作者:孙芳园1、吴孝雄2
1上海中医药大学附属第七人民医院重症医学科，上海，200137，2上海中医药大学附属第七人民医院肿瘤二科，上海，200137）
Author(s):Sun Fangyuan1、Wu Xiaoxiong2
Seventh People's Hospital of Shanghai University of Traditional Chinese Medicine，1Intensive Care Unit，2Department of Oncology II，Shanghai，200137
关键词原发性肝癌；汗症；益卫固表；医案
Keywords:Primary liver cancer; Hyperhidrosis; Invigorating the lung and strengthening the exterior; Medical cases
摘要:汗症是晚期癌症常见症状，临床常常作为兼症，容易受到忽视。汗症导致癌症患者生活质量下降，重度汗症患者的生活质量比轻度汗症者更低。西医治疗癌症相关性汗症具有明显局限性。中医治疗癌症汗症具有独特优势，改善症状、提高生活质量，弥补西医之不足。晚期肝癌相关性汗症以虚证多见，表现为肺卫不固，气虚或气阴两虚多见，益卫固表为常用治法。文献尚无肝癌虚证汗症报道。本文介绍中医药治疗晚期肝癌顽固性汗症临证经验，附验案一则。
Abstract: Sweating is a common symptom of advanced cancer, which is often regarded as a secondary symptom and easy to be ignored.Sweating leads to a decline in the quality of life of cancer patients.The quality of life of patients with severe sweating cancer is lower than that of patients with mild sweating cancer.Modern medical treatment of cancer-related sweating has obvious limitations.Traditional Chinese medicine has unique advantages in treating cancer sweating, which can improve symptoms, improve quality of life, and make up for the shortcomings of modern medicine.Sweating associated with advanced liver cancer is more common in deficiency syndrome, which is manifested byinstability of the pulmonic qi.Qi deficiency or deficiency of both qi and Yin are common in advanced liver cancer.Invigorating the lung and strengthening the exterior is a common treatment.There is no report of hyperhidrosis of liver cancer deficiency syndrome in the literature. This paper introduces the clinical experience of Chinese medicine in the treatment of refractory hyperhidrosis of advanced liver cancer, with an empirical case.
晚期癌症患者临床症状多，汗症是其中之一，容易受到忽视，特别是轻度汗症，常常被其他主症所掩盖。汗症影响晚期癌症患者生活质量。研究表明，住院癌症患者汗症发生率较高，生活质量较低，其中重度汗症癌症患者的生活质量在5个功能领域（躯体功能、角色功能、认知功能、情绪功能和社会功能）、整体健康状况及疲劳、气促、失眠、食欲丧失、便秘比轻度汗症者的生活质量低[1]。西医治疗汗症并无针对性药物，局限性明显，部分晚期患者深受痛苦。
