从脾肾论治恶性肿瘤患者化疗后食欲不振

Investigation and analysis on anorexia in patients with malignant tumor after chemotherapy treated from spleen and kidney point of view

食欲不振中医称纳呆或纳少,是恶性肿瘤患者化疗过程中最常出现的不良反应之一.食欲不振使患者营养摄入严重不足、体力恢复延缓,导致患者不能很好耐受化疗,对治疗的依从性不佳,生活质量得不到保障、对治疗丧失信心,最终影响临床疗效.笔者根据《内经》:"肾为胃之关"的论述,采用脾肾双补法改善肿瘤化疗后食欲不振,效果满意.肿瘤的形成多数医家认为是"因虚而发".正气虚弱,责之于脏腑,不外脾肾.肿瘤形成的基础为脏腑虚损,尤以脾肾不足为主.现结合临床经验,探讨从脾肾论治对恶性肿瘤患者化疗后食欲不振治疗的指导作用.说明从脾肾论治是治疗恶性肿瘤患者化疗后食欲不振的重要方法.

Loss of appetite is called anorexia in traditional Chinese medicine(TCM),and it is one of the most common adverse reactions in the course of chemotherapy for treatment of patients with malignant tumor.Anorexia results in severe malnutrition and delay of the recovery of physical strength,that lead to the patients'intolerance to chemotherapy,incompliance with the treatment,no guarantee in quality of life,loss of confidence in treatment effect and finally,the therapeutic efficacy is seriously affected.According to an old classical TCM book:The"Kidney is the Gate of Stomach"is discussed in the book,so the author of this article has used tonifying spleen and kidney method to improve anorexia after tumor chemotherapy,and the efficacy is satisfactory.Most doctors believe that the formation of tumor is"due to deficiency".Mainly,the internal visceral organs are responsible for the weakness of healthy qi,particularly the Spleen and kidney.The basis of tumor formation is the weakness of the viscera,especially the deficiency of spleen and kidney.Based on clinical experiences,the spleen and kidney tonification method is discussed and used as the guidance to treat the anorexia after chemotherapy for malignant tumor patients,showing that the method is important for treatment of anorexia in such patients.