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柴胡桂枝汤治疗癌性发热OA

Chaihu Guizhi Decoction in the Treatment of Cancer-Related Fever

中文摘要英文摘要

癌性发热又称肿瘤性发热,是肿瘤本身所引起的一种副肿瘤综合征,指恶性肿瘤患者在排除其他常见发热性疾病的情况下出现的直接与癌症有关的非感染性发热,以及患者在肿瘤发展过程中因治疗而引起的发热.根据桂枝汤及小柴胡汤的病因病机及临床应用,进一步探索柴胡桂枝汤在治疗癌性发热中的临床疗效.文章通过运用中医经方理论,进一步总结分析后世医家及笔者对柴胡桂枝汤的临床应用经验.发现柴胡桂枝汤作为《伤寒论》中的重要方剂,通过"调和阴阳""甘温除热",对癌性发热患者发挥着立竿见影的作用.

Cancer-related fever,also known as neoplastic fever,refers to the non-infectious fever directly related to cancer in patients with malignant tumors when other common febrile diseases are excluded,as well as the fever caused by treatment during the development of the tumor.It is a paraneoplastic syndrome caused by the tumor itself.Based on the etiology,pathogenesis and clinical applications of Guizhi decoction and Xiaochaihu decoction,the clinical efficacy of Chaihu Guizhi decoction in the treatment of cancer-related was further explored.By applying the theory of classic prescriptions in traditional Chinese medicine,combined with the clinical applications of Chaihu Guizhi decoction by later physicians and the author,a further summary and analysis were carried out.It is found that Chaihu Guizhi decoction as an important prescription in Shanghan Lun,plays an immediate role in patients with cancer-related fever through"regulating yin and yang"and"removing heat with sweet-warm herbs".

安顺龙;周东菊

菏泽市中医医院肿瘤科,山东 菏泽 274000菏泽市中医医院康复科,山东 菏泽 274000

医药卫生

癌性发热桂枝汤小柴胡汤柴胡桂枝汤甘温除热调和阴阳

cancer-related feverGuizhi decoctionXiaochaihu decoctionChaihu Guizhi decoctionremoving heat with sweet-warm herbsregulating yin and yang

《光明中医》 2026 (2)

86-89,4

10.70976/j.issn.1003-8914.2026.02.019

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