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从“伏毒”论防治放化疗后骨髓抑制
黄冬榕1, 王锦捷1, 韩远豪1, 张静2, 王晓玲2, 汪涛2
1.天津中医药大学研究生院, 天津 301617;2.天津中医药大学中西医结合学院, 天津 301617
摘要:
放化疗是目前临床治疗恶性肿瘤的主要手段,而骨髓抑制是其主要的毒副作用,直接影响患者在放化疗期间的疗效、预后及转归。防治骨髓抑制是恶性肿瘤放化疗成功的关键。以中医的观点来看,放化疗作为一种毒邪,侵犯机体,伏而不发或伏而小发,积久成"伏毒",进而影响脏腑,甚至髓络的生理功能,导致肿瘤患者发生骨髓抑制。从"伏毒"与骨髓抑制相关性进行探讨分析,并结合脾肾两脏与生血的关系,认为"伏毒"能从多个方面对骨髓抑制的发病及治疗产生影响。
关键词:  放化疗  骨髓抑制  伏毒
DOI:10.11656/j.issn.1673-9043.2020.06.09
分类号:R730.6
基金项目:国家自然科学基金项目(81503401,81673732,81273892);天津自然科学基金项目(18JCYBJC27100)。
Discussing the prevention and treatment of myelosuppression after radiotherapy and chemotherapy from the theory of “Latent toxin”
HUANG Dongrong1, WANG Jinjie1, HAN Yuanhao1, ZHANG Jing2, WANG Xiaoling2, WANG Tao2
1.Graduate College of Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;2.College of Integrated Chinese and Western Medicine of Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
Abstract:
Radiotherapy and chemotherapy are the main methods for clinical treatment of malignant tumors,and myelosuppression is the main side effect,which directly affects the efficacy,prognosis and outcome of patients during radiotherapy and chemotherapy. Prevention and treatment of myelosuppression is the key to the success of radiotherapy and chemotherapy for malignant tumors. From the point of view of traditional Chinese medicine,radiotherapy and chemotherapy as a poisonous evil,invading the body,hiding without attacking or minor attacking,accumulated for a long time into "Latent toxin",thereby affecting the viscera,and even the physiological function of the medullary network,leading cancer patients myelosuppression occurs. This article discusses the relationship between "Latent toxin" and myelosuppression,and combines the relationship between the spleen and kidney and the blood,and believes that "Latent toxin" can affect the onset and treatment of myelosuppression in many aspects.
Key words:  radiotherapy and chemotherapy  myelosuppression  Latent toxin
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