张晓春治疗癌因性疲乏经验
|
摘要
癌因性疲乏主要因机体正气不足,癌毒积聚体内,继续耗伤正气,造成恶性循环,故张晓春老师常予黄芪、白术、太子参、人参、茯苓、甘草等护卫正气,当归、生地黄、熟地黄、墨旱莲、女贞子、白芍、沙参、阿胶等滋阴养血扶正,同时可配伍砂仁、藿香、紫苏梗、陈皮、木香等化湿行气之品,使补益而不壅滞。张晓春老师在健脾益肾的基础上,辨证分析,扶正祛邪,积极处理并发症,如过度消耗产生的营养不良、恶病质、疼痛、免疫力低下等;肿瘤的化疗、放疗等引起的不良反应,如恶心呕吐、骨髓抑制、泄泻等。内外兼治,注重患者的饮食、生活、情志等方面的调理,综合治疗,改善疲乏,提高患者生存质量。
Cancer-related fatigue is mainly due to insufficient body qi,accumulation of cancer poisons in the body,which continue to damage qi,causing a vicious circle. Therefore,Mr. Zhang Xiaochun often uses Astragalus,Atractylodes macrocephala,Radix pseudostellariae,Ginseng,Poria cocos,Licorice and other Chinese medicine to protect the vital qi. He uses Chinese medicines such as Angelica sinensis,Rehmannia root,Ripe Rehmannia root,Drought lotus,Privet fruit,Paeonia lactiflora,Radix Salviae miltiorrhizae,Gum aranthi to nourish yin and blood to strength vital qi. At the same time,he also combines with Chinese medicine for dissipating dampness and promoting qi such as Amomum,Agastache,Perilla stem,Tangerine peel,Wood incense and so on,so as to benefit without obstruction. On the basis of invigorating the spleen and benefiting the kidney,Mr. Zhang Xiaochun makes dialectical analysis,strengthens the body and dispells pathogens,and actively dealts with complications,such as malnutrition,nausea,pain and low immunity caused by excessive consumption; adverse reactions such as nausea and vomiting,bone marrow suppression and diarrhea caused by chemotherapy and radiotherapy of tumors. In the treatment,he pays attention to both internal and external treatment,as well as the patient's diet,life,emotional and other aspects of conditioning. Through comprehensive treatment,fatigue can be alleviated and patients' quality of life can be improved.
Cancer-related fatigue is mainly due to insufficient body qi,accumulation of cancer poisons in the body,which continue to damage qi,causing a vicious circle. Therefore,Mr. Zhang Xiaochun often uses Astragalus,Atractylodes macrocephala,Radix pseudostellariae,Ginseng,Poria cocos,Licorice and other Chinese medicine to protect the vital qi. He uses Chinese medicines such as Angelica sinensis,Rehmannia root,Ripe Rehmannia root,Drought lotus,Privet fruit,Paeonia lactiflora,Radix Salviae miltiorrhizae,Gum aranthi to nourish yin and blood to strength vital qi. At the same time,he also combines with Chinese medicine for dissipating dampness and promoting qi such as Amomum,Agastache,Perilla stem,Tangerine peel,Wood incense and so on,so as to benefit without obstruction. On the basis of invigorating the spleen and benefiting the kidney,Mr. Zhang Xiaochun makes dialectical analysis,strengthens the body and dispells pathogens,and actively dealts with complications,such as malnutrition,nausea,pain and low immunity caused by excessive consumption; adverse reactions such as nausea and vomiting,bone marrow suppression and diarrhea caused by chemotherapy and radiotherapy of tumors. In the treatment,he pays attention to both internal and external treatment,as well as the patient's diet,life,emotional and other aspects of conditioning. Through comprehensive treatment,fatigue can be alleviated and patients' quality of life can be improved.
引文
[1]WAGNER L I,CELLA D.Fatigue and cancer:causes,prevalence,and treatment approaches[J].Br J Cancer,2004,91:822-828.
[2]赵鹏,雷晓梅.癌因性疲乏病因研究进展[J].现代肿瘤医学,2013,21(4):894-898.
[3]杨娟丽,陈璐,杨书芳,等.肿瘤晚期患者癌性疲乏与影响因素调查[J].天津医药,2013,41(6):548-551.
[4]程海波.癌毒病机理论探讨[J].中医杂志,2014,55(20):1711-1714.
