[1]刘泽豪,徐淼,赵乐怡,等.基于“虚气留滞”理论探讨癌性腹痛的中医病机及治疗思路[J].陕西中医,2026,(1):72-76,81.[doi:DOI:10.3969/j.issn.1000-7369.2026.01.012]
　LIU Zehao,XU Miao,ZHAO Leyi,et al.Exploring the TCM pathogenesis and therapeutic approaches for cancer-related abdominal pain based on the theory of “deficiency and stagnation of Qi”[J].,2026,(1):72-76,81.[doi:DOI:10.3969/j.issn.1000-7369.2026.01.012]
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基于“虚气留滞”理论探讨癌性腹痛的中医病机及治疗思路

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2026年1期
页码:
72-76,81
栏目:
学术探讨
出版日期:
2026-01-05

文章信息/Info

Title:
Exploring the TCM pathogenesis and therapeutic approaches for cancer-related abdominal pain based on the theory of “deficiency and stagnation of Qi”
作者:
刘泽豪1; 2; 徐淼2; 赵乐怡2; 谢虹亭1; 黄明明2; 蔡明扬2; 薛鹏1; 朱世杰1
（1.中国中医科学院望京医院肿瘤科，北京 100102；2.北京中医药大学研究生院，北京 100029）
Author(s):
LIU Zehao1; 2; XU Miao2; ZHAO Leyi2; XIE Hongting1; HUANG Mingming2; CAI Mingyang2; XUE Peng1; ZHU Shijie1
（1.Oncology Department of Wangjing Hospital of China Academy of Chinese Medicine Sciences,Beijing 100102,China；2.Graduate School,Beijing University of Chinese Medicine,Beijing 100029,China）
关键词:
癌性腹痛; 虚气留滞; 中焦虚滞; 络瘀毒结; 元海枯涸
Keywords:
Cancer-related abdominal pain; Deficiency and stagnation of Qi; Middle Jiao deficiency with stagnation; Collateral stasis and toxin accumulation; Exhaustion of the kidney essence sea
分类号:
R 73
DOI:
DOI:10.3969/j.issn.1000-7369.2026.01.012
文献标志码:
A
摘要:
癌性腹痛（CAP）是恶性肿瘤患者的常见症状，表现为持续性或阵发性腹部疼痛，常伴随腹胀、恶心、呕吐等症状。本研究基于王永炎院士“虚气留滞”理论，提出“虚气留滞”是CAP的核心病机，并将中医病机演变与现代肿瘤微环境紊乱、神经敏化等机制相融合。针对CAP的动态演变过程，创新性构建三阶段病机模型：初期以“中焦虚滞”为病发之端；中期“络瘀毒结”为病进之变；晚期“元海枯涸”属终末之归。据此提出“分期论治、虚实兼顾、通补相济”的治疗策略。初期以健运中焦、斡旋气机为法，中期以通络拔毒、开壅启闭为要，晚期以峻填真精、培护元气为本，为优化CAP的中西医结合诊疗提供理论支撑与诊疗思路。
Abstract:
Cancer-related abdominal pain (CAP) is a common symptom in patients with malignant tumors,characterized by persistent or paroxysmal abdominal pain,often accompanied by abdominal distension,nausea,vomiting and other symptoms.Based on Academician Wang Yongyan’s theory of “deficiency and stagnation of Qi”,this study proposes that “deficiency and stagnation of Qi” is the core pathogenesis of CAP,and integrates the evolution of TCM pathogenesis with modern mechanisms such as tumor microenvironment disorder and neuro-sensitization.Aiming at the dynamic evolution process of CAP,an innovative three-stage pathogenesis model is constructed:at the initial stage,“middle Jiao deficiency with stagnation” is the onset of the disease;in the middle stage,“collateral stasis and toxin accumulation” is the progression of the disease;in the advanced stage,“exhaustion of the kidney essence sea” is the terminal outcome.Accordingly,the treatment strategy of “stage-based treatment,simultaneous consideration of deficiency and excess,and combination of dredging and tonifying” is put forward.At the initial stage,the method focuses on invigorating the middle Jiao and regulating Qi movement;in the middle stage,the key is to dredge collaterals,expel toxins,resolve stagnation and open obstruction;in the advanced stage,the foundation lies in strongly replenishing the vital essence and nurturing the primordial Qi.This provides theoretical support and diagnostic and treatment ideas for optimizing the integrated traditional Chinese and Western medicine diagnosis and treatment of CAP.

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备注/Memo

备注/Memo:
国家自然科学基金资助面上项目(81973640，8257153067)；中国中医科学院科技创新工程协同重点攻关项目（CI2022C002-04）；中国中医科学院望京医院高水平中医医院建设项目（WJZJ-202305，WJYY-XZKT-2023-37）
更新日期/Last Update: 2026-01-08