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采用日汉方结合西医治疗晚期胰腺癌 1 例报告

Integrative therapy for advanced pancreatic cancer using Kampo and western medicine: A case report.

机构信息

Shimizu Clinic, 5-4-50 Wakabayashi, Wakabayashi-ku, Sendai 984-0826, Japan; Public Interest Incorporated Foundation KENIKAI for traditional medicine library and clinic, 3-8-5, Chuoku, Ginza, Tokyo 104-0061, Japan; Department of Kampo Medicine, Tohoku University Hospital, 1-1 Seiryo-machi Aoba ward, Sendai 980-8574, Japan.

Department of Kampo Medicine, Tohoku University Hospital, 1-1 Seiryo-machi Aoba ward, Sendai 980-8574, Japan; Department of Education and Support for Regional Medicine, Tohoku University Hospital, 1-1 Seiryo-machi Aoba ward, Sendai 980-8574, Japan; Department of Kampo and Integrative Medicine, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi Aoba ward, Sendai 980-8575, Japan.

出版信息

Explore (NY). 2021 May-Jun;17(3):255-258. doi: 10.1016/j.explore.2020.07.003. Epub 2020 Jul 16.

DOI:10.1016/j.explore.2020.07.003
PMID:32736951
Abstract

A 45-year-old male patient diagnosed as stage IVa pancreatic cancer received anti-cancer treatment with chemotherapy and radiotherapy. During the treatment, he complained of nausea, appetite loss, and fatigue. He received a Kampo diagnosis of qi deficiency, blood stasis, and heat with phlegm; consequently, qi supplementation, smoothing blood, and relieving fever were initiated using Juzentaihoto and Keppuchikuoto. After this treatment, the symptoms showed remarkable improvement. However, computed tomography revealed multiple lung nodules. We prescribed crude drugs with anti-cancer effects, including Scutellaria barbata and Oldenlandia diffusa. These drugs led to slowed development of lung metastases that could be surgically resected. He survived for 7 years after the advanced diagnosis without loss of quality of life. Kampo medicine may be useful for disease control and supportive care in advanced pancreatic cancer patients.

摘要

一位 45 岁男性患者被诊断为 IVa 期胰腺癌,接受了化疗和放疗的抗癌治疗。在治疗过程中,他出现了恶心、食欲减退和疲劳等症状。他接受了 Kampo 诊断,为气虚、血瘀、热痰;因此,使用了 Juzentaihoto 和 Keppuchikuoto 进行补气、活血、退热治疗。治疗后,症状明显改善。然而,计算机断层扫描显示多个肺结节。我们开了具有抗癌作用的粗药,包括黄芩和白花蛇舌草。这些药物导致肺转移瘤的发展速度减缓,可进行手术切除。他在晚期诊断后存活了 7 年,没有降低生活质量。 Kampo 医学可能对晚期胰腺癌患者的疾病控制和支持性护理有用。

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