基于"阴常不足"从肾虚瘀毒论治肿瘤相关性贫血OA
Treatment of cancer-related anemia from the perspective of kidney deficiency,blood stasis,and toxin based on the theory of"constant yin deficiency"
肿瘤相关性贫血(cancer-related anemia,CRA)是恶性肿瘤患者常见并发症之一.阴常不足与肾虚瘀毒并非孤立病理状态,二者共同推动疾病进展.肾虚瘀毒为CRA主要病机,具体表现为:阴虚阳浮,骨枯髓竭;水不涵木,阴虚髓瘀;血瘀毒蕴,聚于骨髓.CRA辨证论治包括:填精生髓,滋阴潜阳;滋水涵木,祛瘀生新;解毒化瘀,养阴生血.并结合临床验案对基于"阴常不足"从肾虚瘀毒论治CRA进行阐述.
Cancer-related anemia(CRA)is one of the common complications in patients with malignant tumors.Insufficient yin and kidney deficiency with stasis toxin are not isolated pathological states;they jointly promote the progression of the disease.Kidney deficiency and stasis toxin are the main pathogenesis of CRA,which is manifested as:yin deficiency with yang exuberance,bone depletion and marrow exhaustion;water fails to nourish wood,yin deficiency and marrow stasis;blood stasis and toxins accumulate in the bone marrow.The treatment of CRA based on pattern differentiation and treatment involves:replenishing essence and generating marrow,nourishing yin and suppressing yang;nourishing water to support wood,eliminating blood stasis and generating new life;eliminating toxins and resolving blood stasis,nourishing yin and generating blood.This is also elaborated based on clinical cases on treating CRA from the perspective of"constant yin deficiency"based on the theory of kidney deficiency and stasis toxin.
韩欣璞;李潇;张宇;米虽才;刘铸;田劭丹;侯丽
北京中医药大学 北京 100029||北京中医药大学东直门医院北京中医药大学东直门医院北京中医药大学东直门医院北京中医药大学东直门医院厦门医院北京中医药大学 北京 100029||北京中医药大学东直门医院北京中医药大学东直门医院北京中医药大学东直门医院
医药卫生
阴常不足肾虚瘀毒肿瘤相关性贫血中医药理论探讨
yin deficiencykidney deficiency and stasis bloodcancer-related anemiaTraditional Chinese Medicinetheoretical discussion
《现代中医临床》 2026 (1)
54-57,4
中央高校基本科研业务费项目(No.2024-JYB-JBZD-012)中央高水平中医医院临床科研业务费资助(No.CZ015)首都卫生发展科研专项项目(No.2024-2-4194)国家中医药管理局高水平中医药重点学科建设项目(No.zyyzdxk-2023268)
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