癌性疼痛的中医理论探讨

Discussion on the TCM theory of cancerous pain

文章认为癌性疼痛的病因主要包括六淫邪毒、七情内伤、饮食失调、正气亏虚;而癌毒内郁、痰瘀互结、经络壅塞是癌性疼痛的基本病机,癌毒内郁是病机之关键,痰瘀是主要病理因素,二者因果为患,正气亏虚是癌痛发生的重要内在因素,病位涉及相关脏腑经络,病理性质为本虚标实,标实为主;解毒祛瘀、化痰通络是其基本治疗大法,消癌解毒是治疗关键,化痰祛瘀贯穿治疗始终。

The chief cause of cancerous pain include six climate exopathogens, internal damage by excess of seven emotions, improper diet and deficiency of vital qi. Accumulation of cancerous toxin, intermingled phlegm and blood stasis and obstruction of meridians are the basic pathogenesis of cancerous pain, among which the accumulation of cancerous toxin is the key point of the pathogenesis, and phlegm and blood stasis are main pathological factors, the both are cause and effect for each other. The deficiency of vital qi is the internal factor of the disease. The location of disease concerns the relative viscera and meridians. The nature of disease is deficiency in the ＂root＂ and excess in the ＂branch＂ and excess in the ＂branch＂ is the main aspect. The therapeutic rules of the disease are removing toxic substance and removing stasis, resolving phlegm to dredge collaterals. And removing cancerous toxin is the crux of the therapy, and resolving phlegm to removing stasis should be applied from the beginning to the end.