主 办:北 京 中 医 药 大 学
ISSN 2095-6606 CN 10-1157/R

现代中医临床 ›› 2021, Vol. 28 ›› Issue (1): 22-26.doi: 10.3969/j.issn.2095-6606.2021.01.005

• 名老中医经验 • 上一篇    下一篇

王沛教授治疗癌性疼痛的经验*

卜令洁1, 安超2#, 鲍伟倩3, 石亚楠4, 杨泽佩1   

  1. 1 北京中医药大学 北京 100029;
    2 北京中医药大学东方医院;
    3 浙江海心智惠科技有限公司;
    4 北京市房山区中医院
  • 收稿日期:2020-05-10 出版日期:2021-01-30 发布日期:2021-02-02
  • 通讯作者: #安超,女,博士,副主任医师、副教授,硕士生导师,E-mail:annie_bucm@126.com
  • 作者简介:卜令洁,女,在读硕士生
  • 基金资助:
    *中央高校基本科研业务费专项资金资助(No.2019-JYB-JS-085)

Prof. Wang Pei's experience in treating cancer pain*

Bu Lingjie1, An Chao2#, Bao Weiqian3, Shi Yanan4, Yang Zepei1   

  1. 1 Beijing University of Chinese Medicine, Beijing 100029;
    2 Dongfang Hospital, Beijing University of Chinese Medicine;
    3 Zhejiang Haixin Zhihui Technolog Co., Ltd.;
    4 Beijing Fangshan Traditional Chinese Medicine
  • Received:2020-05-10 Online:2021-01-30 Published:2021-02-02

摘要: 癌性疼痛是恶性肿瘤患者最常见的并发症之一,不仅引起肿瘤患者躯体不适,而且使其精神备受折磨,严重影响肿瘤患者的生活质量。王沛教授认为癌性疼痛的本质为正虚邪实,癌痛患者早、中期多以实痛为主,晚期以虚痛为主,或虚实兼夹。治疗注重中药内治与外治并重,实痛为主者,辨证施治以活血通络、温经通络、清热解毒、化痰通络等为主要治法以祛邪,兼顾扶正;虚痛为主者,治疗上扶正兼以祛邪,以调补脾肾为关键。肿瘤局部病灶压迫所致的疼痛,常用微创治疗以消病灶护正气。重视疏肝解郁与心理疏导,形成了独特的辨证治疗体系。结合临床医案对王教授治疗癌性疼痛的治疗思路进行介绍。

关键词: 肿瘤, 癌性疼痛, 名医经验, 王沛

Abstract: Cancer pain is one of the most common complications among patients with malignant tumors. It not only causes physical discomforts, but also mental tortures, which seriously affects the quality of life of tumor patients. Prof. Wang Pei points out that the essence of cancer pain is deficiency of healthy qi and excess of pathogenic qi, and patients with cancer pain mainly have solid pain in the early and middle stages, and deficiency pain in the late stage, or both deficiency and excess. The treatment focuses on both internal and external treatment in traditional Chinese medicine, for patients with actual pain, the main treatment methods are promoting blood circulation to remove meridian obstruction, warming and activating meridians, heat-clearing and detoxifying, eliminating phlegm and freeing channels, etc; for those with deficiency and pain, the key is to strengthen the body resistance and eliminate pathogenic factors, and to regulate the spleen and kidney. For pain caused by the compression of the local tumor, it is often treated with minimally invasive surgeries to clear focus and protect the healthy qi. Attention is paid to soothing the liver and relieving stagnation and to psychological counseling, which has formed its own unique dialectical therapy system. Combined with clinical medical records, Prof. Wang's treatment ideas for cancer pain are introduced.

Key words: tumor, cancer pain, famous physician's experience, Wang Pei

中图分类号: 

  • R273