diaphragm-inducing,pungent-perfuming and subduing and pungent-smoothing and nourishing,respectively.The common basic prescription herbs of syndrome of intermingled phlegm and Qi were ginger processed pinellia,radix bupleuri,cremastrae pseudobulbus,acquilaria leaven,combined spicebush root and nutgrass galingale rhizome.The common basic prescription herbs of phlegm-stasis blocking were cremastrae pseudobulbus,magnoliae officmalis cortex,ginger processed pinellia,sparganii rhizoma,curcumae rhizoma and Danshen root.The common basic prescription herbs of deficiency of both Qi and Yin were tangshen,milkvetch root,polyporus,Indian buead,lycii fructus and glossy privet fruit.The attached test case was the pain of choking diaphragm,phlegm and blood stasis,with the treatment of incense and blood collaterals,and it achieved a better effect.[Conclusion]The discussion of the three diseases of choking and diaphragm enriched HE Ren's diagnosis and treatment of choking and diaphragm in esophageal cancer,and the proposed treatments of light promotion and diaphragm benefitting,pungent aroma and descending,and pungent slippery moistening and nourishing provided useful references for the diagnosis and treatment of patients with various stages of esophageal cancer.
