Experience of Wu Xianwen in treating radiation-induced oral mucositis by stages
YUE Jiajia1 WU Xianwen2 CAI Linlin2 WANG Qing1 WANG Shan1
1.Graduate School, Beijing University of Chinese Medicine, Beijing 100029, China;
2.Department of Oncology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China
Abstract:This paper summarizes professor Wu Xianwen’s experience in the treatment of radiation-induced oral mucositis with traditional Chinese medicine. Radiation-induced oral mucositis is an inflammation of oral mucosa caused by radiation, which is one of the common complications in radiotherapy for head and neck malignant tumors. According to many years′ working experience of radiotherapy and the treatment practice of traditional Chinese medicine, professor Wu puts forward that radiation-induced oral mucositis is caused by the heat-toxin, which would cause the stagnation of qi, invasion of blood and deficiency of yin, and its pathogenesis changes with the trend of struggle between the healthy tendency and the sick tendency. He considers that through the excessive degree of “heat, blood stasis and deficiency”, this disease can be divided into “early stage, middle stage and later stage”. While in treatment, professor Wu advocates the theory of treatment by stages, with the main treatment of heat-clarifying and blood-cooling, detoxicating and promoting blood, tonifying qi and nourishing yin. He also pays attention to the regulation of qi and blood, combination of internal and external treatment, and he is skilled in using the theory of “dispersing fire for treating depressing fire”. This unique idea of staged diagnosis and treatment has remarkable clinical effect.