湖南中医杂志2026，Vol.42Issue(1)：33-37,5.DOI:10.16808/j.cnki.issn1003-7705.2026.01.008
基于"左升右降"理论探讨放射性口腔黏膜炎的辨治思路
Syndrome differentiation and treatment of radiation-induced oral mucositis based on the theory of"left ascending and right descending"
摘要
Abstract
Radiation-induced oral mucositis is a common complication that severely affects the quality of life and treatment process of patients undergoing radiotherapy for head and neck tumors,and there is still a lack of effective treat-ment measures in modern medicine.Traditional Chinese medicine(TCM)syndrome differentiation and treatment are often based on the theory of"heat toxin damaging Yin",without systematically elaborating on the importance of the middle Jiao spleen-stomach system and the process of ascending and descending of Qi movement in this disease.Starting from the theory of"left ascending and right descending"represented by the lung,liver,and spleen-stomach,this article explores the deep pathogenesis of radiation-induced oral mucositis,expands the thinking of syndrome differentiation and treatment,and proposes the core pathogenesis of"deficiency of the middle Jiao spleen-stomach as the root cause and reversal and disorder of the ascending and descending of Qi movement as the manifestation".The key to treatment lies in strengthening the spleen and stomach and regulating the middle Jiao as the pivot,supplemented by mildly dispersing and promoting herbs to help liver Qi flow smoothly and clearing and descending the lung to guide fire-heat downward.Based on the analysis of ancient and modern empirical prescriptions and the syndrome differentiation and treatment methods of contemporary famous TCM oncologists,this study constructs a theoretical framework of TCM syndrome differentiation and treatment centered on restoring"left ascending and right descending",in order to provide a theoretical reference for im-proving the clinical efficacy of TCM in the prevention and treatment of radiation-induced oral mucositis.关键词
放射性口腔黏膜炎/左升右降/病因病机/辨治思路Key words
radiation-induced oral mucositis/left ascending and right descending/etiology and pathogenesis/syn-drome differentiation and treatment approaches分类
医药卫生引用本文复制引用
谭可欣,陈佳铭,韩宸,陈坚,梁慧,谭英..基于"左升右降"理论探讨放射性口腔黏膜炎的辨治思路[J].湖南中医杂志,2026,42(1):33-37,5.基金项目
湖南省自然科学基金项目(2026JJ70136) （2026JJ70136）
湖南省肿瘤医院科研攀登计划项目(20230612-1013) （20230612-1013）
