Discussion on the treatment of radiation injury with traditional Chinese medicine based on "conghua" theory

XIE Yi; ZHOU Kainan; WANG Yan; YANG Shuhan; LIU Suying; ZHANG Ying

doi:10.3969/j.issn.1006-2157.2023.05.008

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Discussion on the treatment of radiation injury with traditional Chinese medicine based on "conghua" theory

Theoretical Studies | 更新时间：2023-06-05

- Discussion on the treatment of radiation injury with traditional Chinese medicine based on "conghua" theory
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 5, Pages: 639-643(2023)
- 作者机构：
  
  1.北京中医药大学研究生院　北京　100029
  2.中国中医科学院广安门医院
- 作者简介：
  
  ZHANG Ying, Ph. D., Chief Physician, Doctoral Supervisor. Guang’anmen Hospital, China Academy of Chinese Medical Sciences, No.5, Beixian’ge Street, Xicheng District, Beijing 100053. E-mail: zylzy501@163.com
- 基金信息：
  
  Innovation Team and Talents Cultivation Program of National Administration of Traditional Chinese Medicine(ZYYCXTD-C-202205)
- DOI：10.3969/j.issn.1006-2157.2023.05.008
  CLC： R241
- Received：27 October 2022，
  
  Published：30 May 2023
- 稿件说明：
移动端阅览
XIE Yi, ZHOU Kainan, WANG Yan, et al. Discussion on the treatment of radiation injury with traditional Chinese medicine based on "conghua" theory[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(5): 639-643.
DOI：

XIE Yi, ZHOU Kainan, WANG Yan, et al. Discussion on the treatment of radiation injury with traditional Chinese medicine based on "conghua" theory[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(5): 639-643. DOI： 10.3969/j.issn.1006-2157.2023.05.008.

摘要

放射治疗(简称“放疗”)在肿瘤综合治疗中占据重要地位，而放射性损伤是制约其发展的重要瓶颈。“从化”理论源于《黄帝内经》，高度概括了病机变化的特征规律，是中医病机学的重要理论之一。放射线快速、高能、杀伤力强的特点，符合中医学毒邪的特性。毒邪具有明显的“从化性”，放疗毒邪侵袭人体后，根据人体体质差异和侵犯部位的阴阳属性，分别从化为阳毒或阴毒以致病，这可能是放射性损伤演进的关键环节。放疗毒邪侵犯阴虚、燥热体质或阳腑、表位，易从阳化为“热毒”“燥毒”“风毒”，若侵犯阳虚、寒湿体质或阴脏、里位，易从阴化为“痰毒”“瘀毒”。因此，在治疗放射性损伤时，应分清体质阴阳偏颇、脏腑表里部位、病程缓急阶段，辨明各类毒邪导致的病理状态，谨守病机，辨证施治。本文基于“从化”理论的内涵，结合放疗毒邪的致病特点，探讨放射性损伤的病机演变和病证变化规律，以期为放射性损伤的临证辨治提供思路。

Abstract

Radiotherapy occupies an important position in comprehensive cancer treatment

and radiation injury is an important bottleneck that limits its development. "Conghua" theory

which originated from

Huangdi Neijing

is an important theory of pathogenesis that summarizes the characteristic law of pathological change. Radiation has the characteristics of high speed

high energy

and high lethality

which accords with the category of "toxic pathogen" in traditional Chinese medicine. Toxic pathogen has the obvious characteristic of "conghua" .After the radiation toxin damages the body

according to the yin and yang attributes of the physical difference and invaded site

it transforms into a yang toxin or yin toxin

respectively

which may be a key link in the evolution of radiation injury. The radiation toxin invades the yin-deficient and dry-heat constitutions

or yang fu-organs and exterior sites

which are easy to change from yang to "heat-toxin"

"dryness-toxin"

and "wind-toxin" ; and it invades the yang-deficient and cold-dampness constitutions

or yin zang-organs and interior sites

which are easy to change from yin to "phlegm-toxin" and "stasis-toxin" .Therefore

in the treatment of radiation injury

it is necessary to distinguish the yin and yang bias of the constitution

the internal and external parts of the viscera

and the slow and urgent stages of the disease to identify the pathological state caused by various kinds of toxic pathogens

examine pathogenesis

and provide treatment according to syndrome differentiation. Based on the connotation of "conghua" theory and the pathogenic characteristics of radiation

this paper discusses the laws of pathological evolution and syndrome change in radiation injury

in order to provide new directions for the clinical treatment of radiation injury.

