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[目的]观察活血益肾饮联合西医治疗孤立性浆细胞瘤疗效。[方法]对5例孤立性浆细胞瘤患者采用活血益肾饮联合西医治疗,西医VCD方案化疗(长春新碱、阿霉素、地塞米松)。活血益肾饮(红参另炖10g,黄芪30g,仙灵脾15g,补骨脂30g,田七3g,丹参20g),1剂/d,水煎300mL,早晚服用。肾阳虚加桂枝、熟附子;肾阴虚加枸杞、黄精、鹿角胶;瘀血重加全蝎、蜈蚣等虫中药;骨蚀骨折者,加骨碎补、续断等。连续治疗1个月为1疗程。观测临床症状、不良反应。连续治疗6疗程,判定疗效。[结果]临床痊愈1例,显效3例,有效1例,无效0例,总有效率100.00%。[结论]活血益肾饮联合西医治疗孤立性浆细胞瘤能阻止及延后孤立性浆细胞瘤发展,值得推广。
[Objective] To observe the curative effect of Huoxue Yishen Decoction combined with western medicine in the treatment of solitary plasmacytoma. [Method] Five patients with solitary plasmacytoma were treated with Huoxue Yishenye combined with western medicine and western medicine with VCD regimen (vincristine, doxorubicin and dexamethasone). Huoxue Yishen drink (red ginseng stewed 10g, Astragalus 30g, Epimedium 15g, psoralen 30g, Tianqi 3g, Salvia 20g), 1 / d, decoction 300mL, morning and evening. Kidney yang and Guizhi, cooked aconite; kidney yin plus wolfberry, Polygonatum, antlers; blood stool plus scorpion, centipede and other insects Chinese medicine; bone erosion fractures, add broken nausea, continued off and so on. Continuous treatment for 1 month for a course of treatment. Observed clinical symptoms, adverse reactions. Continuous treatment of 6 courses to determine the efficacy. [Results] One patient was clinically cured, 3 patients were markedly effective, 1 effective, 0 ineffective and the total effective rate was 100.00%. [Conclusion] Huoxue Yishen Decoction combined with western medicine treatment of solitary plasmacytoma can stop and delay the development of solitary plasmacytoma, which is worth promoting.