从“治虚三本”及缓中补虚论治癌因性疲乏  

Treatment of Cancer-Related Fatigue from“Treating Deficiency with Three Primary Sources”and Moderating the Middle and Tonifying Deficiency

作　　者：马秀梅 胡帅航 王欣妍 王丹丹 侯炜[1] MA Xiumei;HU Shuaihang;WANG Xinyan;WANG Dandan;HOU Wei(Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Graduate School of Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]北京中医药大学研究生学院,北京100029

出　　处：《山东中医杂志》2024年第10期1074-1078,1083,共6页Shandong Journal of Traditional Chinese Medicine

基　　金：中央级公益性科研院所基本科研业务费专项资金资助项目(编号:ZZ15-XY-PT-16);中国中医科学院科技创新工程重大攻关项目(编号:CI2021A01801)。

摘　　要：癌因性疲乏(CRF)属中医学虚劳范畴,明代医家汪绮石提出的“治虚三本”理论和张仲景《金匮要略》中记载的缓中补虚法对治疗虚劳具有重要的参考价值。“治虚三本”理论确立清肺、健脾、补肾为治疗虚劳的基本法则,缓中补虚是缓中焦之里急,补劳极之虚损,需通过活血、清热、理气等药物的综合作用来实现。CRF患者多气血亏耗日久,血行不畅,久病成瘀,单纯补益则易壅塞,单纯活血则更伤正。因此,治疗CRF应将补益与活血相结合,以“治虚三本”理论为指导,从调补肺脾肾三脏入手,并运用缓中补虚之法,祛瘀生新,如此消补兼施,以通助补,促进正气恢复。Cancer related fatigue(CRF)belongs to the category of consumptive disease in traditional Chinese medicine.The theory of“treating deficiency with three primary sources”put forward by WANG Qishi(a doctor in the Ming Dynasty)and the method of moderating the middle and tonifying deficiency recorded in ZHANG Zhongjing’s Synopsis of Golden Chamber have important reference value for the treatment of consumptive disease.The theory of“treating deficiency with three primary sources”established that clearing the lung,invigorating the spleen and tonifying the kidney were the basic principles of treating consumptive disease,and moderating the middle and tonifying deficiency were to relieve urgent matters in the middle jiao and replenish extreme deficiencies caused by excessive labor,which needed to be realized through the comprehensive action of drugs for activating blood,clearing heat,regulating qi and other drugs.Patients with CRF have suffered from qi deficiency and blood loss for a long time,so their blood circulation is not smooth,which leads to blood stasis.Simple tonifying is easy to cause congestion,and simple activating blood is prone to impair healthy qi.Therefore,the treatment of CRF should combine tonifying with promoting blood circulation,guided by the theory of“treating deficiency with three primary sources”,starting from regulating and tonifying the lung,the spleen and the kidney,and using the method of moderating the middle and tonifying deficiency,removing blood stasis and generating new blood,so as to achive both eliminating and tonifying,and to promote the recovery of healthy qi.

关 键 词：癌因性疲乏 治虚三本 肺 脾 肾 缓中补虚 祛瘀生新 

分 类 号：R273[医药卫生—中西医结合]