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基于玄府理论探讨手足综合征论治
韩莹莹1,2, 李杰1, 曹璐畅1, 许博文1,2
1.中国中医科学院广安门医院肿瘤科, 北京 100053;2.北京中医药大学研究生院, 北京 100105
摘要:
基于玄府理论,文章认为玄府郁闭、气液宣通失常是手足综合征的核心病机,从化疗药物戕害阳气,玄府失养而开阖不利,到玄府郁闭,阳郁化热,日久郁热生燥,玄府气津不布,肌肤失润,玄府因虚致郁,又因郁致虚,玄府郁闭始终贯穿手足综合征发生发展过程。对此以开玄通府为总治则,提出温阳开玄、清热通玄、养阴润玄等治法,并始终重视风类药物的应用,为手足综合征的临床诊疗提供新思路与新方法。
关键词:  玄府理论  手足综合征  开玄通府  风类药物
DOI:10.11656/j.issn.1673-9043.2023.05.20
分类号:R259
基金项目:中国中医科学院科技创新工程重大攻关项目(CI2021A01802);国家中医药管理局中医药创新团队及人才支持计划项目(ZYYCXTD-C-202205)。
Discussion on the treatment of hand-foot syndrome based on xuanfu theory
HAN Yingying1,2, LI Jie1, CAO Luchang1, XU Bowen1,2
1.Department of Oncology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China;2.Graduate School, Beijing University of Chinese Medicine, Beijing 100105, China
Abstract:
Based on the xuanfu theory,it is believed that xuanfu depression and abnormal gas-liquid circulation are the core pathogenesis of hand-foot syndrome. From the destruction of yang qi by chemotherapy drugs,xuanfu loses its nourishment and opens and closes disadvantageously,to xuanfu depression,yang depression turns into heat,long-term stagnant heat leads to dryness,xuanfu qi and fluid are not distributed,the skin loses moisture,xuanfu depression due to deficiency and deficiency due to depression,xuanfu depression always runs through the occurrence and development process of hand-foot syndrome. In this regard,the general treatment principle is to open the door to the government. It puts forward the treatment methods of warming yang,clearing away heat and nourishing yin,and always attaches importance to the application of wind drugs,so as to provide new ideas and new methods for the clinical diagnosis and treatment of hand-foot syndrome.
Key words:  xuanfu theory  hand-foot syndrome  open the xuanfu  wind drug
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