不荣则痛与多发性骨髓瘤

Relationship between Pain from Malnutrition and Multiple Myeloma(MM)

[目的]探讨不荣则痛与多发性骨髓瘤(multiple myeloma,MM)的关系,从中探索治疗MM的方法。[方法]基于《内经》中对疼痛的认识及历代医家对疼痛的论述,阐述疼痛产生的主要病因病机;从历代文献中寻找对MM病机的认识,并分析不荣则痛与MM的联系,根据病因病机找到治疗的方法,并从临床案例中验证。[结果]通过《内经》中论述,发现不荣则痛为疼痛产生的一个重要病机,并通过对历代医家经验的总结,发现由脾肾亏虚引起的"不荣则痛"为MM的主要病因,通过辨证论治从中总结出补肾为治疗气血两虚型MM的重要方法。[结论]"不荣则痛"是MM的重要病因病机,从其病因入手,以补脾益肾之法,治疗MM疗效明显,此法将对于MM的治疗将带来更多的帮助。

[Objective] To investigate the relationship between pain from malnutrition and MM, looking for a cure for MM.[Methods]To analyze the relationship between pain from malnutrition and MM in clinical TCM based on the study of Neijing and the textual works of famous Chinese physicians. According to the etiology and pathogenesis to find the treatment method, and validation from clinical cases. [Result]We find that the pain from malnutrition caused by deficiency of kidney and spleen is a major cause of MM by summarizing of the ancient physicians. And we tally up the invigorating kidney is an important method for the treatment of MM.[Conclusion]Pain from malnutrition is an important pathogenesis of MM. To a method of treating MM, invigorating kidney and spleen is obvious and this method for the treatment of MM will bring more help.