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孙贺辰, 焦运晓, 潘旸, 胡雨生, 客蕊.基于“窠囊”理论论治癌性疼痛[J].湖南中医药大学学报英文版,2025,45(12):2373-2378.[Click to copy
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| 基于“窠囊”理论论治癌性疼痛 |
| 孙贺辰,焦运晓,潘旸,胡雨生,客蕊 |
| (黑龙江中医药大学研究生院, 黑龙江 哈尔滨 150040;黑龙江中医药大学附属第一医院老年病科, 黑龙江 哈尔滨 150040) |
| 摘要: |
| “痰挟瘀血，遂成窠囊”出自《丹溪心法·痰十三》，后衍化为“窠囊”理论，用以阐释痼疾久病不愈、虚实交杂、反复缠绵之病机。癌性疼痛起病隐匿，病势迁延，痛势顽固，常呈虚实夹杂、缠绵难解之态，其病机特点与“窠囊”之伏邪深藏、胶固不解尤为吻合。本文基于“窠囊”理论，将癌性疼痛依其邪正盛衰、窠囊形成之浅深分为三期论治：初期以扶正调气、防痰成瘀为主；中期重在化瘀散结、通络止痛；晚期则以通为治、以补为本。旨在为癌性疼痛的中医辨治提供理论依据与临床参考。 |
| 关键词: 癌性疼痛 窠囊理论 痰瘀互结 中草药 中医药治疗 |
| DOI：10.3969/j.issn.1674-070X.2025.12.018 |
| Received:July 03, 2025 |
| 基金项目:黑龙江省应用技术研究与开发计划（GY2019YF）。 |
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| Management of cancer pain based on the "Nesting Theory" |
| SUN Hechen, JIAO Yunxiao, PAN Yang, HU Yusheng, QIE Rui |
| (The Graduate School, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, China;Department of Geriatrics, the First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, China) |
| Abstract: |
| The statement, "Phlegm intertwined with blood stasis eventually forms a nesting focus," originates from the Dan Xi Xin Fa: Tan Shi San [Danxi's Mastery of Medicine: Phlegm (Section Thirteen)]. This concept later evolved into the "Nesting Theory," which elucidates the pathogenesis of chronic, refractory diseases characterized by a complex interplay of deficiency and excess patterns with a lingering and recurrent nature. Cancer pain shares these features—being insidious, protracted, stubborn, and of mixed deficiency-excess nature—making the theory, which emphasizes the deeply entrenched and tenaciously cohesive pathogenic factors, a fitting model for understanding its pathogenesis. Based on the "Nesting Theory," this paper categorizes cancer pain into three therapeutic stages according to the waxing and waning of healthy qi and pathogenic factors, as well as the depth of the nesting focus formation. The early stage focuses on reinforcing healthy qi and regulating qi flow to prevent phlegm-stasis accumulation; the middle stage prioritizes resolving stasis, dispersing nodules, and unblocking collaterals to relieve pain; and the late stage emphasizes prioritizing unblocking as the treatment method while taking tonifying as the fundamental approach. This approach aims to provide a theoretical basis and clinical reference for the TCM management of cancer pain. |
| Key words: cancer pain Nesting theory intertwined phlegm and blood stasis Chinese herbal medicine TCM treatment |
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