[1]张传龙,王桂彬,庞 博.经方论治肿瘤相关性抑郁[J].陕西中医,2022,(3):342-344.[doi:DOI:10.3969/j.issn.1000-7369.2022.03.017]
 ZHANG Chuanlong,WANG Guibin,PANG Bo.Treatment of cancer related depression with classical prescriptions[J].,2022,(3):342-344.[doi:DOI:10.3969/j.issn.1000-7369.2022.03.017]
点击复制

经方论治肿瘤相关性抑郁
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年3期
页码:
342-344
栏目:
学术探讨
出版日期:
2022-03-05

文章信息/Info

Title:
Treatment of cancer related depression with classical prescriptions
作者:
张传龙王桂彬庞 博
(中国中医科学院广安门医院,北京 100053)
Author(s):
ZHANG ChuanlongWANG GuibinPANG Bo
(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)
关键词:
肿瘤相关性抑郁 郁证 伤寒杂病论 虚郁补之 气郁和之 热郁宣之
Keywords:
Cancer related depression Yuzheng Treatise on febrile and miscellaneous diseases Xuyu Buzhi Qiyu Hezhi Reyu Xuanzhi
分类号:
R 749.4
DOI:
DOI:10.3969/j.issn.1000-7369.2022.03.017
文献标志码:
A
摘要:
肿瘤相关性抑郁是指肿瘤在诊断和治疗期间伴发的病理性抑郁状态或综合征,与肿瘤不良预后密切相关,西医对其治疗存在局限性。肿瘤相关性抑郁之名中医古籍中未见记载,目前中医多将其归于“郁证”范畴。《伤寒杂病论》中“嘿嘿”“心烦”“郁郁微烦”“心悸”“懊憹”“烦惊”“悲伤欲哭”等与肿瘤相关性抑郁临床表现高度吻合,故从临床表现入手,探讨仲景运用经方论治肿瘤相关性抑郁的学术经验。肿瘤相关性抑郁的病因病机包括因虚致郁、因气致郁、因热致郁,进而总结仲景虚郁补之、气郁和之、热郁宣之的三大治法,并结合现代研究探讨了经方在肿瘤相关性抑郁中的具体应用,以期为临床以经方辨治肿瘤相关性抑郁提供参考。
Abstract:
Cancer related depression(CRD)refers to pathological depression or syndrome associated with tumor during diagnosis and treatment,which is closely related to the poor prognosis of the tumor.There are limitations in the treatment of western medicine.The name of CRD has not been recorded in the ancient books of traditional Chinese medicine,and mostly classified as Yuzheng in Chinese medicine.The symptoms such as Heihei,Xinfan,Xinji,Yuyu Weifan,Aonao,Fanjing,Beishang Yuku in 《Treatise on febrile and miscellaneous diseases》 are highly similar to the clinical manifestations of CRD.To explore Zhang Zhongjing's academic experience in the treatment of CRD with classical prescriptions.The etiology and pathogenesis of CRD include depression caused by Yinxu Zhiyu,Yinqi Zhiyu,Yinre Zhiyu,and then summarizes the three major treatments of CRD Xuyu Buzhi,Qiyu Hezhi,Reyu Xuanzhi.Combined with modern research,to discusses the specific application of classical prescriptions in CRD,provided reference for clinical treatment of tumor-related depression.

参考文献/References:

