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林丽珠辨治表皮生长因子受体酪氨酸激酶抑制剂相关不良反应临证经验撷英

姚衍竹 林丽珠 李雪维 黄俊杰 林洁涛 綦向军 王景锐 郑鑫泽 李晏龙 余玲

中医肿瘤学杂志2026,Vol.8Issue(4):57-64,8.
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中医肿瘤学杂志2026,Vol.8Issue(4):57-64,8.DOI:10.19811/j.cnki.ISSN2096-6628.2026.07.008

林丽珠辨治表皮生长因子受体酪氨酸激酶抑制剂相关不良反应临证经验撷英

Lin Lizhu's Clinical Experience in Treating Epidermal Growth Factor Receptor-Tyrosine Kinase Inhibitor-Related Adverse Reactions Based on Syndrome Differentiation

姚衍竹 1林丽珠 2李雪维 1黄俊杰 3林洁涛 2綦向军 1王景锐 4郑鑫泽 1李晏龙 1余玲2

作者信息

  • 1. 广州中医药大学第一临床医学院,广东 广州 510405
  • 2. 广州中医药大学第一附属医院肿瘤中心,广东 广州 510405
  • 3. 重庆医科大学附属第二医院中西医结合医学中心,重庆 404100
  • 4. 广州中医药大学第七临床医学院,广东 深圳 518033
  • 折叠

摘要

Abstract

This article summarizes Professor Lin Lizhu's clinical experience in treating epidermal growth factor receptor-tyrosine kinase inhibitor(EGFR-TKI)-related adverse reactions based on syndrome differentiation.It is believed that"healthy qi deficiency with latent pathogen as the foundation,triggered by drug toxicity"constitutes the core pathogenesis of EGFR-TKI-related adverse reactions.In lung cancer patients,healthy qi deficiency and internal latent pathogens exist,and the toxicity of drugs triggers latent pathogens,leading to various symptoms of drug toxicity such as rash,oral ulcers,and diarrhea.The treatment principle is"eliminating toxins and expelling pathogens,and reinforcing healthy qi".Based on the specific nature of the latent pathogens,methods are applied to expel pathogens,while simultaneously consolidating and protecting the fundamentals of lung,spleen,liver,and kidney.This approach provides insights for the treatment of targeted therapy-induced drug toxicity from the perspective of latent pathogens,and offers a reference for the synergistic attenuation of toxicity with traditional Chinese medicine.

关键词

表皮生长因子受体酪氨酸激酶抑制剂/不良反应/名医经验/皮疹/口疮/腹泻/肝功能受损/间质性肺疾病

Key words

epidermal growth factor receptor-tyrosine kinase inhibitor/adverse reactions/clinical experience of renowned physicians/rash/oral ulcer/diarrhea/liver function impairment/interstitial lung disease

分类

医药卫生

引用本文复制引用

姚衍竹,林丽珠,李雪维,黄俊杰,林洁涛,綦向军,王景锐,郑鑫泽,李晏龙,余玲..林丽珠辨治表皮生长因子受体酪氨酸激酶抑制剂相关不良反应临证经验撷英[J].中医肿瘤学杂志,2026,8(4):57-64,8.

基金项目

"广东特支计划"省卫生健康委(卫生健康人才)领军人才项目(编号:0720240115) (卫生健康人才)

国家中医药传承创新中心重点病种(肺癌) (肺癌)

中国中医药联合研究生院科教专项(编号:CI2023C030LH). (编号:CI2023C030LH)

中医肿瘤学杂志

2096-6628

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