Based on "holism of physique and spirit" to guide the treatment of cancer-related fatigue

LI Jinglei; HOU Wei

doi:10.3969/j.issn.1006-2157.2023.09.018

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Based on "holism of physique and spirit" to guide the treatment of cancer-related fatigue

Hematology and Oncology | 更新时间：2023-10-09

- Based on "holism of physique and spirit" to guide the treatment of cancer-related fatigue
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 9, Pages: 1313-1318(2023)
- 作者机构：
  
  中国中医科学院广安门医院　北京　100053
- 作者简介：
  
  Prof.HOU Wei, Chief Physician, Doctoral Supervisor.Guang’anmen Hospital, China Academy of Chinese Medical Sciences, No.5, Beixiange Street, Xicheng District, Beijing 100053.E-mail: houwei64@126.com
- 基金信息：
  
  National Natural Science Foundation of China(82074239);Innovation Team and Talents Cultivation Program of National Administration of Traditional Chinese Medicine(ZYYCXTD-C-202205)
- DOI：10.3969/j.issn.1006-2157.2023.09.018
  CLC： R273
- Received：27 February 2023，
  
  Published Online：01 June 2023，
  
  Published：30 September 2023
- 稿件说明：
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LI Jinglei, HOU Wei. Based on "holism of physique and spirit" to guide the treatment of cancer-related fatigue[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(9): 1313-1318.
DOI：

LI Jinglei, HOU Wei. Based on "holism of physique and spirit" to guide the treatment of cancer-related fatigue[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(9): 1313-1318. DOI： 10.3969/j.issn.1006-2157.2023.09.018.

摘要

“形神一体观”是在中国古代哲学形神相关理论影响下产生的中医学生命观，“形”是人体生理、病理活动的载体，“神”指人的意识、思维、情感等精神活动。气为神的物质基础，也是形与神联动的桥梁。学者们常将“形神一体观”表述为“形气神一体观”。本文从“形神一体观”出发，阐述其在癌症相关性疲乏发生、发展中的作用与临床应用。形之强弱决定神之盛衰，“神不使”是癌症相关性疲乏发生的重要因素和病理基础。治疗癌症相关性疲乏当坚持“形气神共治”的原则，圆机活法，通调五脏，补益为主；五神共调，综合干预；补气为要，适时疏泄。同时，将辨证论治与针灸、功法、心理调护等非药物疗法相结合，以求标本兼治，身心同调，帮助患者恢复至“形与神俱”的状态，为癌症相关性疲乏的中医药治疗提供新的思路。

Abstract

The "holism of physique and spirit" is a view of life in traditional Chinese medicine(TCM) that emerged from the influence of the ancient Chinese philosophy of the correlation between the physique and spirit. The physique is the carrier of human physiological and pathological activities

while the spirit is human consciousness

thoughts

emotions and other spiritual activities. Qi is the material basis of the spirit and also the bridge between the physique and spirit. Scholars often refer to the "holism of physique and spirit" as the "holistic view of physique

qi and spirit" . This article focuses on the concept of "holism of physique and spirit" and elaborates on its role and clinical applications in the occurrence and development of cancer-related fatigue. The physique and spirit are mutually dependent

and the strength of the physique determines the strength of the spirit. The "spirit failing to function" is an important factor in the onset of cancer-related fatigue and the pathological basis for its development. The treatment of cancer-related fatigue should adhere to the principle of a "holistic view of physique

qi and spirit" and use appropriate method to regulate the five zang-organs

with tonification as the main method; and regulate the five spirits

together with comprehensive intervention; and the key to the treatment is supplementing qi

with consideration of appropriate dispersion. The combination of syndrome differentiation and treatment with non-pharmacological therapies

such as acupuncture and moxibustion

gongfu and psychological care aims to treat both the symptoms and the root cause and to harmonize the physique. Furthermore

it helps patients return to a state of "physique and spirit together" and to provide new ideas for the treatment of cancer-related fatigue in TCM.

关键词

Keywords

references

中华医学会肿瘤学分会肿瘤支持康复治疗学组 . 中国癌症相关性疲乏临床实践诊疗指南(2021年版) [J]. 中国癌症杂志， 2021 ， 31 ( 9 )： 852 － 872 .

FABI A , BHARGAVA R , FATIGONI S , et al . Cancer-related fatigue: ESMO Clinical Practice Guidelines for diagnosis and treatment [J]. Ann Oncol ， 2020 ， 31 ( 6 )： 713 － 723 .

王琦 . 形神一体的形神观 [J]. 中华中医药杂志， 2012 ， 27 ( 3 )： 652 － 654 .

曹康迪，胡帅航，王瑾琨，等．运用“形气神”思想治疗恶性肿瘤 [J]. 北京中医药大学学报， 2021 ， 44 ( 12 )： 1126 － 1132 .

