摘要
肿瘤相关性抑郁是恶性肿瘤确诊及治疗过程中出现的病理性的抑郁状态,主要表现为恐惧、兴趣减退等,不仅使肿瘤患者更加痛苦,也不利于疾病本身的治疗。西医治疗有一定的局限性,患者病情初期,仅仅服用中药,病情就可以得到明显的改善,若不予以重视,则会恶化,甚至进展为难治性抑郁。蔡小平教授通过认为肿瘤相关性抑郁与肿瘤及其伴随的治疗密切相关,初则及气,渐及血分,久则伤及肝肾之阴,可从痰气交阻、肝胃不和、肝郁脾虚、心脾两虚、血虚脏躁及肝肾阴虚6个方面进行辨证论治,治疗以行气化痰、疏肝清肝、疏肝健脾、补益心脾、和中缓急及滋肾养肝为主,取得了良好的临床疗效;本文对其辨证治疗肿瘤相关性抑郁的临床经验进行整理,为临床实践提供参考。
Tumor-related depression is a pathological depression state that occurs during the diagnosis and treatment of malignant tumors.It mainly manifests as fear and loss of interest,which not only makes tumor patients more painful,but also isn't conducive to the treatment of the disease itself.Western medicine has certain limitations.At the early stage of the disease,patients only take Chinese medicine and the condition can be significantly improved.If not taken seriously,it will deteriorate and even progress to refractory depression.Professor CAI Xiao-ping considers that tumor-related depression is closely related to tumor and its accompanying treatment.At the beginning,it affects qi,gradually affects blood,and for a long time,it affects yin of liver and kidney.It can be treated according to syndrome differentiation from 6 aspects of phlegm-qi obstruction,liver-stomach disharmony,liver depression and spleen deficiency,heart-spleen deficiency,blood deficiency and viscera dryness,and liver-kidney yin deficiency.The treatments mainly focus on activating qi and eliminating phlegm,soothing liver and clearing liver heat,soothing liver and invigorating spleen,tonifying heart and spleen,harmonizing the middle and relaxing tension,and nourishing kidney and liver,which obtain good clinical effects.In this paper,the clinical experiences in syndrome differentiation and treatment of tumor-related depression was summarized to provide reference for clinical practice.
作者
晁瑞
魏征
张俊萍
蔡小平
CHAO Rui;WEI Zheng;ZHANG Jun-ping;CAI Xiao-ping(The Second Clinical Medical College of Henan University of Traditional Chinese Medicine,Zhengzhou 450002 Henan,China;Henan Province Hospital of Integrated Traditional Chinese and Western Medicine(Henan Academy of Traditional Chinese Medicine),Zhengzhou 450000 Henan,China)
出处
《中医肿瘤学杂志》
2024年第2期62-67,共6页
Journal of Oncology in Chinese Medicine
基金
国家自然科学基金(编号:82305349)
河南省中医药科学研究专项课题(编号:20-21ZYZD19)
河南省中医管理局拔尖人才项目(编号:2022ZYBJ27)
河南省中医药管理局项目(编号:2019ZY2010)
国家中医药管理局第七批全国老中医药专家学术经验继承工作项目(编号:国中医药人教函[2022]76号)。
关键词
肿瘤相关抑郁
临床经验
蔡小平
辨证论治
tumor-related depression
clinical experience
CAI Xiao-ping
syndrome differentiation and treatment
