国医大师王晞星分期论治肿瘤恶液质经验  

TCM master WANG Xixing’s experience in treating tumor cachexia by stages

作　　者：侯桐欣 高宇[2] 王晞星[2] 郝淑兰[2] 王涤凡 郑世行 HOU Tongxin;GAO Yu;WANG Xixing;HAO Shulan;WANG Difan;ZHENG Shihang(Shanxi University of Chinese Medicine,Taiyuan 030012,China;Shanxi Traditional Chinese Medical Hospital,Taiyuan 030012,China)

机构地区：[1]山西中医药大学,太原030012 [2]山西省中医院,太原030012

出　　处：《中华中医药杂志》2024年第10期5258-5261,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：第四届国医大师王晞星传承工作室(No.国中医药办人教函1123-04号)

摘　　要：恶液质是肿瘤疾病常见并发症,多是由于代谢紊乱,致骨骼肌持续消耗所致,久则导致机体功能损伤,常规营养支持不能完全缓解。国医大师王晞星认为肿瘤恶液质多是肿瘤消耗、放化疗等抗癌治疗损伤气血营卫所致,故诊治应和调营卫、抗癌解毒。根据恶液质发生发展规律,分期辨治:恶液质前期宜和中调营、醒脾和胃;恶液质期治以和血养营、益气健脾;恶液质难治期宜大补脾气、补养肝肾。Cachexia is a common complication of tumor diseases,mostly due to metabolic disorders,resulting in continuous depletion of skeletal muscle and may lead to body function damage for a long time.Conventional nutritional support can not be completely alleviated.Traditional Chinese medicine(TCM)master WANG Xixing believes that most of the tumor cachexia are caused by tumor consumption,radiotherapy,chemotherapy and other anti-cancer treatment also damages the ying,wei,qi and blood.The diagnosis and treatment focus on reconciling ying,wei and anti-cancer and detoxification.According to the law of occurrence and development of cachexia,it is treated by stages.In the early stage of cachexia,we should reconcile ying and wei,awaken the spleen and stomach;In the stage of cachexia,we should tonic blood and ying,invigorate qi and strengthen the spleen.In the refractory period of cachexia,it is advisable to tonify the temper,nourish the liver and kidneys.

关 键 词：国医大师 肿瘤恶液质 分期论治 桂枝类方 王晞星 

分 类 号：R249[医药卫生—中医临床基础] R273[医药卫生—中医学]