[5]朱慧娟,李航森.李航森教授中医治疗癌性疼痛临床经验总结[J].光明中医,2017,3(1):35-36.
[6]杨栋,张培彤.情志因素对肿瘤发病及治疗的影响[J].辽宁中医杂志,2014,41(6):1131-1133.
[7]ROSENBERG K,ZOLOT J,et al.Exercise and Psychological Interventions are Best for Cancer-Related Fatigue[J].American J Nursing,2017,117(7):63.
[8]秦传蓉,饶智国,杨波,等.中医外治法在恶性肿瘤治疗中的研究进展[J].世界中西医结合杂志,2017,12(2):294-296.
[9]刘传波,何佩珊,左明焕,等.恶性肿瘤外治法的中医认识和新应用[J].中国临床医生,2014,42(6):85-86.
[10]SUZANNA M,ZICK N D.Examination of the Association of Diet and Persistent Cancer-Related Fatigue:A Pilot Study[J].Oncology Nursing Forum,2013,40(1):41-49.
[11]郑添添,王君,张立实.食品生产加工过程中污染物控制的研究进展[J].卫生研究,2016,45(4):691-693.
[12]孙丽红.饮食因素与大肠癌关系的研究进展[J].世界华人消化杂志,2010,18(19):2033-2037.
[13]PAPATLA K,HUANG M,SLOMOVITZ B.The obese endometrial cancer patient:how do we effectively improve morbidity and mortality in this patient population[J].Ann Oncol,2016,27(11):1988-1994.
[14]彭玉琴,施京红,丁辉,等.鹅血用于消化道肿瘤治疗的研究[J].山东中医杂志,2017,36(2):103-109.
[15]HILFIKER R,MEICHTRY A,EICHER M,et al.Exercise and other non-pharmaceutical interventions for cancer-related fatigue in patients during or after cancer treatment:a systematic review incorporating an indirect-comparisons meta-analysis[J].British J Sports Medicine,2017,12:1-9.
[2]赵鹏,雷晓梅.癌因性疲乏病因研究进展[J].现代肿瘤医学,2013,21(4):894-898.
[3]杨娟丽,陈璐,杨书芳,等.肿瘤晚期患者癌性疲乏与影响因素调查[J].天津医药,2013,41(6):548-551.
[4]程海波.癌毒病机理论探讨[J].中医杂志,2014,55(20):1711-1714.
[5]朱慧娟,李航森.李航森教授中医治疗癌性疼痛临床经验总结[J].光明中医,2017,3(1):35-36.
[6]杨栋,张培彤.情志因素对肿瘤发病及治疗的影响[J].辽宁中医杂志,2014,41(6):1131-1133.
[7]ROSENBERG K,ZOLOT J,et al.Exercise and Psychological Interventions are Best for Cancer-Related Fatigue[J].American J Nursing,2017,117(7):63.
[8]秦传蓉,饶智国,杨波,等.中医外治法在恶性肿瘤治疗中的研究进展[J].世界中西医结合杂志,2017,12(2):294-296.
[9]刘传波,何佩珊,左明焕,等.恶性肿瘤外治法的中医认识和新应用[J].中国临床医生,2014,42(6):85-86.
[10]SUZANNA M,ZICK N D.Examination of the Association of Diet and Persistent Cancer-Related Fatigue:A Pilot Study[J].Oncology Nursing Forum,2013,40(1):41-49.
[11]郑添添,王君,张立实.食品生产加工过程中污染物控制的研究进展[J].卫生研究,2016,45(4):691-693.
[12]孙丽红.饮食因素与大肠癌关系的研究进展[J].世界华人消化杂志,2010,18(19):2033-2037.
[13]PAPATLA K,HUANG M,SLOMOVITZ B.The obese endometrial cancer patient:how do we effectively improve morbidity and mortality in this patient population[J].Ann Oncol,2016,27(11):1988-1994.
[14]彭玉琴,施京红,丁辉,等.鹅血用于消化道肿瘤治疗的研究[J].山东中医杂志,2017,36(2):103-109.
[15]HILFIKER R,MEICHTRY A,EICHER M,et al.Exercise and other non-pharmaceutical interventions for cancer-related fatigue in patients during or after cancer treatment:a systematic review incorporating an indirect-comparisons meta-analysis[J].British J Sports Medicine,2017,12:1-9.