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中国临床研究:2025,38(10):1595-1598
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刘沈林教授基于“健脾温阳”论治化疗相关性腹泻经验
(南京中医药大学附属医院 江苏省中医院,江苏 南京 210029)
Liu Shenlin's experience in treating chemotherapy-induced diarrhea based on the theory of "strengthening the spleen and warming yang"
(Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Provincial Hospital of Traditional Chinese Medicine, Nanjing, Jiangsu 210029, China)
摘要
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投稿时间:2024-12-24   网络发布日期:2025-10-20
中文摘要: 刘沈林教授认为正虚邪实为消化道肿瘤化疗相关性腹泻的基本病机,并且贯穿于疾病的始终,基于肿瘤“虚、瘀、毒”病机特点及“化疗伤阳”的认识规律,提出病位在脾、肾,与肝、肺密切相关;正虚初始为脾气虚、脾阳虚,渐至脾肾阳虚,治以补虚健脾、温肾助阳等治法,遣药组方的同时考虑诸脏生克关系,突出温、补、运、和的运用。兼顾药、方、煎服方法及平时调养,往往能取得较好的疗效。附验案一则。
Abstract:Professor Liu Shenlin believes that deficiency of healthy qi and excess of pathogenic factors are the basic pathogenesis of chemotherapy - related diarrhea in digestive tract tumors,and runs through the whole course of the disease. Based on the pathogenesis characteristics of“deficiency”,“stasis”and“poison”of tumors and the understanding of the law of“chemotherapy-induced yang injury”,it is proposed that the disease is located in the spleen and kidney,which is closely related to the liver and lung. The initial deficiency is spleen qi deficiency and spleen yang deficiency,and gradually to spleen and kidney yang deficiency. The treatment is to tonify deficiency and invigorate the spleen,warm the kidney and increase yang. At the same time,the relationship between the organs is considered,and the application of warm,tonify,transport and harmony is highlighted. Taking into account the medicine,prescription,decoction method and usual care,often can achieve better curative effects. A supporting case study is included.
文章编号:     中图分类号:R735    文献标志码:A
基金项目:国家自然科学(82074431);江苏省中医药管理局国家中医临床研究基地开放课题(JD2023SZ04);刘沈林全国名中医工作室;江苏省中医院重点病种创建项目(YZJ2407);江苏省中医消化病医学创新中心项目(CXZX202208)
附件
引用文本:
丁永刚,毛丽娟,陆原,徐陆周,张其德.刘沈林教授基于“健脾温阳”论治化疗相关性腹泻经验[J].中国临床研究,2025,38(10):1595-1598.

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