岳鑫鑫 张茗 朴炳奎 李静静

〔摘要〕 肿瘤已经成为了可控的慢性疾病。朴炳奎教授提出肿瘤康复思想，即患者因肿瘤导致的功能障碍或心理障碍，可通过中医治疗恢复患者身体机能，缓解不适症状，控制并发症，从而提高患者生存质量。肿瘤康复思想注重病证结合、调理脾胃、分期治疗、抗癌与康复相结合。肿瘤术前，强调标本同治;放化疗期间，强调增效减毒;肿瘤术后、化疗后、放疗后，强调防治肿瘤复发与转移;肿瘤中晚期，重在温阳。肿瘤康复为肿瘤的临床诊治提供新的治疗思路与方法。

〔关键词〕 肿瘤;康复;肿瘤康复;辨证论治;病证结合;分期治疗;朴炳奎

〔中图分类号〕R273       〔文献标志码〕B       〔文章编号〕doi：10.3969/j.issn.1674-070X.2021.06.014

Professor Piao Bingkui's Academic Thoughts and Clinical Experience on Cancer Rehabilitation

YUE Xinxin1， ZHANG Ming2*， PIAO Bingkui3， LI Jingjing2

（Graduate School of Heilongjiang University of Chinese Medicine， Harbin， Heilongjiang 150040， China; 2. Wangjing Hospital， China Academy of Chinese Medical Sciences， Beijing 100102， China; 3. Guang'anmen Hospital， China Academy of Chinese Medical Sciences， Beijing 100053， China）

〔Abstract〕 Cancer has become a chronic disease that can be controlled. Professor Piao Bingkui put forward the concept of tumor rehabilitation. Patients with dysfunction or psychological disorders caused by tumors can recover from bodily functions through Chinese medicine treatment， relieve patients' discomfort and control complications， and improve patients' quality of life. Ideas of tumor rehabilitation focuses on combination of disease and syndrome， regulating spleen and stomach， staged treatment， and the combination of anti-cancer and rehabilitation. Before tumor operation， the treatment of both the treetop and the root should be emphasized; during the period of radiotherapy and chemotherapy， emphasis should be put on increasing efficiency and reducing toxicity; prevention and treatment of recurrence and metastasis after operation， radiotherapy and chemotherapy; in the middle and late stage of tumor， the key is warming Yang. Tumor rehabilitation provides new treatment idea and method for clinical diagnosis and treatment of tumor.

〔Keywords〕 tumor; rehabilitation; tumor rehabilitation; treatment based on syndrome differentiation; combination of  disease and syndrome; staged treatment; Piao Bingkui

樸炳奎教授，博士研究生导师，主任医师，第六批全国老中医药专家学术经验继承工作指导老师，现任全国中医肿瘤医疗中心主任，同时兼任中国中西医结合肿瘤专业委员会主任委员以及中华肿瘤学会北京分会副主任委员、北京抗癌学会副理事长等，主要研究方向为使用扶正培本法治疗恶性肿瘤的临床研究，多次获得国家级与省级教学成果奖。朴炳奎教授在临床治疗中发现，多数肿瘤患者，“康复”越早介入，就能越快恢复身体机能，同时预防肿瘤复发及转移，还可以减轻患者治疗中的不良反应，缓解临床症状，从而提高患者的生存质量。朴教授提出，根据肿瘤不同时期的“状态”，将病程分为术前、放化疗期间、手术及放化疗后、疾病中晚期，分期治疗促进患者康复，调动医生、患者、家庭和社会各方面的积极因素，综合运用中西医治疗手段，最大限度地提高癌症的治愈率，基于“带瘤生存”“病证结合”“分期治疗”的学术思想，制定了肿瘤康复的治疗方案。……