基于“邪伏膜原”理论探讨达原饮治疗癌性发热

Based on the Theory of “Pathogenic Membrane” to Explore the Treatment of Cancer Fever with Dayuan Yin

摘要: 癌性发热是恶性肿瘤晚期或者进展期患者在治疗过程中常见的并发症之一，是指由肿瘤本身所引起的非感染性发热，临床上主要以低热为主，西医治疗以抗感染及对症处理为主，但效果欠佳。中医进行辨证施治，发热可由湿热之邪郁阻膜原而致，用以达原饮加减求开达膜原、清热祛湿行气之效治疗湿热中阻型癌性发热。作者基于“邪伏膜原”的诊治理论，结合癌性发热的中医病因病机特点，以期为临床治疗癌性发热探寻新的诊疗思路和治疗方法。

Abstract: Cancerous fever is a common complication in the treatment of patients with terminal cancer or advanced malignant tumors. It refers to non-infectious fever caused by the tumor itself. Clinically, it is mainly low fever. Treatments of western medicine often take symptomatic treatment, and anti-infection treatment effect is not good. According to the principle of TCM syndrome differentiation and treatment, treatment can be based on the principles of developing membrane, clearing away heat and removing dampness and promoting qi. Modified Dayuan Yin can be used to treat cancerous fever of damp-heat moderate resistance. Based on the diagnosis and treatment theory of “Pathogen hidden in membrane original”, combined with the etiology and pathogenesis characteristics of cancerous fever, the author hopes to further explore new diagnosis and treatment ideas and methods for clinical treatment of cancer fever.