中医适宜技术治疗癌性厌食恶液质综合征研究进展
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R273

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2024年浙江省中医药科技计划项目(2024ZL326)


Research Progress on Appropriate Chinese Medicine Techniques in Treating Cancer Anorexia-Cachexia Syndrome
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    摘要:

    癌性厌食恶液质综合征(CACS) 是癌症及抗癌治疗相关的复杂性代谢综合征,严重影响患者的生 存质量,常规西医治疗难以纠正。中医适宜技术凭借不良反应小、依赖性低、标本兼治等优势,在CACS治疗 中展现出独特价值。CACS归属于中医虚劳范畴。核心病因病机与癌毒、正虚相关,脾胃虚损是关键因素,临 床辨证以虚证为主,脾胃虚证为基础证型,治疗多主张健脾和胃、调理气机。本文综述了针刺、灸法与温针 灸、推拿、耳穴疗法、穴位贴敷等中医适宜技术在CACS中的应用,这些技术通过抑制炎性反应、调节肠道菌 群、改善胃肠功能、调控血清食欲因子等机制,在改善患者食欲、增加体质量、改善营养指标及生活质量等方 面发挥积极作用,但现有研究存在探索广度不足、机制探究不深、研究设计欠规范、评估标准不统一等问题, 未来需进一步深入探索,为中医适宜技术治疗CACS的临床应用提供更坚实的依据。

    Abstract:

    Abstract: Cancer anorexia-cachexia syndrome (CACS) is a complex metabolic syndrome related to cancer and anti-cancer treatments,which severely affects patients' quality of life and is difficult to treat with conventional western medicine. Appropriate Chinese medicine techniques have demonstrated unique value in the treatment of CACS due to their advantages of less adverse reactions,low dependency,and addressing both symptoms and root causes. The CACS falls under the category of consumptive disease in Chinese medicine,with its core etiology and pathogenesis related to cancer toxin and healthy qi deficiency. Impairment of the spleen and stomach is a key factor. Clinically,the syndrome differentiation is primarily deficiency-based, with spleen-stomach deficiency syndrome as the foundational syndrome type. Treatment often focuses on fortifying the spleen and harmonizing the stomach,as well as regulating qi movements. This article reviews the application of appropriate Chinese medicine techniques in CACS, including acupuncture, moxibustion, warm needling, tuina, auricular acupoint therapy, and acupoint application. These techniques exert positive effects by inhibiting inflammatory responses, regulating gut microbiota, improving gastrointestinal function, and modulating serum appetite factors. They contribute to enhancing patients' appetite, increasing body weight, improving nutritional indicators, and enhancing quality of life. However, existing research has limitations such as insufficient breadth of exploration, inadequate investigation of mechanisms, suboptimal study design, and lack of unified evaluation criteria. Further in-depth exploration is needed to provide a more solid foundation for the clinical application of appropriate Chinese medicine techniques in treating CACS.

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符泱泱,李荣荣,贾燕.中医适宜技术治疗癌性厌食恶液质综合征研究进展[J].新中医,2026,58(7):103-107

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  • 在线发布日期: 2026-04-20
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