首页|肿瘤相关性便秘的中医药研究进展

肿瘤相关性便秘的中医药研究进展

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目的 探究中医药对肿瘤相关性便秘病因病机及治法的认识.方法 计算机检索中国知识资源总库、万方数据知识服务平台、中文科技期刊数据库、PubMed数据库,收集近10年有关中医药治疗肿瘤相关性便秘的中英文文献,总结中医学对肿瘤相关性便秘病因病机的认识及治疗规律.结果 通过文献研究发现,中医认为肿瘤相关性便秘多因脏腑亏虚、气血失和、阴阳失调,外加癌毒蕴结、药毒侵袭、情志失和等因素导致大肠传导功能失司而发病,其病位在肠,关键在脾胃,且与肝、肺、肾、三焦等脏腑密切相关.中医治疗主要有内、外治两方面,内治法主要采用理气、益气、滋阴、温阳等方法,不仅可以防治便秘,还可改善腹胀、口燥咽干等症状.此外,中医外治法如针刺、穴位贴敷、中药灌肠等也应用广泛.结论 中医药治疗肿瘤相关性便秘疗效较好,不良反应少,但是否有其他治疗方法需要进一步挖掘与发现,且治疗的有效性及安全性仍需更多高质量研究进一步验证.
Research Progress in Traditional Chinese Medicine Research on Tumor-Associated Constipation
Objective To investigate the understanding of traditional Chinese medicine on the etiology and treatment of tumor-associated constipation.Methods Computer searches of the Chinese Knowledge Resource Consortium,Wanfang Data Knowledge Service Platform,Chinese Science and Technology Journal Database and PubMed database were conducted to collect Chinese and English literature on the treatment of tumor-related constipation in the past 10 years and to summarize the understanding of tra-ditional Chinese medicine on the etiology and pathogenesis of tumor-related constipation and the treatment pattern.Results From the literature,we found that tumor-related constipation is mostly caused by deficiency of internal organs,loss of harmony between Qi and blood,and imbalance of Yin and Yang,as well as cancer toxicity,drug invasion and emotional and psychological disorders,which lead to the failure of large intestine conduction function.Traditional Chinese medicine treatment mainly includes internal and external treatment.The internal treatment method mainly adopts methods such as regulating Qi,benefiting Qi,nouris-hing Yin and warming Yang,which can not only prevent and treat constipation,but also improve symptoms such as abdominal dis-tension,dry mouth and dry throat.In addition,external treatments of TCM,such as acupuncture,acupoint application and Chinese herbal enema,are also widely used.Conclusion Traditional Chinese medicine treatment for tumor-associated constipation has better efficacy and fewer adverse effects,but further exploration and discovery of other treatment methods are needed,and the effi-cacy and safety of the treatment still need further verification by more high-quality studies.

tumorconstipationetiology and pathogenesisTCM internal treatmentTCM external treatment

康鸿怡、宁松云、陈荣玲、何爱国

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成都中医药大学,四川成都 610075

自贡市中医医院,四川 自贡 643010

肿瘤 便秘 病因病机 中医内治 中医外治

四川省中医药管理局中医药专项

2020JCD159

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(2)
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