基于诸痛痒疮皆属于心探讨安神法在癌性疼痛治疗中的应用  

Discussion on the Application of Tranquilizing Method in the Treatment of Cancer Pain Based on All Pains and Itching Sores Belong to the Heart

作　　者：贾文魁 连颖奇 陈燕 冯锦鹏 贾芸芳 曹玮 张莹莹 王丽琴 JIA Wenkui;LIAN Yingqi;CHEN Yan;FENG Jinpeng;JIA Yunfang;CAO Wei;ZHANG Yingying;WANG Liqin(Department of Oncology and Hematology,Shanxi Hospital of Integrated Traditional Chinese and Western Medicine,Shanxi Province,Taiyuan 030013,China;Shanxi University of Chinese Medicine,Shanxi Province,Taiyuan 030024,China)

机构地区：[1]山西省中西医结合医院肿瘤血液科 [2]山西中医药大学

出　　处：《光明中医》2024年第21期4394-4396,共3页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：山西省卫生健康委员会中医药科研课题(No.2023ZYYB025)。

摘　　要：癌性疼痛属于中医“痛证”范畴,基于《素问·宣明五气》中“心藏神”、《灵枢·本神》中“所以任物者谓之心”及《素问·至真要大论》中“诸痛痒疮,皆属于心”之旨,认为心是身体疼痛的“感受器”,心神不安是产生疼痛的病机之一。脉络瘀堵心神被遏、气血亏虚心神失养、寒毒伤阳心神被困、热毒内积心神被扰、肝郁气滞心神失畅均可导致心神不安。从而在痛证“不通则痛”“不荣则痛”病机的基础上提出“不安则痛”,将安神法融入癌性疼痛的治疗之中,以冀为中医痛证的诊治提供参考。Cancer pain belongs to the category of“pain syndrome”in traditional Chinese medicine,based on“heart hiding spirit”in Suwen·Xuanming Wuqi,“so the mind is called the heart”in Lingshu·Benshen,and“all pain and itching sores belong to the heart”in Suwen·Zhizhenyao Dalun.It is believed that the heart is the“receptor”of physical pain,and restlessness is one of the pathogenesis of pain.Blockage of veins and mind,deficiency of qi and blood,loss of nourishment of spirit,cold toxin injuring yang and mind being trapped,accumulation of mind in heat toxin,liver depression,qi stagnation and loss of mind can all lead to mental uneasiness.Thus,on the basis of the pathogenesis of pain syndrome,“restlessness resulting in pain”was put forward,and the method of calming the mind was integrated into the treatment of cancer pain,in order to provide reference for the diagnosis and treatment of pain syndrome in traditional Chinese medicine.

关 键 词：痛证 癌性疼痛 不安则痛 安神法 

分 类 号：R273[医药卫生—中西医结合]