基于伏邪理论探讨癌性发热的辨证论治

Discussing the Differentiation and Treatment of Cancerous Fever Based on Theory of Hidden Pathogen

目的:癌性发热作为肿瘤患者临床常见症状,其在病因病机、发病形式及临床表现上均符合伏邪致病的特点,与伏邪之间存在密切的联系。基于伏邪理论分析癌性发热的病机,多为气、血、阴、阳之正气亏虚,伏邪产生,导致痰湿瘀血,形成积聚,日久化热,从伏邪辨治癌性发热临床治疗须以扶助正气为根本,采用温阳化积、滋阴化积、益气化积、养血化积、活血消积、祛湿化积等治疗方法清除伏邪,使正复邪去,积消热平。

Cancerous fever is a common clinical symptom of cancer patients.Its causes,pathogenesis,modes of onset and clinical manifestations are in line with the pathogenic characteristics of hidden pathogen.It is closely related to the hidden pathogen.Based on the theory of hidden pathogen,the pathogenesis of cancer fever is mostly due to deficiency of healthy qi,blood,yin and yang,which results in phlegm dampness and blood stasis.Then the accumulation-gathering tends to transform into heat.The clinical treatment of cancer fever,accordingly,should be based on reinforcing healthy qi to remove the hidden pathogen by means of warming yang,nourishing yin,replenishing qi,tonifying blood,activating blood and removing dampness to resolve accumulation-gathering.