The Clinical Experience of Integrated Traditional Chinese and Western Medicine in Treating Elderly Acute Myeloid Leukemia of SHEN Yiping
10.16466/j.issn1005-5509.2018.09.011
- VernacularTitle:沈一平中西医结合治疗老年急性髓系白血病经验拾萃
- Author:
Ruidan ZHANG
1
;
Bo WANG
;
Yiping SHEN
Author Information
1. 浙江中医药大学第一临床医学院 杭州 310053
- Keywords:
elderly acute myeloid leukemia;
deficiency syndrome accompanied with excess syndrome;
Kangbai Yannian Tang;
integrated traditional Chinese and western medicine;
medical records;
SHEN Yiping;
clinical experience
- From:
Journal of Zhejiang Chinese Medical University
2018;42(9):723-726,734
- CountryChina
- Language:Chinese
-
Abstract:
[Objective] To summarize Dr. SHEN Yiping's clinical experience of integrated traditional Chinese and western medicine in treating elderly acute myeloid leukemia (AML). [Methods]By examining with cases of illness and warding round,collecting the medical records of elderly AML patients treated by Dr. SHEN, learning the latest diagnosis and treatment guidelines, reading a large number of related papers and a large number of classical books, from the aspects of etiology and pathogenesis, therapeutic principles and methods, the clinical experience of the treatment of elderly AML were analyzed and summarized, and one medical record was provided.[Results]Dr. SHEN believes that the pathogenesis is deficiency syndrome accompanied with excess syndrome. Mostly due to congenital deficiency and poor basic functions, deficiency of spleen and kidney, heat poison intrusion, burning Jin as sputum, forcing blood going in wrong line, phlegm and blood stasis, evil accumulating in bone marrow and then suffered. Dr. SHEN uses heat-clearing, detoxifying and anti-cancer drugs to suppress and eliminate leukemia cells on the basis of chemotherapy and supplements beneficial drugs to achieve the goal of chemotherapy without harming the positive effect, he uses "Kangbai Yannian Tang" combined with decitabine and chemotherapy as a basic solution and changes flexibly by according to the clinical manifestations, changes of syndrome types of the patients, the clinical effect is remarkable, and the case had good results. [Conclusion]Dr. SHEN is good at integrated traditional Chinese and western, combining of syndrome differentiation and disease differentiation, using the combination of heat-clearing method and complement in the treatment of elderly AML, the experience and wonderful methods are worth learning and spreading.