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基于“劳者温之”理论论治癌因性疲乏

Treatment of cancer-related fatigue based on"treating overstrain syndrome with warming methods"
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摘要 癌因性疲乏(cancer-related fatigue,CRF)属中医“虚劳”范畴,其发生以肿瘤引起机体“内虚”为基础,病性虚实夹杂;病机为中气不运、肾元亏损导致气血阴阳俱虚、脏腑功能失调。“劳者温之”出自《黄帝内经》,指出温法为治疗虚损性疾病的基本大法。现从中医学对CRF病因病机的认识出发,梳理“劳者温之”的理论渊源,结合现代临床研究探讨温法治疗CRF的临床运用,旨在为临床实践提供参考。 Cancer-related fatigue(CRF)belongs to the category of"consumptive disease"in TCM,and its occurrence is based on"internal deficiency"of the body causing by the tumor.Its nature is intermingled deficiency and excess.Its pathogenesis is the deficiency of qi,blood,yin and yang and zang-fu viscera dysfunction caused by disorders of"rise and fall of middle qi"and kidney origin depletion.The theory of"treating overstrain syndrome with warming methods"originates from Huang Di Nei Jing,which proposes that warming methods are the basic methods of treating consumptive disease.Therefore,starting from the cause and pathogenesis of CRF,this article sorted out the theoretical origin of"treating overstrain syndrome with warming methods",and discussed the clinical application of warming methods for the treatment of CRF combining with modern clinical research,with the purpose to provide references for clinical practice.
作者 张铮 缪锐 黄蓉 李凤杰 张培彤 Zhang Zheng;Miao Rui;Huang Rong;Li Fengjie;Zhang Peitong(Master Degree Student of Grade 2021,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Master Degree Student of Grade 2019,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Master Degree Student of Grade 2020,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Department of Oncology,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)
出处 《国际中医中药杂志》 2023年第1期13-16,共4页 International Journal of Traditional Chinese Medicine
基金 国家自然科学基金项目(81673797)。
关键词 肿瘤 癌因性疲乏 温法 虚劳 中医辨治 Neoplasms Cancer-related fatigue Warming methods Consumptive disease TCM syndrome differentiation and treatment
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