林冰教授运用“清、化、攻、补”四法辨治癌因性疲乏

Professor Lin Bing Employs the four Therapeutic Methods in the Syndrome Differentiation and Treatment of Cancer-Related Fatigue

摘要: 癌因性疲乏(Cancer-Related Fatigue, CRF)是肿瘤患者最常见且困扰的临床症状之一，严重降低生存质量，影响治疗依从性与预后。目前CRF尚无专属之中医病名，根据其临床表现，多可归入“虚劳”范畴。林冰教授认为，其病机总属气血阴阳亏虚，脏腑功能失调，兼有郁、痰、瘀、毒诸邪内结。治法上，当以“清热解郁、化痰祛瘀、攻邪解毒、补益脾肾”诸法综合施治，为丰富CRF之中医辨治提供思路与借鉴。

Abstract: Cancer-related fatigue (CRF) is one of the most common and distressing clinical symptoms in cancer patients, severely impairing quality of life, treatment compliance and prognosis. Currently, there is no exclusive disease name for CRF in traditional Chinese medicine (TCM); based on its clinical manifestations, it can mostly be categorized into the category of “consumptive fatigue (xulao)”. Professor Lin Bing argues that its pathogenesis is generally characterized by deficiency of qi, blood, yin and yang, dysfunction of zang-fu organs, accompanied by internal accumulation of pathogenic factors including stagnation, phlegm, stasis and toxins. In terms of treatment, a comprehensive approach integrating “clearing heat to relieve stagnation, resolving phlegm to remove stasis, eliminating pathogens to detoxify, and tonifying the spleen and kidney” should be adopted, which provides insights and references for enriching TCM syndrome differentiation and treatment of CRF.