刘安 . 淮南子 [M]. 杨有礼，注说．开封：河南大学出版社， 2010 .

荀况 . 荀子 [M]. 廖名春，邹新明，校注．沈阳：辽宁教育出版社， 1997 ： 78 .

张延丞，张其成 . 浅论《黄帝内经》神不使及调神的方法 [J]. 中华中医药杂志， 2020 ， 35 ( 11 )： 5411 － 5413 .

王琦 . 9种基本中医体质类型的分类及其诊断表述依据 [J]. 北京中医药大学学报， 2005 ， 28 ( 4 )： 1 － 8 .

莫婷，田欢，岳双冰，等 . 乳腺癌患者中医体质类型、证候分布及其相关性研究 [J]. 世界中医药， 2019 ， 14 ( 3 )： 745 ～ 749 .

秦静波，李竹青，孟翔鹤，等 . 大健康背景下中医体质学在恶性肿瘤防治中应用的思考 [J]. 北京中医药大学学报， 2021 ， 44 ( 9 )： 818 ～ 823 .

谭展飞 . 基于1 640例认知障碍分析血管性痴呆的认知、中医体质特点及影响因素 [D]. 北京：北京中医药大学， 2019 .

杨恒 . 肺癌患者癌因性疲乏与中医体质类型的相关性研究 [D]. 南宁：广西中医药大学， 2021 .

曹康迪，王家伟，王瑾琨，等 . 基于“形气神思想”探讨“神”在肺结节发生发展中的作用 [J]. 中医杂志， 2023 ， 64 ( 3 )： 255 － 259 .

李梦琳 . 基于恶性肿瘤病证的情志致病理论研究 [D]. 北京：北京中医药大学， 2019 .

宋欢，蒋婷婷，严丽波，等 . 精神心理因素对肺癌发病影响的研究 [J]. 现代预防医学， 2011 ， 38 ( 2 )： 294 － 297 .

李朝霞，余新林，肖晓辉，等 . 炎症细胞因子基因多态性与癌因性疲乏的关联研究 [J]. 临床荟萃， 2019 ， 34 ( 11 )： 970 － 975 .

宋卓，崔宁，谷珊珊，等 . 精准医学背景下癌因性疲乏中医辨治的策略 [J]. 世界中医药， 2022 ， 17 ( 14 )： 2075 － 2079 .

王桂彬，曹于，庞博 . 《金匮要略》虚劳辨治纲要补遗 [J]. 长春中医药大学学报， 2023 ， 39 ( 3 )： 252 － 255 .

张介宾 . 景岳全书 [M]. 夏之秋，校注 . 北京：中国中医药出版社， 1994 ： 439 .

张璐 . 张氏医通 [M]. 李静芳，建一，校注 . 北京：中国中医药出版社， 1995 ： 38 .

张锋敏，余震，庄成乐 . 肿瘤患者的运动疗法应用进展和作用机制 [J]. 肿瘤代谢与营养电子杂志， 2022 ， 9 ( 5 )： 549 － 554 .

VAN BEL , FUCHS CS , NIEDZWIECKI D , et al . Association of Survival With Adherence to the American Cancer Society Nutrition and Physical Activity Guidelines for Cancer Survivors After Colon Cancer Diagnosis: The CALGB 89803/Alliance Trial [J]. JAMA Oncol ， 2018 ， 4 ( 6 )： 783 － 790 .

熊常州，韩坤余，马帅，等 . 肿瘤相关抑郁状态的中医特色疗法研究进展 [J]. 中医肿瘤学杂志， 2022 ， 4 ( 5 )： 85 － 91 .

张景岳 . 类经 [M]. 范志霞，校注．北京：中国医药科技出版社， 2011 ： 526 .

陈言 . 三因极一病证方论 [M]. 北京：人民卫生出版社， 1957 ： 110 .

唐丽丽，庞英，宋丽莉，等 . 心理社会肿瘤学国内外临床实践发展现状 [J]. 医学与哲学， 2022 ， 43 ( 15 )： 39 － 43 .

赵家君，施聪聪，张红石 . 五音疗法治疗五脏疾病的溯源与临床应用 [J]. 光明中医， 2022 ， 37 ( 6 )： 986 － 990 .

鞠文雪，尚东，刘志宇，等 . 中医心理疗法干预新型冠状病毒肺炎患者负面情绪的研究 [J]. 山东中医杂志， 2022 ， 41 ( 1 )： 44 － 49 .

向璐，张巧艳，赵琦明，等 . 黄芪－当归化学成分、药理作用及临床应用的研究进展 [J]. 中草药， 2022 ， 53 ( 7 )： 2196 － 2213 .

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