冯正权从肝脾肾论治化疗所致恶心呕吐经验介绍

Experience Introduction of FENG Zhengquan Treating Chemotherapy-Induced Nausea and Vomiting from Perspective of Liver,Spleen and Kidney

化疗所致恶心呕吐(CINV)是化疗最常见的不良反应,重度呕吐可影响患者的日常饮食,降低患者的治疗依从性,重则引起上消化道出血,危及生命。冯正权教授对治疗CINV方面有其独特的见解,认为CINV病变部位虽然在胃,但其发生与肝、脾、肾三脏密切相关,治疗时常以补虚健脾和胃为总则,同时不忘温补脾肾,顾护先后天之本,调畅情志,注重饮食调摄,提前预防用药,以提高患者生活质量。

Chemotherapy-induced nausea and vomiting(CINV)is the most common adverse effect in patients who received chemotherapy.Severe vomiting can affect the patient’s daily diet,reduce patient compliance;in more severe cases,upper gastrointestinal bleeding may occur,threatening one’s life.Professor FENG Zhengquan has unique insights into the treatment of CINV.He holds that although the lesion is in the stomach,the occurrence of CINV is closely related to the liver,the spleen and the kidney;the treatment often takes tonifying deficiency,fortifying the spleen and harmonizing the stomach as the general principles;meanwhile,it is important to warm and tonify the spleen and the kidney,care for the root of innate and postnatal endowment,adjust mood,as well as pay attention to dietary modification and preventive medication,so as to improve the quality of life of patients.