杨丽芳主任运用补血升白汤从脾肾治疗结肠癌术后癌因性疲乏的经验OA
Chief Physician YANG Lifang's Experience in Treating Cancer-Related Fatigue after Colon Cancer Surgery from Spleen and Kidney with Buxue Shengbai Decoction
本文总结了杨丽芳主任医师运用补血升白汤从脾肾治疗结肠癌术后癌因性疲乏的临证经验,并附典型验案1则.杨主任认为结肠癌术后癌因性疲乏的根本病机在于正气亏虚、脏腑失调,其核心在于脾肾亏虚、气血衰弱、清阳不升,病性以"正气亏虚"为本,"癌毒瘀结"为标.对此,治疗方面主张以自拟补血升白汤健脾补肾、益气养血、升发清阳.本文论述了杨主任的诊治经验及病机认识、自拟方的作用分析,并以临床案例说明,可为结肠癌术后癌因性疲乏的治疗提供新思路.
This article summarizes the clinical experience of Chief Physician YANG Lifang in treating cancer-related fatigue after colon cancer surgery with Buxue Shengbai Decoction from spleen and kidney,and illustrates it with a typical case.Chief Physician YANG Lifang believes that the fundamental pathogenesis of cancer-related fatigue after colon cancer surgery lies in deficiency of healthy Qi and imbalance of Zang-Fu organs,and its core lies in the deficiency of spleen and kidney,weakness of Qi and blood,and failure of clearing Yang to ascend.The disease is rooted in deficiency of healthy Qi,with manifestations of cancer toxin and blood stasis.In this regard,the self-designed Buxue Shengbai Decoction is used to invigorate spleen and tonify kidney,replenish Qi and nourishing blood,promoting the rise and dispersion of clear Yang.This article discusses Chief Physician Yang's diagnosis and treatment experience,as well as the understanding of the pathogenesis,analyzes the effects of Buxue Shengbai Decoction,and illustrates them with clinical cases.It can provide a new idea for the treatment of cancer-related fatigue after colon cancer surgery.
王熙;杨丽芳
山西中医药大学(山西 太原 030024)山西中医药大学附属医院(山西 太原 030024)
补血升白汤癌因性疲乏虚劳补气升阳健脾益肾
Buxue Shengbai Decoctioncancer-related fatigueconsumptive diseasetonifying Qi and elevating Yanginvigorating spleen and tonifying kidney
《基层中医药》 2026 (7)
29-33,5
杨宇飞岐黄学者工作室
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