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癌症只是慢性病:何裕民教授抗癌新视点(第三版)

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癌症只是慢性病,可防也可治!
《癌症只是慢性病:何裕民教授抗癌新视点(第三版)》在第二版的基础上作了修订和增补,全面汇集了作者30余年来从事抗癌工作的宝贵经验与深刻反思,分新观点、新治疗及新康复三部分,从国内外两个视角出发,提出了一些独到的抗癌新主张、新观念,书中还配有大量的病例加以佐证,说服力强。
2009年《癌症只是慢性病:何裕民教授抗癌新视点(第三版)》第二版正式出版后,作者受邀先后在国内各地做了近200场“癌症只是慢性病”主题抗癌讲座,在国内掀起了一场声势浩大的“癌症认识革命”,极大地鼓舞了广大癌症患者及其家属!
《癌症只是慢性病:何裕民教授抗癌新视点(第三版)》内容实用,可供广大癌症患者及其家属,社区、临床及科研工作者阅读、参考。
Author Description

何裕民,男,1952年生,浙江义乌人,上海中医药大学教授、博导,著名中医肿瘤专家,中华医学会心身医学分会主任委员。先后出版医学专著30余部,涉及心身医学、亚健康学、医学哲学等领域。曾荣获上海市劳动模范、霍英东英才奖、全国杰出青年中医等荣誉。
Catalogue

新观点
事实:让人触目惊心
全世界:每日2万多人死于癌症
中国:2012年癌症发病率与病死率快速飙升
尴尬的局面:贫癌、富癌皆高发
癌细胞:擅长自我变异的杀手
十个癌症九个埋,还有一个不是癌
尼克松总统:向癌症宣战
已知的部分癌变规律
需从应对战略失败中走出
认识人类自己,认清癌症“对手”
征服/根治:自我狂妄/膨胀的恶果
癌症:只是慢性病
寻求共识与3个“1/3”
人本主义与肿瘤的新防治观
有害无益的过度放化疗
诱导分化与凋亡:通向华山天险之新路
远方的呼应
美国与上海:数字的比较
巨大落差:不仅仅是医学不如人
杀尽癌细胞,谈何容易
小鼠癌症模型的陷阱
美国FDA官员的反思
事实上,癌症只是慢性病
癌症只是慢性病的基本含义
对付癌症应像对待慢性病一样
专家共识:晚期癌也可转变成慢性病
本质:生物体的“内乱”
癌症:“人类的新正常态”
“1/4”的提示——难以避免的生物现象
癌基因是正常基因
“好孩子、坏孩子”理论
癌症非炎症,乃机体“内乱”也
“生物场”理论:“内乱”自有根源
不良精神心理:癌症的“催化剂”
不良生活方式:加剧了“内乱”
让博士却步的“30岁”现象
癌症发展:一个渐进的慢性过程
免疫“监管”下,癌可以长期休眠
癌症:亟须重新定义
权衡:呵护生命优先于征服癌症
记住教诲:“人”比“病”重要
首先,以不伤害为原则
有时去治愈,常常去帮助,总是去安慰
医生给患者的首先是心,然后才是药
“交心”:需掏心、倾听、支持与保证
己所不欲,勿施于人
只实施那些愿意用在自己身上的手术
治癌不是修车
我有选择的权利吗
200万为何仍救不了他
化疗药不是巧克力
生存期的预测:最不人道的“科学”
知情同意:一个两难的抉择
关键:在于生存质量
不可企及的治愈理想
目标需要适当调整
活得更好、更长久才是目标
指标,只是一组数字
“乐龄癌”的积极意义
“带癌生存”不是梦
与癌和平共处十要诀
活着就是成功
牛存目的导向:不是没病或者治愈
新治疗
世纪性反思:从“寻找与破坏”到“靶向与控制”
刻骨铭心的两个案例
“战争模式”不足以解决慢性病问题
癌症别急着开刀——日本专家的见解
急着开刀引发的美国著名诉讼
观察评估后再决策,也许可避免误治
他们为什么铤而走险
癌症临床决策的再思考
“将军思维”与“士兵情结”
慢性病对策:不求速效,但求长期稳定
“内乱”要靠一步一步调整
一停、二看、三通过
应从“零和”博弈中走出
“扬汤止沸”与“釜底抽薪”并重
早、中、晚期有别,短线长期结合
癌症治疗要靠“组合拳”
以食平疴者,可为良工
中医药:并未充分发挥优势
中医能否治好癌症
实践是检验真理的标准
确诊后就应及时考虑中医
放化疗减毒增效有中医
无伤害原则:中医治癌的主旋律
12字中医治癌新方针
治病,求本为上
中医治癌之反思
中西医协同及“大中医与小化疗”
“追穷寇”与踩“点刹车”
老年人用药应“以一当十”
治癌应男女有别
有所顺应,适可即止
陈竺:干扰自然进程只能帮倒忙
适度治疗:聪明人的最佳选择
可推崇模式:零毒抑瘤加辨证治疗
平民之生与帕瓦罗蒂之死
事实让我重新认识中医
古医案的启示
张院长笑了
我的目标实现了
肝者,罢极之本
肝癌治疗的“两手抓”
外治:中医学的一大奇招
只有持久,才能佳效
转移复发:别轻言放弃
托尼·莫的绝境逢生
转移癌:远未到“绝境”
《人民日报·海外版》:“我与胰腺癌这六年”
转移癌:需要新的思路
不抛弃、不放弃的典型
切勿轻言“完了”
创造奇迹的“帅哥”
缺乏针对性措施,所以难治
柳暗花明又一村
对抗性治疗无效:不妨后退一步
姑息治疗:应贯穿于全过程
能否给我指条路
压倒骆驼的最后一根稻草
迟到的后悔
无知的代价
生癌不是丑闻
新康复
绝对误区:重治疗轻康复
不可忽略的第二治疗:康复治疗
癌症康复中的倒“u”字形现象
没有什么比生命更珍贵的了
调补需文火慢熬
细水长流话关爱
享受工作,享受健康
中医药是实现康复的重要保障
“三驾马车”:最佳的康复模式
闺蜜逛街:有效的社会支持促康复
心身锻炼:不仅仅促进身体康复
培养兴趣:动静皆宜话康复
饮食习惯:不可忽视的小节
抗癌膳食建议
不同痛症的饮食建议
让食物成为抗癌药物
“粗、淡、杂、少、烂、素”可防癌
“过”与“不及”均为害
胃以喜为补
少吃一口,多活一日
别吃得太好太饱,少吃糯米
滥补无益
康复期管好嘴,比什么都重要
少应酬,更健康
康复促进:心理、情感和意志很重要
别忽视心理治疗
心态好坏是康复的分水岭
圆桌诊疗——消解心理障碍的“佳径”
“增悦”对癌症患者尤其重要
走出阴影,就有阳光
十剂之功,败于病家一怒
难得糊涂,别太认真
我再也没痛过
活得简单些
今天最精彩
善于及时宣泄情感
病的磨砺,何尝不是一种洗礼与升华
“哭”的奇迹
毅力有时比药物更重要
德行与坚毅,可转换为康复力量
夫妻恩爱的力量
“我能结婚吗”的续集
Introduction

