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| Treatment of chemotherapy-associated anaemia based on the method of “spleen-regulating and kidney-tonifying” |
| Hits 651 Download times 212 Received:November 25, 2024 |
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| DOI
10.11656/j.issn.1672-1519.2025.05.09 |
| Key Words
regulating the spleen and nourishing the kidney;chemotherapy-related anemia;treatment |
| Author Name | Affiliation | E-mail | | ZHU Jinbiao | Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210029, China | | | CHEN Mingyu | Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210029, China | | | LU Wei | Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210029, China | 1183166401@qq.com | | WU Mianhua | Nanjing University of Chinese Medicine, Nanjing 210023, China | wmh70001@163.com |
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| Abstract
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| Chemotherapy-associated anemia is a common adverse effect of chemotherapy for malignant tumors. The article discusses the pathogenesis of anemia caused by “drug poison”. In the early stage，“drug poison” obstructs the spleen and stomach，and the qi of the spleen and stomach is damaged，and the disease is in the qi，and the clear and turbid are related to each other，and the qi does not produce blood；in the late stage，the disease affects the kidney and kidney water in the lower jiao，and the loss of real essence depletes the essence，and the essence does not turn into blood，and the damage to the blood is caused by the damage of the blood，and the blood is difficult to moisten the essence. Loss of essence and blood results in deficiency of the spleen and kidney. According to the characteristics of chemotherapy-associated anemia and the overall evolution of the disease mechanism，“regulating the spleen and tonifying the kidney” is the general outline of the treatment，and in the early stage，it is advocated to regulate the spleen in three ways：tonifying the spleen and benefiting the qi，transporting the spleen and strengthening the qi，and awakening the spleen to pass the qi；in the late stage，it focuses on tonifying the kidney in three ways：filling in the kidneys and fixing the essence，nourishing the kidneys to fill up the essence，warming the kidneys to raise the essence，and the spleen and kidney are regulated together. The overall emphasis on comprehensive diagnosis，the use of multiple methods，and the use of medication，flexible compounding，with good therapeutic effects，is worthy of reference and discussion. |
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