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从"实"论治癌因性疲乏

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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.
Treatment of Cancer-related Fatigue from Excess
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 toni-fying 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 arti-cle 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 treat-ment 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.

Cancer-related FatigueExcess SyndromeLiver Depression and Qi StagnationHeat Toxin and Blood StasisPhlegm-dampness Accumulation

李韬芝、邵文博、周芮、吴煜

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中国中医科学院西苑医院肿瘤科,北京 100091

中国中医科学院研究生院,北京 100700

癌因性疲乏 实证 肝郁气滞 热毒血瘀 痰湿蕴结

2024

世界中西医结合杂志
中华中医药学会

世界中西医结合杂志

CSTPCD
影响因子:1.053
ISSN:1673-6613
年,卷(期):2024.19(11)