基于“卒病痼疾,荣亏瘀伤”理论探析癌痛的辨治

Syndrome Differentiation and Treatment of Cancer Pain based on the Theory of“Sudden Disease and Intractable Disease,Flourishing and Depletion and Static Damage”

癌痛严重影响癌症患者的心身状态。基于治疗癌痛的临床实践,提出“卒病痼疾,荣亏瘀伤”的癌痛辨治理念,将癌痛病因病机归结于“卒病痼疾”与“荣亏瘀伤”,将中医“卒病痼疾”理念与西医“急慢性癌痛综合征”相融合,认为“荣亏瘀伤”的癌痛病机特点为中州胃气不足、下元精血虚衰,导致气血乏源,阳气亏损,气血津液运行无力形成瘀血等有形之邪,邪气阻络而痛。治疗上首要辨清癌痛病因,根据“卒病痼疾”的缓急原则进行治疗,察胃气以衡攻补,建中填精以养荣,温阳活血以通瘀,佐以补肾平肝防转移,标本兼顾,通补相合,共奏止痛之功。