关键词

Keywords

references

李柳宁，陈海，刘伟胜．中医药对恶性肿瘤放疗减毒作用的研究 [J]. 现代肿瘤医学， 2006 ， 14 ( 4 )： 505 － 507 .

刘家义．从化学说初探 [J]. 山东中医杂志， 1986 ， 6 ( 2 )： 4 － 6 .

赵惠萍．中医“从化”学说钩玄 [J]. 中华中医药学刊， 2008 ， 26 ( 5 )： 1060 － 1061 .

徐晓明，刘志宏．从仲景经验看“从化”理论的内涵及意义 [J]. 辽宁中医杂志， 2010 ， 37 ( 7 )： 1251 － 1253 .

张迪，常诗荃，孙建鑫，等．阳明热证辨析 [J]. 辽宁中医杂志， 2021 ， 48 ( 3 )： 53 － 55 .

匡调元．中医病理研究 [M]. 上海：上海科学技术出版社， 1989 ： 123 .

张蕾，刘更生．毒邪概念辨析 [J]. 中国中医基础医学杂志， 2003 ， 9 ( 7 )： 7 － 8 .

郑红刚，朴炳奎．浅议放化疗毒副作用的中医病因 [J]. 中国中医基础医学杂志， 2007 ， 13 ( 10 )： 751 － 752 .

第五永长，李妮矫．论中医“毒”概念的演变及其阴阳属性 [J]. 中华中医药杂志， 2010 ， 25 ( 5 )： 654 － 657 .

常富业，张允岭，王永炎，等．《内经》毒论诠析 [J]. 中国中医基础医学杂志， 2007 ， 13 ( 12 )： 890 － 891 .

王琦．中医体质学 [M]. 北京：人民卫生出版社， 2005 ： 36 .

周博文．基于体质的阴阳偏性探讨营气病 [J]. 中国中医药现代远程教育， 2021 ， 19 ( 23 )： 40 － 41 .

刘凌云．由中医“从化”理论谈体质辨证的重要性 [J]. 广州中医药大学学报， 2013 ， 30 ( 1 )： 117 － 119 .

江虹霖，姜欣，杨鸣，等．从火毒论治放射性肠炎 [J]. 中医杂志， 2021 ， 62 ( 19 )： 1732 － 1735 .

李俊影，王景慧，杨德塑，等． “通因通用”法论治放射性膀胱炎 [J]. 中医肿瘤学杂志， 2020 ， 2 ( 2 )： 70 － 74 .

段晶晶，孔为民．放射性膀胱炎的诊治进展 [J]. 医学综述， 2015 ， 21 ( 14 )： 2588 － 2590 .

胡陵静，袁永霞，侯妍利，等．放射性肺炎中医分期辨证论治 [J]. 中国中医急症， 2014 ， 23 ( 12 )： 2382 － 2383 .

冯勤付，郑苗丽，曾强．放射性肺炎的诊断和治疗 [J]. 中华放射肿瘤学杂志， 2021 ， 30 ( 1 )： 7 － 10 .

李志明，李仝，王芬，等．李仝论治急性放射性皮炎验案举隅 [J]. 湖北中医药大学学报， 2021 ， 23 ( 4 )： 110 － 113 .

黄从书，朱贵花，谢光辉，等．中医药防治放射性皮肤损伤的研究进展 [J]. 中华放射医学与防护杂志， 2021 ， 41 ( 3 )： 229 － 233 .

刘志艳，林洪生．林洪生中医药防治放疗毒副反应经验 [J]. 北京中医药， 2016 ， 35 ( 7 )： 664 － 667 .

潘绵顺，王鹏，蒋华平，等．放射性脑损伤及相关问题 [J]. 立体定向和功能性神经外科杂志， 2007 ， 20 ( 3 )： 187 － 192 .

乔冠英，林丽珠．林丽珠治疗恶性肿瘤常见放射反应经验介绍 [J]. 新中医， 2019 ， 51 ( 5 )： 319 － 321 .

王琮，李小江，杨佩颖，等．贾英杰教授“黜浊培本”疗法治疗放射性食管炎经验采撷 [J]. 天津中医药， 2021 ， 38 ( 8 )： 986 － 989 .

王立东，谌娜娜，李蕊洁，等．放射性食管炎的临床研究进展 [J]. 实用肿瘤杂志， 2017 ， 32 ( 5 )： 474 － 478 .

王军，武亚晶．放射性心脏损伤研究进展：基础篇 [J]. 中华放射肿瘤学杂志， 2019 ， 28 ( 10 )： 721 － 727 .

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