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基于HPA特征从益气温阳理论探讨雷火灸干预免疫检查点抑制剂相关癌因性疲乏的作用机制

Mechanism of thunder-fire moxibustion in intervening cancer-related fatigue caused by immune checkpoint inhibitors from invigorating qi and warming yang theory based on HPA characteristics

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【作者】 刘鹏; 杜秀婷; 冯高飞; 曹洋;

【Author】 LIU Peng;DU Xiuting;FENG Gaofei;CAO Yang;The First Medical College,Guangzhou University of Chinese Medicine;Department of Oncology,Shenzhen Hospital (Longgang),Beijing University of Chinese Medicine;Department of Oncology,Shunde Hospital,Guangzhou University of Chinese Medicine;Department of Oncology,The First Affiliated Hospital of Guangzhou University of Chinese Medicine;

【通讯作者】 冯高飞;曹洋;

【机构】 广州中医药大学第一临床医学院; 北京中医药大学深圳医院(龙岗)肿瘤科; 广州中医药大学顺德医院肿瘤科; 广州中医药大学第一附属医院肿瘤中心;

【摘要】 癌因性疲乏(CRF)的八纲辨证以阳气虚为本,脏腑辨证以脾肾为要,主要病机为脾气不足、肾精亏虚。基于神经内分泌系统下丘脑-垂体-肾上腺轴(HPA)的特征,以益气温阳理论为契合点,探讨雷火灸在干预免疫检查点抑制剂(ICIs)相关CRF中的作用机制,以期构建CRF治疗的中医学理论指导基础,开拓CRF中医外治思路。

【Abstract】 Cancer-related fatigue(CRF) is distinguished as deficiency of yang qi in terms of the eight-principle syndrome differentiation, and as deficiency of the spleen and kidneys in terms of the zang-fu syndrome differentiation. The main pathological mechanisms are insufficient spleen qi and deficient kidney essence. Based on the characteristics of the hypothalamic-pituitary-adrenal(HPA) in the neuroendocrine system, with the theory of invigorating qi and warming yang as an entry point, this paper explores the mechanism of action of thunder-fire moxibustion in the intervention of CRF associated with immune checkpoint inhibitors(ICIs). The aim is to establish a theoretical foundation of traditional Chinese medicine(TCM) for the treatment of CRF and to explore the TCM external treatment for CRF.

【基金】 广东省中医药局中医药科研项目(20212226);北京中医药大学深圳医院(龙岗)育龙计划项目(2022-BUCMSZYLRC21、2020-BUCMSZYLR05);中医药高等教育学会临床教育研究会临床教学科学研究课题(2021-018)
  • 【文献出处】 上海中医药杂志 ,Shanghai Journal of Traditional Chinese Medicine , 编辑部邮箱 ,2023年12期
  • 【分类号】R246
  • 【下载频次】93
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