基于平衡升降法治疗癌因性疲乏  

Treatment of cancer-related fatigue with the theory of balanced ascending and descending

作　　者：李沛瑾 侯丽[1] 王前 冯利[2] LI Peijin;HOU Li;WANG Qian;FENG Li(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100029;National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences;Sunsimiao Hospital,Beijing University of Chinese Medicine)

机构地区：[1]北京中医药大学东直门医院,北京100029 [2]国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院肿瘤医院 [3]北京中医药大学孙思邈医院

出　　处：《现代中医临床》2024年第4期44-47,共4页Modern Chinese Clinical Medicine

基　　金：北京市自然科学基金面上项目(No.7222293);中国医学科学院中央级公益性科研院所基本科研业务费项目(No.2020-JKCS-001)。

摘　　要：癌因性疲乏(cancer-related fatigue, CRF)是一种躯体、情感或认知功能等多维度的疲乏感或疲惫感,是癌症患者常见且难以忍受的一种症状。中医学将CRF归于“虚劳”范畴,责之于气血阴阳不足。自然界各种现象、人体各种功能活动均可用升降理论阐发。基于升降学说CRF的病因病机主要包括:气血失和、肝木郁滞、脾胃失常、心肾不交和癌毒结聚。治疗CRF需注重平衡升降,即:调和气血理阴阳、疏肝调肝利气机、健运脾胃复升降、交通心肾济水火、抗癌解毒攻其邪。并结合病案阐述基于平衡升降法治疗CRF的思路。Cancer-related fatigue(CRF)is a multidimensional sense of fatigue or exhaustion that affects physical,emotional,and cognitive functions.It is a common and debilitating symptom among cancer patients.In traditional Chinese medicine(TCM),CRF is classified under the category of xulao(consumptive disease),attributed to deficiencies in qi,blood,yin,and yang.The theory of ascending and descending movements can be used to explain various phenomena in nature and bodily functions.According to this theory,the etiology and pathogenesis of CRF primarily include disharmony of qi and blood,stagnation of liver qi,dysfunction of the spleen and stomach,disharmony between the heart and kidneys,and accumulation of toxic pathogens due to cancer.Treating CRF requires balancing the ascending and descending movements,which involves harmonizing qi and blood to regulate yin and yang,soothing the liver to facilitate its functions and benefit qi movement,strengthening the spleen and stomach to restore proper ascending and descending movements,restoring interaction between the heart and kidneys to balance water and fire,and using anti-cancer and detoxifying therapies to address the pathogenic factors.This study explores the treatment approach for CRF based on the principle of balancing ascending and descending movements,supported by case studies.

关 键 词：升降学说 癌因性疲乏 中医 调气和血 疏肝调肝 

分 类 号：R273[医药卫生—中西医结合]