基于阳虚理论探讨肿瘤相关性抑郁的中医辨治  

TCM Syndrome Differentiation and Treatment of Tumor Associated Depression Based on Theory of Yang Deficiency

作　　者：李泽星 钟睿康 唐雅伦 胡凯文[2] LI Zexing;ZHONG Ruikang;TANG Yalun;HU Kaiwen(Beijing University of Chinese Medicine,Beijing China 100029;Dongfang Hospital Affiliated to Beijing University of Chinese Medicine,Beijing China 100078)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学东方医院,北京100078

出　　处：《中医学报》2025年第5期960-964,共5页Acta Chinese Medicine

基　　金：北京市科技计划项目(Z221100003522029)。

摘　　要：肿瘤相关性抑郁并非单一类型疾病,是在肿瘤基础上出现的情志抑郁。肿瘤与抑郁在病机和临床表现上有一定共性,二者互为因果、互相影响,在治疗上也相辅相成、一荣俱荣。临证时应把握阳虚的本质,根据阳虚程度、病理产物有无、症状轻重分别论治,虚实兼顾,标本同治。既要治疗阳虚的本质,又要注重气机的调节,用药既温又通,使补而不滞。在整体观念的基础上,还应结合局部辨证,对脏腑有所侧重,重视温补脾肾,强健先后天之本,如此不仅能增强正气,抵抗肿瘤的侵袭,还能改善患者不良情绪,使情志得以调畅。此外,除了传统口服中药,还应灵活运用多种中医外治疗法,充分发挥中医优势,改善患者阳虚状态,以达到治疗肿瘤和缓解抑郁的双重目的。Tumor associated depression is not a single type of disease,and it is an affective and emotional depression that occurs based on tumors.Tumor and depression have certain commonalities in pathogenesis and clinical manifestations,which are causative and affect each other,and are complementary and mutually beneficial in treatment.The essence of Yang deficiency should be observed during the clinical examination,and the treatment should be based on the degree of Yang deficiency,the presence or absence of pathological products,and the severity of symptoms,so as to take into account both the deficiency and the excess and treat the symptoms and the root cause at the same time.Not only to treat the essence of Yang deficiency,but also to focus on the regulation of Qi.The medicine used should be both warm and good at Qi dredging,so that the tonifying effect can be achieved without causing Qi stagnant.Based on the overall concept,it should also be combined with local diagnosis,focusing on certain Zang and Fu,emphasizing on warming the Spleen and Kidney to strengthen the foundation of the patients′nature and nurture conditions.In this way not only the Zheng Qi can be enhanced to resist the attack of the tumor but also the bad mood can be relieved to get the emotions and moods regulated.Besides,in addition to traditional oral Chinese medicine,a variety of external therapies of Chinese medicine should be flexibly applied to give full play to the advantages of Chinese medicine and improve the patients′state of Yang deficiency,so as to achieve the dual purpose of treating tumors and alleviating depression.

关 键 词：肿瘤相关性抑郁 阳虚理论 温阳法 温补脾肾 

分 类 号：R273[医药卫生—中西医结合]