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从络病理论探讨难治性癌痛的病机与治疗

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络病理论认为病久痛久则入血络,给难治性痛证从络病认识提供了重要依据.本研究结合络病理论探讨分析,认为难治性癌痛病属久痛入络,痰瘀毒结瘀闭脉络,同时久病、久痛损耗正气,以致气血失调、脉络空虚进一步加重脉络瘀闭,其中医病机不离络气虚损、脉络瘀闭.治疗时当以辛润通络、辛通行气兼荣润补虚;虫蚁通络,虫类药搜剔经络直达病所;补虚通络,以补药之体作通药之用.如此通补兼顾,气血流通,络脉舒畅.本文可为难治性癌痛临床辨治提供一定参考.
Discussion on the Pathogenesis and Treatment of Refractory Cancer Pain based on Collateral Disease Theory
Collateral disease theory holds that persistent illness and chronic pain invading the collaterals,provid-ing insights for understanding refractory cancer pain from the collateral disease.This article believes that refracto-ry cancer pain belongs to collateral disease,and its pathogenesis in traditional Chinese medicine is attributed to the deficiency and damage of collateral qi,as well as the blockage of collateral channels and vessels.Therefore,in treatment,it is recommended to unblock the channels and vessels with pungent and moistening herbs,employ me-dicinal insects to dredge the channels,and reinforce the collateral channels with tonic herbs.Attention should be paid to both tonifying and unblocking to promote the smooth flow of qi and blood and the comfort of collateral channels and vessels,providing a certain reference for clinical diagnosis and treatment of refractory cancer pain.

Refractory cancer painCollateral disease theoryInvading the collateral

陈成、王昶鸿、张换友、刘丽

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成都中医药大学附属眉山医院,眉山市中医医院,四川 眉山 620010

四川省第二中医医院,四川 成都 610014

难治性癌痛 络病 久痛入络

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(12)