郭立中从温通三焦治疗化疗后周围神经病变经验探析

GUO Lizhong's Treatment of Chemotherapy-Induced Peripheral Neuropathy by Warming and Unblocking Triple Energizers

化疗导致的周围神经病变(CIPN)是肿瘤化疗后产生的常见不良反应之一,临床治疗以益气养血、活血通络为主。郭立中教授认为CIPN的核心病机为阳虚寒凝,经脉痹阻,治疗强调温通三焦,放眼全局,次第为法。以扶阳为纲,先祛外邪,后调五脏,循序渐进,温通三焦,以求阴阳平衡,气血调畅。同时重视固本培元,扶助肾中真阳,为肿瘤患者谋求远期生存疗效,提高生活质量。

Chemotherapy-induced peripheral neuropathy(CIPN)is one of the common adverse reactions after cancer chemotherapy,and its clinical treatment mainly focuses on replenishing qi and nourishing blood,activating blood and freeing the collateral vessels in traditional Chinese medicine.Professor Guo Lizhong has rich experience in the treatment of CIPN and he believes that the core pathogenesis of CIPN pertains to yang deficiency with congealing cold and meridian obstruction,and that the treatment should be focused on unblocking triple energizers and taking care of the overall situation.In the treatment of this disease,we should take yang strengthening as the key link,dispel external pathogenic factors first,than regulate the five viscera,and gradually warm and unblock the triple energizers,in order to achieve balance of yin and yang and harmony of qi and blood.At the same time,we need to attach great importance to consolidating root and strengthening primordium,supporting the true yang in the kidney,seeking long-term survival efficacy for tumor patients,and improving their quality of life.