“癌症只是慢性病”,几年前这还是石破天惊之说,现在国内已成为共识。不仅全国人大开会时代表们如此说,《健康报》也长篇累牍地讨论相关话题;《家庭医药》杂志则以“中国肿瘤领域需要认识革命”为题,展开介绍;特别是癌症患者当事人,更是既受到鼓舞,且从自身体验角度,添加证据,加以完善。此书前几版发行量屡创新高,就是例证。此书所获荣誉就无需赘述了,从全国优秀畅销书,到中华医学会科普优秀作品奖,到国家新闻出版广电总局科技创新一等奖等,都是冲着这一观点而来的。可以说,这观点引起波澜之大,冲击力之猛,远远超出了笔者的想象和预估,将有力地改写中国人对癌症等慢性病的防治史。
英国近代哲学家弗朗西斯??培根曾有句名言:“知识就是力量。”20世纪后叶,一度人们信奉“信息(资讯)就是财富”,而新旧世纪之交,国内外思想界更强调“正确的观念才是最重要的”,就像是当初邓小平同志倡导“改革开放”“贫穷不是社会主义”改变了中国一样!我们也认为:观念的变革,很多情况下是关键性的。社会学领域如此,医疗健康领域何尝不是如此!相信随着“癌症只是慢性病”观念的深入人心,人们对付癌症的应对策略将会更主动地加强防范,从过去的汲汲于“征服”转变到讲究以“博弈”为主,这些,将是至关重要的。
本书第二版于2009年3月修订上市,至今已经有5年了。这5年间,国内外抗癌形势变化很大,新观点、新方法和新药物不断出现。在出版社及广大读者朋友们的要求和建议下,笔者也觉得5年来情况不断变化,顺应这些变化做些修改、充实或删减,也许是合适的,故抽出时间专门作了调整,增删工作涉及1/3的内容。
此次修订,充实了许多新的数据、资料、观点和实例的介绍或阐述。例如,新观点包括癌症将成为“人类新常态”,有些癌症需“清理”出局(见“癌症,需要重新定义”条),治癌应该将“战士情结(一味拼杀)”与“将军思维(整体考虑)”结合起来;对付癌症,不妨“一停、二看、三通过”!还有很多活生生实例(如《人民日报》介绍胰腺癌案例、中央电视台科教频道介绍晚期肠癌肝转移及胰腺癌案例等)等。因此,可读性和实用性大大增强!
笔者向来秉承“医患相长”的理念。临床中,医生们很多诊疗经验的获得,源自患者的体验;观点的充实定型,同样得益于医患交往。“癌症只是慢性病”观念的成熟,以及相关对策、方法的完善,也与患者的切身经历、体会关系甚大!因为如此,所以才会在电视台众目睽睽之下,讨论癌症患者体验时,感同身受,甚至失态而流泪。的确,在与许多生命强者的沟通交流中,医生常能获得很多感悟:包括灵魂的净化,德行的提升,认知的深入。因此,也借这次第三版修订的机会,对所有的病患朋友们和广大读者表示谢意,并对所有曾经帮助过本书和本人的朋友,致以诚挚的感激!

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