肺癌癌因性疲乏中医辨证论治探讨

Discussion on the treatment of lung cancer-related fatigue by Chinese medical syndrome typing

癌因性疲乏(cancer-related fatigue,CRF)是肿瘤患者最常见的临床症状,发生率60%~90%。肺癌是我国近10年来发病和病死率上升最快的肿瘤,因肺癌本身或各种治疗不良反应所导致的CRF严重影响患者的生存质量,CRF的治疗引起了临床医生的高度重视,其中以整体观念、辨证论治思想指导的中医药治疗在临床实践中发挥了重要作用。作者近5年对肺癌内科治疗阶段CRF进行了系统研究,在辨证分型、处方用药、随证加减等方面取得了部分经验,将肺癌CRF分为气血两虚、气阴两虚、脾虚痰湿、气滞血瘀、阴阳俱损5个证型并辨证论治。

Cancer-related fatigue(CRF) is one of the most common clinical symptoms of cancer patients with the incidence as high as 60%-90%.The morbidity and mortality of lung cancer have obviously risen in recent decade.The quality of life is strongly influenced by CRF caused by lung cancer itself or a variety of treatment side effects.The treatment of CRF has drawn great attention of the clinicians,in which a whole concept to guide the treatment based on traditional Chinese Medical syndrome typing has played an important role.In this article,based on the systematical research of CRF in the nearly five years and experience in the aspects of syndrome differentiation,treatment regimens,the permitted addition and subtraction and so on,CRF is classified as the deficiency of both Qi and blood,Qi and Yin deficiency,phlegm retention due to spleen deficiency,blood stasis due to stagnation of Qi,Yin and Yang loss in clinical trials.