运用形神医学指导肿瘤的诊治,形包括人体结构和体内肿瘤,可量化为肿瘤大小、血常规及肝肾等功能变化。神主要指广义的神,可量化为症状、合并症、一般状态(PS)等变化。形分为形存(正常的形)和形伤(受损伤的形),神分为余神(正常的神)和神伤(受损伤的神),早期肿瘤患者的形存较多,神伤较少,到中、晚期,形存减少,神伤随之加重。治疗目标,早期是彻底治疗形伤及神伤,呈正相关,达到形神绝对统一;晚期是重点治疗神伤,以减少神伤的程度和速度,与形存呈反相关,达到形神相对统一(假说);强调调神应贯穿在肿瘤治疗始终、合理应用综合治疗方法、把握抗肿瘤和姑息治疗的适应症,提高患者生存质量。
The theory of traditional Chinese medicine physique and spirit was applied to guide the diagnosis and treatment of cancer. The physique can be summarized as the changes of tumor size, routine blood test,liver and kidney function et al, and the spirit can be summarized as the changes of symptoms ,complications and performance status (PS) ,et al. Physique and spirit both can be divided into two parts of the normality and abnormality. In a pathological case, there are more normal physique and less abnormal spirit in the early stage, while in the middle and late stage, the normal physique decreases and abnormal spirit increases. So the goals of treatment are to make physique and spirit return to normal ; make it correlated with each other to achieve a form of absolute unity in the early stage ; while in the late stage, focus on the treatment of abnormal physique ; make it inversely related to the normal physique that only remaining, to achieve a form of relatively uniform (hypothesis) and improve the patients' quality of life.