1.Graduate College, Beijing University of Chinese Medicine, Beijing 100029, China;
2.Department of Oncology, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China
Abstract:This article mainly introduces Professor Zhang Peitong’s experience in the differentiation and treatment of pancreatic cancer from disease-syndrome-symptom mode. Professor Zhang believes that the pathogenesis of pancreatic cancer is based on root deficiency and branch excess. The deficiency should be distinguished the difference between qi, blood, yin, and yang, and the excess should be discriminated between primary and secondary among phlegm, blood stasis, qi stagnation, heat, and toxicity. The treatment focus should be adjusted according to specific situation. The disease location is mainly in spleen, which is closely related to liver. In the disease-syndrome-symptom mode, using self-prescripted Liujun Ermu Decoction can play the functions of strengthening the spleen and removing phlegm, clearing heat and detoxify, promoting blood and qi, which is corresponding to the pathogenesis of pancreatic cancer to achieve early curettage of disease progression. According to the rules of disease progression, the common three stages and six syndromes and corresponding prescriptions are summarized. Accurate differentiation of syndroms is the prerequisite and key to obtain curative effect. For the symptoms and signs that seriously affect the quality of life of patients, timely intervention should be conducted and treatment according to the symptoms can create conditions for subsequent treatment. In clinical practice, the disease-syndrome-symptom mode should be flexibly applied in the whole process of treatment in order to improve the clinical effect of pancreatic cancer.