[1] 贺忠宁,张培彤.从五脏论治肿瘤相关性抑郁[J].中医杂志,2020,61(20):1790-1793.
[2] 王冬梅,庞 瑞.恶性肿瘤合并抑郁患者相关因素及中医药治疗[J].现代中西医结合杂志,2019,28(24):2725-2729.
[3] 康 娜,崔岩岩,马 薇,等.肿瘤相关抑郁的治疗概况[J].中国临床医生杂志,2018,46(4):396-398.
[4] 包祖晓,彭草云,田 青,等.古代中医认识抑郁症的历史沿革[J].中医药学报,2010,38(3):13-16.
[5] 王 伟.奥氮平治疗肿瘤相关性抑郁与焦虑的效果分析[J].黑龙江医学,2018,42(11):1106-1107.
[6] 聂文祎,王新宇,岳广欣,等.柴胡加龙骨牡蛎汤治疗肿瘤相关性抑郁的有效性及安全性系统评价与Meta分析[J].中国中医基础医学杂志,2021,27(3):462-471.
[7] 于 慧.柴胡加龙骨牡蛎汤治疗肿瘤化疗后并发抑郁症的临床分析[J].中国中医药现代远程教育,2018,16(3):55-56.
[8] 艾庆燕,赵豫凤,王爱红,等.卷丹百合体外对肺腺癌A549细胞抑制作用的实验研究[J].陕西中医,2015,36(4):497-499.
[9] 刘亚琪.百合类方改善肿瘤相关性抑郁、焦虑的临床研究[D].武汉:湖北中医药大学,2017.
[10] 熊 伟,王清溪,王心东.甘麦大枣汤加减联合西医常规疗法治疗恶性肿瘤抑郁临床研究[J].新中医,2021,53(12):140-144.
[11] 贾 飞,赵星星,张冬颖.甘麦大枣汤合逍遥散加味治疗乳腺癌伴抑郁症的临床疗效研究[J].世界最新医学信息文摘,2015,15(79):175-176.
[12] 赵雪莹,陈 燕.《金匮要略》酸枣仁汤之酸枣仁刍议[J].陕西中医药大学学报,2018,39(2):102-104.
[13] 张 晓,王 君,张永军,等.酸枣仁汤加味治疗癌症患者焦虑症疗效观察[J].中华中医药学刊,2015,33(2):278-281.
[14] 梁亚平,宁万金.四逆散在肝癌治疗中的应用[J].中医肿瘤学杂志,2020,2(4):65-69.
[15] 陈 新,牟雄军,刘 昊,等.加味四逆散对抑郁模型大鼠肝损伤的保护作用[J].中国实验方剂学杂志,2020,26(18):18-23.
[16] 李 昕.加味小柴胡汤联合米氮平治疗持续性抑郁障碍的临床研究[D].北京:北京中医药大学,2019.
[17] 靳宝辉,张兆洲,李 琦.李琦教授运用小柴胡汤辨治肿瘤相关并发症举隅[J].光明中医,2021,36(10):1602-1604.
[18] 张慧慧,童应鹏,江 瑜,等.栀子抗抑郁作用实验研究进展[J].浙江中西医结合杂志,2019,29(6):522-525.
[19] 王宝仙,张 艳,贾锡莲.加味栀子豉汤治疗抑郁症临床研究[J].内蒙古中医药,2017,36(15):38.
[20] 吕素君,张艳景,王培培.肿瘤相关抑郁研究进展[J].中国老年学杂志,2018,38(17):4326-4330.

相似文献/References:

[1]王 挺,莫 慧△,林立宇,等.“郁伏少阳”假说探讨抑郁症病因病机及证治*[J].陕西中医,2020,(2):220.
 WANG Ting,MO Hui,LIN Liyu,et al.Pathogens and treatment of depressive disorder by the hypothesis of “Yufu Shaoyang”[J].,2020,(3):220.
[2]莫嘉浩,黄演芬,许洪彬,等.国医大师治疗郁证用药规律研究*[J].陕西中医,2020,(12):1830.[doi:DOI:10.3969/j.issn.1000-7369.2020.12.040]
[3]何 盈,高 敏,李秋宇,等.高敏名中医基于浊毒理论以通论治抑郁症经验[J].陕西中医,2021,(4):514.[doi:DOI:10.3969/j.issn.1000-7369.2020.04.029]
[4]王 兴,郭 珍,杨志宏.杨志宏教授运用清心宁神汤异病同治经验[J].陕西中医,2023,(6):773.[doi:DOI:10.3969/j.issn.1000-7369.2023.06.021]
 WANG Xing,GUO Zhen,YANG Zhihong.Professor Yang Zhihong used the experience of homotherapy for heteropathy with Qingxin Ningshen decoction[J].,2023,(3):773.[doi:DOI:10.3969/j.issn.1000-7369.2023.06.021]
[5]张洁洁,孟 伟.名中医郭维琴基于“脏-神-气”论治心系疾病郁证经验[J].陕西中医,2023,(7):933.[doi:DOI:10.3969/j.issn.1000-7369.2023.07.025]
[6]魏思维,张景明,李影琳芝,等.基于“致中和”探析从脾胃论治抑郁症的机制[J].陕西中医,2023,(9):1269.[doi:DOI:10.3969/j.issn.1000-7369.2023.09.026]
 WEI Siwei,ZHANG Jingming,LI Yinglinzhi,et al.Explore the mechanism of treating depression from spleen and stomach based on “neutralization”[J].,2023,(3):1269.[doi:DOI:10.3969/j.issn.1000-7369.2023.09.026]

备注/Memo

备注/Memo:
基金项目:全国中医药创新骨干人才培训项目[国中医药人教函(2019)128号]; 首都卫生发展科研专项青年优才项目(首发2018-4-4154); 北京市科学技术委员会首都临床诊疗技术研究及示范应用专项(Z191100006619022)
更新日期/Last Update: 2022-03-09