山广志教授治疗前列腺癌骨转移的临证经验

摘要

[目的]总结山广志教授临床治疗前列腺癌骨转移的经验。[方法]通过跟随山广志教授临诊实践以及深入学习山教授的医案，总结山教授治疗前列腺癌骨转移的临证经验，并归纳整理山教授治疗该病的学术思想。[结果]山教授认为肾虚是前列腺癌骨转移的基本病机，同时伴有脾胃亏虚以及机体气机逆乱。前列腺癌骨转移患者最常出现的症状就是癌性骨痛，其原因不外乎“不通则痛”和“不荣则痛”。在治疗时应从内外两方面入手，内治法以滋补肾气填精固本为根本，同时注重调理脾胃，疏通机体气机；外治法以“通络活血”为治则，能有效减轻患者的疼痛，再配合以食疗，从而从整体上提高患者的生存质量。[结论]山教授在治疗前列腺癌骨转移方面的经验，疗效确切，值得学习和推广。%Objective] To sum up professor Shan Guangzhi's clinical experience for the treatment of bone metastasis of prostate cancer. [Method] From following professor Shan Guangzhi in the clinical practice and further studying his medical cases,summarizes his experience in the treatment of prostate cancer bone metastases,and sums up his academic thoughts for the treatment of the disease.[Result] Professor Shan Guangzhi thinks that deficiency of the kidney is the basic pathogenesis of bone metastases of prostate cancer,at the same time accompanied by spleen deficiency and qi-movement disturbance. To prostate cancer patients with bone metastases, pain is the most common symptom,the reason for it is that "stagnation leading to pain" and "poor nutrition lead to pain". The treatment should focus on two aspects,both the inner treatment and the external treatment; the internal treatment regards invigorating Qi and tonifying the kidney as the basis,also pays attention to regulate spleen and stomach,dredges the body down;the external treatment regards "promoting blood circulation to remove meridian obstruction" as the rule,it can effectively relieve patients' pain,and cooperates with diet,as a whole to improve the quality of survival in patients. [Conclusion]Professor Shan Guangzhi's experience in the treatment of bone metastasis of prostate cancer has exact curative effect,worth learning and promotion.