Cancer related fatigue(CRF)belongs to the category of consumptive disease in traditional Chinese medicine.The theory of"treating deficiency with three primary sources"put forward by WANG Qishi(a doctor in the Ming Dynasty)and the method of moderating the middle and tonifying deficiency recorded in ZHANG Zhongjing's Synopsis of Golden Chamber have important reference value for the treatment of consumptive disease.The theory of"treating deficiency with three primary sources"established that clearing the lung,invigorating the spleen and tonifying the kidney were the basic principles of treating consumptive disease,and moderating the middle and tonifying deficiency were to relieve urgent matters in the middle jiao and replenish extreme deficiencies caused by excessive labor,which needed to be realized through the comprehensive action of drugs for activating blood,clearing heat,regulating qi and other drugs.Patients with CRF have suffered from qi deficiency and blood loss for a long time,so their blood circulation is not smooth,which leads to blood stasis.Simple tonifying is easy to cause congestion,and simple activating blood is prone to impair healthy qi.Therefore,the treatment of CRF should combine tonifying with promoting blood circulation,guided by the theory of"treating deficiency with three primary sources",starting from regulating and tonifying the lung,the spleen and the kidney,and using the method of moderating the middle and tonifying deficiency,removing blood stasis and generating new blood,so as to achive both eliminating and tonifying,and to promote the recovery of healthy qi.
关键词
癌因性疲乏/治虚三本/肺/脾/肾/缓中补虚/祛瘀生新
Key words
cancer-related fatigue/treating deficiency with three primary sources/lung/spleen/kidney/moderating the middle and tonifying deficiency/removing blood stasis and generating new blood