从“实”论治癌因性疲乏  

Treatment of Cancer-related Fatigue from Excess

作　　者：李韬芝 邵文博 周芮 吴煜[1] LI Tao-zhi;SHAO Wen-bo;ZHOU Rui;WU Yu(Department of Oncology,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091;Graduate School,China Academy of Chinese Medical Sciences,Beijing 100700)

机构地区：[1]中国中医科学院西苑医院肿瘤科,北京100091 [2]中国中医科学院研究生院,北京100700

出　　处：《世界中西医结合杂志》2024年第11期2136-2139,2163,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：中国中医科学院科技创新工程项目(CI2021A01803);中国中医科学院西苑医院医疗机构制剂和中药新药的研发与转换项目(XYZX0303-13)。

摘　　要：癌因性疲乏(Cancer-related fatigue,CRF)好发于恶性肿瘤各分期,特别是接受抗肿瘤治疗及晚期肿瘤患者,严重影响患者的生活质量,甚至会中断患者抗肿瘤治疗进程,缩短患者的生存时间。中医药治疗CRF以补益为主,具有良好疗效。CRF的发生与癌毒邪气、情志失畅等密切相关,在临床中亦多表现出实证,文中将从CRF临床常见实证证型之肝郁气滞、热毒血瘀及痰湿蕴结进行论述,提示医者在临床论治CRF除补益虚损外,不应忽视疏肝解郁、活血化瘀、行气化痰等实证治法治则。Cancer-related fatigue(CRF)is common across various stages of malignancy,especially in patients undergoing anti-cancer treatments or those with advanced cancer.CRF severely impacts the patient's quality of life and can even interrupt the treatment process,shortening survival time.Traditional Chinese medicine(TCM)primarily uses tonifying therapies to treat CRF,with good clinical efficacy.The occurrence of CRF is closely related to factors such as cancer toxins,external pathogenic factors,and emotional imbalances.Clinically,CRF often presents as excess syndromes.This article discussed the common excess syndromes seen in CRF,including liver depression and qi stagnation,heat toxin and blood stasis,and phlegm-dampness accumulation,and reminded clinicians that,in addition to tonifying the deficiency,the treatment of CRF should not neglect methods such as soothing the liver and resolving stagnation,activating blood and resolving blood stasis,and promoting qi and transforming phlegm to address the excess syndromes.

关 键 词：癌因性疲乏 实证 肝郁气滞 热毒血瘀 痰湿蕴结 

分 类 号：R730.1[医药卫生—肿瘤]