小细胞肺癌极易发生远处转移,其中以脑、骨最为常见。中医学认为,正虚邪盛则病进。肾主骨生髓,脑为髓之海,肾虚骨弱则癌毒侵袭,进而发生脑、骨转移。肾为先天之本。脾胃为后天之本,健脾补肾既可扶助全身之正气,同时肾强则骨壮且髓海充实。所以,中医治疗应以健脾补肾为主线,兼以解毒抗癌,同时调理其他脏腑之功能,从而达到防治小细胞肺癌转移的目的。
The most common place of distant metastasis of Small cell lung cancer is the brain and bone. Traditional Chinese Medicine holds that disease would progress when Yuan Qi is weak and the Evil Qi is strong. Kidney governs bone marrow and the brain is the sea of marrow. Weakness of Kidney Qi would lead to the weakness of bone,and then the distant metastasis would happen in the brain and the bone. Kidney is the foundation of the prenatal life and Spleen is the foundation of the postnatal life,so strengthening Spleen and Kidney can tonify the healthy Yuan Qi and strengthen the bone and marrow. Therefore,the treatment of the SCLC should focus on strengthening the Spleen and Kidney,At the same time,detoxificating in anticancer and regulating the functions of other Zang and Fu should be conducted to prevent and treat for the small cell lung cancer metastasis.