河南中医2017，Vol.37Issue(8)：1491-1496,6.DOI:10.16367/j.issn.1003-5028.2017.08.0522
温阳通下法在癌痛患者阿片类药物相关性便秘治疗中的应用
Effects of Method of Warming Yang and Dredging Intestines on Opioid-Related Constipation of Patients with Cancer Pain
马永剑 1姜玥 1侯莉娟1
作者信息
- 1. 宁夏回族自治区人民医院,宁夏银川750002
- 折叠
摘要
Abstract
Opioid-related constipation (OIC) is marked by deficient root and excess superficialities,manifesting as imbalance between yin and yang,intermingling of deficiency and excess,cold and heat,dampness and dryness as well as the complicated conditions of visceral qi deficiency intermingling with phlegm turbidity,water dampness,water retention,blood stasis,six climatic exogenous pathogens.Method of purging and promoting defecation is one of the main methods to treat OIC in TCM.It is reported that methods of cold purging and moist purging are commonly applied in clinic,but the method of warm purging isalways neglected.Combined with the basic etiology and pathogenesis of cancer and cancer pain and from the relation between internal causes and external causes,the syndrome differentiation was made and the etiology and pathogenesis of OIC was analyzed,which showed that the syndromes of yang deficiency and cold coagulation,constipation due to yin stagnation are the commonly-seen syndromes.The method of warming yang and dredging intestines has theoretical and clinical support for the treatment of OIC.Simultaneously,Yang-Warming and Intestine-Dredging Prescription with proper drug compatibility has excellent therapeutic effects on relieving cancer pain or other relevant symptoms of cancer.It also helps control the dosage of opioid.关键词
便秘/癌痛患者/阿片类/温阳通下法Key words
constipation/patients with cancer pain/opioid/method of warming yang and dredging intestines分类
医药卫生引用本文复制引用
马永剑,姜玥,侯莉娟..温阳通下法在癌痛患者阿片类药物相关性便秘治疗中的应用[J].河南中医,2017,37(8):1491-1496,6.
