齐元富益气补血法治疗癌因性疲乏经验谈

文章信息/Info

• Title:齐元富益气补血法治疗癌因性疲乏经验谈

• 卷期:2024年22卷16期

• 作者:柳晶瑄1，刘寨东2

• 1. 山东中医药大学中医学院，山东济南，250014；2. 山东中医药大学附属医院肿瘤科，山东济南，250014

• Author(s):LIU Jingxuan1 LIU Zhaidong2

• 1.Shandong University of Traditional Chinese Medicine；2.Shandong Province Hospital of Traditional Chinese Medicine

• 关键词齐元富；癌因性疲乏；益气补血法；标本兼治

• Keywords: Qi Yuanfu; Cancer-related fatigue; Method of supplementing qi and blood; Treat both symptoms and root causes

• 摘要::山东省中医院名老中医齐元富教授从医几十年积累了大量宝贵临床经验，在以益气补血法为治则，治疗癌因性疲乏方面颇有心得。他认为心、肝与癌因性疲乏密切相关，是诊治重点，并且以益气补血为治则，以标本兼治为治疗目的，自拟方益气补血汤，在临床上取得了不错疗效。齐教授选择益气补血汤来对症治疗，不仅针对患者的症状，同时兼顾其肿瘤术后的防治，用药精专，在使用益气补血汤原方基础上，根据患者症状，灵活加减，附病案 1 则以佐证。                                                                                                                                                                                

• Abstract Professor Qi Yuanfu, a famous old Chinese medicine doctor in Shandong Province Hospital of Traditional Chinese Medicine, has accumulated a lot of valuable clinical experience in medical practice for several decades. He has learned a lot in the treatment of cancer-related fatigue with the method of supplementing qi and blood as the treatment principle. He believed that the heart and liver were closely related to cancer-related fatigue, which was the focus of diagnosis and treatment. He took supplementing qi and blood as the principle of treatment, and treated both symptoms and symptoms as the purpose of treatment. The self-made recipe of supplementing qi and blood soup had achieved good clinical effects. Professor Qi chose Yiqi Buxue Decoction for symptomatic treatment, not only for the symptoms of patients, but also for the prevention and treatment of their tumors after surgery. The drug was refined and specialized. On the basis of using the original formula of Yiqi Buxue Decoction, he could add or subtract flexibly according to the symptoms of patients, and attached a case to prove it.

  近年来，随着恶性肿瘤发病率持续性上升，伴随恶性肿瘤出现的癌因性疲乏在临床上变得越来越常见，约80%的放化疗患者出现了疲乏的症状表现[1]，现已引起各领域广泛关注。与一般性的疲乏不同，癌因性疲乏主要产生于恶性肿瘤发病与治疗过程中，由于对恶性肿瘤的恐惧与焦虑，及各种放、化疗方案治疗过程中的毒副作用致使患者出现了严重的疲劳感，这种相互作用的关系可使患者疾病加重，久而久之终成恶性循环，最后导致患者生活质量下降。研究表明，中医药在缓解疲乏症状表现上有独到的心得[2]。根据其临床表现，这属中医学里的“虚劳”范畴。张仲景在《金匮要略·血痹虚劳病脉证并治》里写道:“夫男子平人, 脉大为劳, 极虚亦为劳”，主张“调补脾肾，甘温扶阳”的治疗原则[3]，并对后世产生了深远影响，这种辩证思路在今日对癌因性疲乏的探究依旧有着重要指导意义，也正是中医优势的一大体现。