癌性贫血辨治体会  被引量:1

On Experience of Differentiation and Treatment of Cancer Anemia

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作  者:彭猛 刘晨 徐行 PENG Meng;LIU Chen;XU Xing(Gaoyou Hospital of Traditional Chinese Medicine,Gaoyou,Jiangsu,China,225600)

机构地区:[1]高邮市中医院,江苏高邮225600

出  处:《河南中医》2020年第10期1482-1484,共3页Henan Traditional Chinese Medicine

基  金:江苏省中医药管理局优秀中青年中医临床人才研修专项项目(YX1254)。

摘  要:癌性贫血病因病机不同于一般贫血,与肿瘤的病因病机密切相关。肿瘤为慢性病,久病及肾,肾藏精,精生髓,髓藏于骨腔之中,髓生血,虚则血少,形成贫血;或久病不愈,慢性消耗,暗耗营血;或情志失调,暗耗阴血;或肿瘤细胞浸润骨髓,耗伤营血。正气虚损是癌性贫血的内在基础,感受邪毒、内伤热毒、痰结湿聚、气滞血瘀是其主要致病因素。病性特点为本虚标实,本虚为正气虚(肾虚),治疗的基本原则是扶正祛邪,攻补兼施,做到"治实当顾虚,补虚勿忘实"。扶正之法当以补肾为要,补肾者,顺其封藏之性为补,填精益髓贯穿始终,且注意兼顾心、肝、脾三脏。补肾常用药为人参、黄芪及阿胶、鳖甲等血肉有情之品。祛邪之法宜以"抗瘤治因"为主,常选用祛湿化痰、通络散结、理气活血、清热解毒、祛瘀生新药物。The etiology and pathogenesis of cancer anemia is different from that of general anemia,which is closely related to the etiology and pathogenesis of tumor.Tumor is a kind of chronic disease;long-time chronic disease infects the kidney;the kidney stores essence,and essence generates marrow,and marrow is stored in bone cavity;marrow generates blood,but deficiency can lead to less blood,forming anemia.Or long-time illness does not heal,chronic consumption can consume nutrient blood.Or emotional disorder,consumes yin blood.Or tumor cells infiltrate bone marrow,consuming nutrient blood.Deficiency and consumption of healthy qi is the internal basis of cancer anemia.The main pathogenic factors include pathogenic toxin,internal injury,heat toxin,accumulation of phlegm and dampness,qi stagnation and blood stasis.The disease is characterized by deficiency as primary and excess as secondary;deficiency as primary refers to deficiency of healthy qi(kidney deficiency).The basic principle of treatment is to support healthy qi and eliminate pathogenic factors,treating with both tonification and elimination,considering deficiency and excess at the same time.The method of strengthening healthy qi should be based on tonifying the kidney.For tonifying the kidney,it is necessary to follow the nature of its sealing,to supplement essence and replenish marrow,and to pay attention to the heart,liver and spleen together.Kidney-tonifying medicinals are often some flesh and blood affectionate products,such as Renshen(Radix Ginseng),Huangqi(Radix Astragali),Ejiao(Colla Corii Asini),Biejia(Carapax Trionycis),etc.The method of eliminating pathogenic factors should be based on "anti-tumor by treating cause",and the medicinals of dispelling dampness and resolving phlegm,dredging collaterals and dispersing mass,regulating qi and activating blood circulation,clearing heat and detoxification,removing blood stasis and generating the new are often chosen.

关 键 词:癌性贫血 血虚 补肾 本虚标实 

分 类 号:R259.306[医药卫生—中西医结合]

 

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