基于虚劳理论探讨前列腺癌癌因性疲乏  

Discussion About Cancer-Related Fatigue of Prostate Cancer Based on the Theory of Consumptive Disease

作　　者：赵姣 苏艺峰 刘德果 陈其华[2] ZHAO Jiao;SU Yi-feng;LIU De-guo;CHEN Qi-hua(Hunan University of Chinese Medicine,Changsha,Hunan,China,410208;The First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan,China,410007)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南中医药大学第一附属医院,湖南长沙410007

出　　处：《河南中医》2022年第2期201-204,共4页Henan Traditional Chinese Medicine

基　　金：湖南省自然科学基金面上项目(2020JJ4068);2021年度湖南省中医药科研计划重点项目(2021001);2020年度湖南省临床医疗技术创新引导项目(2020SK51403);湖南省临床医学研究中心及临床医疗技术示范基地组建计划项目(2018SK4012);湖南省研究生创新课题项目(CX20200808)。

摘　　要：虚劳是气血阴阳虚损、脏腑功能衰退系列病证的总称。前列腺癌(prostate cancer,Pca)癌因性疲乏病机以虚为主,可从肝脾肾三脏虚衰立论,肾精亏虚致雄激素水平下降,引起骨质疏松、认知障碍及代谢异常诸症;肝血不足致肝气不疏而致贫血、情志不畅诸证;脾胃虚弱无以运化濡养而引起疲乏诸证。肝脾肾三脏虚衰,气血阴阳的亏损,积而成虚,久而成劳。故Pca癌因性疲乏可从虚劳论治,以调理五脏,补益气血为主。Consumptive disease is the general name of a series of syndromes,such as deficiency of qi and blood,yin and yang and decline of viscera function.The pathogenesis of cancer-related fatigue of prostate cancer(Pca)is mainly deficiency,which can be discussed from the deficiency and decline of the liver,spleen and kidney.The deficiency of kidney essence leads to the decrease of androgen level,resulting in osteoporosis,cognitive impairment and metabolic abnormalities.Liver blood deficiency causes stagnation of liver qi,anemia and emotional disorder.Various syndromes of fatigue are caused by weakness of spleen and stomach which leads to failure in transporting and transforming and nourishing.The deficiency and decline of the liver,spleen and kidney,the loss of qi,blood,yin and yang,accumulate and become deficiency syndrome,and gradually develop into fatigue.Therefore,Pca cancer-related fatigue can be treated based on the theory of consumptive disease mainly by regulating the five zang-organs and tonifying qi and blood.

关 键 词：前列腺癌 癌因性疲乏 虚劳 肾精亏虚 肝血不足 脾胃虚弱 

分 类 号：R273.372.5[医药卫生—中西医结合]