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从风邪论治肿瘤相关性便秘

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便秘是恶性肿瘤常见的并发症及治疗不良反应,轻者继发恶心、呕吐、腹痛等症状,重者导致麻痹性肠梗阻,危及生命。现代医学常用的治疗手段主要包括灌肠、缓泻药、益生菌等,流于治标,易于复发,存在一定的治疗困境。中医辨治肿瘤相关性便秘重视整体,溯本求源,多获良效。癌瘤久积消耗正气,外科手术攻伐气血,放化疗等火毒、热邪劫伤阴液,俱令肠虚失养,易受内外风邪之扰,以致糟粕秘结。舒鹏教授认为"肠虚风结"是本病的核心病机,"宣补通降、散风宽肠"是其治疗总则。文章总结舒鹏教授治秘之辨证思路与用药主张,详述肿瘤相关性便秘从风邪论治的经验,飧于同道,以期有所助益。
Treatment of Tumor-Related Constipation from Wind Pathogen
Constipation is a common complication and adverse reaction in the treatment of malignant tumors.It induces nausea,vomiting,abdominal pain,and other symptoms in mild cases and paralytic intestinal obstruction in severe cases,even threatening patients'life.The modern medical therapies for tumor-related constipation include enema,laxatives,and probiotics,which mainly treat the symptoms but not eradicate the root cause.As a result,the disease is prone to relapse.Traditional Chinese medicine(TCM)treats constipation from a holistic view,demonstrating better effect.The growth of tumor consumes healthy qi.Surgery causes the losses of qi and blood,and radiotherapy and chemotherapy as the fire toxin and heat pathogen damage yin and body fluid.Accordingly,intestine deficiency occurs and the body becomes susceptible to the wind pathogen,which finally lead to constipation.Professor Shu Peng believes that the core pathogenesis of this disease is intestine deficiency and wind stagnation and thus the treatment should follow the principle of dispersing,tonifying,dredging,descending,dispersing wind,and soothing the intestine.This paper summarizes the syndrome differentiation ideas and commonly used drugs in the treatment of constipation by Professor Shu,and elaborates on the experience of Professor Shu in treating tumor-related constipation from wind pathogen,aiming to provide reference for clinical practice.

malignant tumorconstipationtraditional Chinese medicinewind pathogen

顾昊卿、舒鹏

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南京中医药大学附属医院(江苏 南京 210000)

南京中医药大学(江苏 南京 210000)

恶性肿瘤 便秘 中医药 风邪

国家中医药管理局中医药循证能力建设项目江苏省研究生科研与实践创新计划项目

2019XZZX-ZL003SJCX23_0864

2024

基层中医药
中国中医科学院中医研究所

基层中医药

ISSN:2097-1222
年,卷(期):2024.3(2)
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