基于“悲则气消”理论探究负面情绪与癌因性疲乏的关系

To Explore the Relationship Between Negative Emotion and Cancer-related Fatigue Based on the Theory of“Sadness Dissipating Qi”

癌因性疲乏是恶性肿瘤患者的常见伴随症状之一,其归属于中医学“虚劳”范畴,能够对癌症患者的后续治疗、康复及生活质量产生严重影响。文章基于《黄帝内经》“悲则气消”理论,探究忧悲等负面情绪与癌因性疲乏的联系,总结癌因性疲乏的病理基础为“气消”;病机关键为忧悲久郁,肺脏生理功能受损,加之肝木乘土侮金,脏腑失和,气血阴阳亏虚;治疗总以补气畅情为要,兼以疏肝健脾益肾,提出补肺益气、疏肝理气、健脾益肾、以情调气等治法。旨在丰富中医药治疗癌因性疲乏的中医理论及方法,以期开拓一些新的临床思路。

Cancer-related fatigue is one of the common concomitant symptoms of patients with malignant tumor,which belongs to the category of“fatigue”in traditional Chinese medicine,and can have a serious impact on the follow-up treatment,rehabilitation and quality of life of cancer patients.Based on the theory of“Sadness Dissipating Qi”in Huangdi Neijing,this paper explores the relationship between negative emotions such as sadness and cancer-related fatigue,and concludes that the pathological basis of cancer-related fatigue is“Qi elimination”,and the key to the pathogenesis is sorrow and depression for a long time and damage to the physiological function of the lungs.in addition,liver wood insults gold,viscera disharmony,deficiency of qi and blood yin and yang.The treatment always focuses on tonifying qi and unblocking emotion,soothing the liver and invigorating the spleen and kidney,and putting forward the treatment methods of tonifying the lung and nourishing qi,soothing the liver and regulating qi,invigorating the spleen and kidney,regulating qi with emotion and so on.The purpose of this study is to enrich the traditional Chinese medicine theories and methods of traditional Chinese medicine in the treatment of cancer related fatigue,in order to open up some new clinical ideas.