从“舟水论”治疗化疗期便秘

The Treatment of Constipation during Chemotherapy from the Thery of "Boat and Water"

目的从中医角度分析化疗期便秘的治疗。方法以"舟水论"为理论基础,结合中医脏腑、精气血津液理论,进一步从理论探究便秘产生的机理,明确化疗期便秘的发病病机,进而为临床化疗期便秘的治疗开拓新的思路。结果从"舟"、"水"、"风"、"河道"、"暗流"等五个方面,进一步丰富和完善"舟水理论",并以此为基础,提出化疗期便秘的发病机理当为邪毒内侵,致使邪实而正虚,引起脾胃运化以及气机升降的失常,故化疗期便秘治疗的关键点应在"舟"与"水"。结论以"舟水理论"比类便秘一病,具备独特的视角,为化疗期便秘的治疗开拓新的视野,具有独到而新颖的参考价值。

Objective Analysis of the treatment of constipation during chemotherapy from point of view of TCM. Methods Using the thery of ＂ boat and water＂ as the theoretical basis, combined with TCM zang-fu viscera and the theory of jing qixue and jinye, further explored the mechanism of constipation, determined the onset pathogenesis of constipation during chemotherapy, and explored new ideas for the treatment of constipation during chemotherapy. Results From the five aspects of ＂ boat＂, ＂ water＂, ＂ wind＂, ＂ river＂ and ＂ under-current＂, further enriched and improved theory of boat and water ＂, and then of basis of this, and proposed that pathogenesis of consti-pation during chemotherapy was virus attacking the human body result in the virus was strong while the body was sick, then led to disor-ders of digestive and motion of the gas, so the key point of treatment of constipation during chemotherapy focued on the ＂ boat ＂ and＂ water ＂. Conclusion Using theory of boat and water＂ in the treatment of constipation had a unique perspective, opened up new horizons for treatment of constipation during chemotherapy, and has an innovative reference value.