| 徐泽婷,杨佳瑶,张郜晨茜,等.舒琦瑾诊治抗肿瘤治疗后口咸症经验浅析[J].浙江中医药大学学报,2024,48(2):201-204. |
| 舒琦瑾诊治抗肿瘤治疗后口咸症经验浅析 |
| Experience of SHU Qijin in Diagnosing and Treating Salty Taste in the Mouth after Anti-tumor Therapy |
| DOI：10.16466/j.issn1005-5509.2024.02.013 |
| 中文关键词: 口咸 抗肿瘤治疗 用药特色 名医经验 医案 舒琦瑾 |
| 英文关键词: salty taste in the mouth anti-tumor therapy characteristics of medication experience of famous doctors medical records SHU Qijin |
| 基金项目:浙江省名老中医专家传承工作室建设项目(GZS2021024) |
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| 中文摘要: |
| [目的] 总结舒琦瑾教授诊治抗肿瘤治疗后口咸症的学术经验。[方法] 通过跟诊学习，阅读古籍，整理相关临床医案，从病因病机、治则治法方面分析舒师治疗口咸症的临床经验，并佐以医案。[结果] 舒师认为，抗肿瘤治疗后口咸症的病因病机主要为肾脏阴阳失调，肾液上乘；脾肾对水液的制化失常而致水湿上泛，治以调补肾阴肾阳、健脾化湿为主。所附医案，舒师辨为虚火水湿相兼之证，治以滋阴降火、健脾渗湿，选用知柏地黄丸合平胃散加减，取得良好疗效。[结论] 舒师诊治抗肿瘤治疗后口咸症强调四诊合参，灵活辨证，其学术经验丰富，疗效确切，值得学习与推广。 |
| 英文摘要: |
| [Objective] To summarize Professor SHU Qijin’s academic experience in diagnosing and treating salty taste in the mouth after anti-tumor therapy. [Methods] Through learning from teacher in outpatient， reading ancient books and analyzing the medical records， this paper arranged Professor SHU’s medical records of salty taste in the mouth after anti-tumor therapy and introduced his clinical experience in treating that from following aspects: etiology and pathogenesis， principles and laws of treatment， and provided one medical case as evidence. [Results] Professor SHU believes that salty taste in the mouth after anti-tumor therapy is closely related to overgrowth of the kidney fluid due to the imbalance of Yin and Yang and dampness caused by unrestriction of water-liquid metabolism of the kidney and spleen， and briefly summarizes the treatment principles in three aspects: reconciling and replenishing Yin and Yang of the kidney， invigorating the spleen and eliminating dampness. The attached medical record was identified as fire excess from Yin deficiency and damp abundance. Professor SHU treated the case by nourishing Yin and reducing fire as well as invigorating the spleen and eliminating dampness， modified Zhibai Dihuang Pill and Pingwei Powder was used for treatment and good results were achieved. [Conclusion] In the treatment of salty taste in the mouth after anti-tumor therapy， Professor SHU adheres to comprehensive analysis by the four examination methods and advocates flexible syndrome differentiation. Professor SHU’s academic experience is rich and clinical curative effect is remarkable. Summarizing his medication characteristics has high guiding significance for the clinical application. |
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