<section><p style="margin-top: 15px; margin-bottom: 15px; line-height: 2em; text-indent: 2em;"><span style="font-size: 18px;">每次看诊的时候都有患者咨询：“李教授，放化疗时恶心呕吐得实在受不了，吃不下东西怎么办？”</span><span style="visibility: visible; font-size: 18px;">“<strong><span style="visibility: visible; font-size: 18px; color: rgb(192, 0, 0);">白细胞、血小板</span></strong></span><span style="font-size: 18px;">掉得厉害，医生说要暂停治疗，中医药能帮上忙吗？”</span></p><p style="margin-top: 15px; margin-bottom: 15px; line-height: 2em; text-indent: 2em;"><span style="font-size: 18px; text-indent: 2em;">今天，结合临床实践，和大家详细聊聊</span><span style="font-size: 18px; text-indent: 2em; font-weight: bold; visibility: visible;">中医药在减轻放化疗所致恶心、呕吐、骨髓抑制方面作用</span><span style="font-size: 18px; text-indent: 2em;">，希望能为正在经历这段艰难时期的患者们提供一些切实的帮助。</span></p></section><p style="margin: 15px 8px; visibility: visible; line-height: 2em; text-indent: 2em;"><span style="visibility: visible; font-size: 18px;">放化疗杀灭癌细胞时，会损伤正常细胞，中医称之为“毒邪伤正”，核心病机是<span style="font-size: 18px; color: rgb(217, 33, 66); font-weight: bold; visibility: visible;">“正气受损、脏腑失调”。</span>脾胃为后天之本，受损则胃气上逆致恶心呕吐；肝肾为先天之本，主骨生髓，亏虚则造血功能减退引发骨髓抑制。中医药干预核心是“扶正固本、调和脏腑”，而非单纯对抗副作用。</span></p><p></p><section><section><section><section><section><section><section><p style="padding: 0px; box-sizing: border-box; visibility: visible; margin-top: 15px; margin-bottom: 15px; line-height: 2em; text-indent: 2em;"><span style="font-size: 18px; font-weight: bold; visibility: visible; background-color: rgb(192, 0, 0); color: rgb(255, 255, 255);">1、恶心呕吐：健脾和胃，辨证止呕</span></p><p style="padding: 0px; box-sizing: border-box; visibility: visible; margin-top: 15px; margin-bottom: 15px; line-height: 2em; text-indent: 2em;"><span style="font-size: 18px; text-indent: 2em;">恶心呕吐是放化疗最常见的消化道反应，严重时会中断治疗。中医</span><span style="font-size: 18px; text-indent: 2em; color: rgb(217, 33, 66); text-decoration-line: underline;">核心病机是“胃气上逆”，关键在辨证施治。</span></p></section></section></section></section></section></section></section><p></p><p><br/></p><p style="text-align: center; margin-top: 15px; margin-bottom: 15px; line-height: 2em; text-indent: 2em;"><img src="/ueditor/php/upload/image/20251109/1762700376426133.png" title="1762700376426133.png" alt="0385ac298edf9692eaba4456f19d4fc0.png" width="493" height="285"/></p><p style="margin-top: 15px; margin-bottom: 15px; line-height: 2em; text-indent: 2em;"><span style="font-size: 18px; text-indent: 2em; font-weight: bold;">脾胃虚弱型</span><span style="font-size: 18px; text-indent: 2em;">最常见，表现为</span><span style="font-size: 18px; text-indent: 2em; color: rgb(217, 33, 66); text-decoration-line: underline;">呕吐清水、乏力怕冷、便稀</span><span style="font-size: 18px; text-indent: 2em;">。我以香砂六君子汤为基础加减，党参、白术健脾，陈皮、半夏降逆。曾有肺癌术后患者，化疗后呕吐剧烈，西医止吐无效。辨证为脾胃虚弱兼痰湿，加藿香、佩兰化湿，服药3天呕吐减轻，可进食，后续化疗坚持服用，未再出现严重反应。</span></p><p style="margin-top: 15px; margin-bottom: 15px; line-height: 2em; text-indent: 2em;"><span style="font-size: 18px; text-indent: 2em; font-weight: bold;">肝气犯胃型</span><span style="font-size: 18px; text-indent: 2em;">表现为</span><span style="font-size: 18px; text-indent: 2em; color: rgb(217, 33, 66); text-decoration-line: underline;">呕吐酸水、口苦烦躁</span><span style="font-size: 18px; text-indent: 2em;">，用柴胡疏肝散合左金丸疏肝和胃；痰湿内阻型呕吐黏腻、舌苔厚，以二陈汤合温胆汤化痰止呕。配合化疗前按压内关、足三里穴位，每次1分钟，每日3次，可降低呕吐发生率。服药需化疗前1-2天开始，饭后温服。</span></p><p style="margin-top: 15px; margin-bottom: 15px; line-height: 2em; text-indent: 2em;"><span style="font-size: 18px; font-weight: bold; visibility: visible; background-color: rgb(192, 0, 0); color: rgb(255, 255, 255);">2、骨髓抑制：补肾填精，益气养血</span></p><p style="margin-top: 15px; margin-bottom: 15px; line-height: 2em; text-indent: 2em;"><span style="font-size: 18px; text-indent: 2em; color: rgb(217, 33, 66);">骨髓抑制致白细胞、血小板下降</span><span style="font-size: 18px; text-indent: 2em;">，是放化疗中断的主因。中医认为“肾主骨生髓”“精血同源”，放化疗耗伤肝肾精气、损伤脾胃，致造血无源，干预核心是“补肾填精、益气养血”。</span></p><p style="margin-top: 15px; margin-bottom: 15px; line-height: 2em; text-indent: 2em;"><span style="font-size: 18px; text-indent: 2em; font-weight: bold;">轻度骨髓抑制（白细胞轻度下降、乏力头晕）</span><span style="font-size: 18px; text-indent: 2em;">，用黄芪、党参益气，当归、枸杞补肾养血。乳腺癌患者化疗后白细胞2.8×10⁹/L，伴乏力失眠，我以八珍汤合</span><span style="font-size: 18px; text-indent: 2em;">六味地黄丸加减</span><span style="font-size: 18px; text-indent: 2em;">，重用黄芪、鸡血藤，1周后白细胞升至4.5×10⁹/L，顺利续疗。</span></p><p style="margin-top: 15px; margin-bottom: 15px; line-height: 2em; text-indent: 2em;"><span style="text-indent: 2em; font-size: 17px; font-weight: bold;">中重度骨髓抑制</span><span style="text-indent: 2em; font-size: 17px;">（白细胞＜2.0×10⁹/L或血小板＜50×10⁹/L），需加阿胶、鹿角胶等血肉有情之品。胃癌患者化疗后血小板32×10⁹/L，伴牙龈出血，辨证为肝肾亏虚，加阿胶、仙鹤草，2周后血小板升至78×10⁹/L，出血停止。</span></p><p style="margin-top: 15px; margin-bottom: 15px; line-height: 2em; text-indent: 2em;"><span style="font-size: 18px; text-indent: 2em; color: rgb(217, 33, 66); font-weight: bold;">食疗可辅助：</span><span style="font-size: 18px; text-indent: 2em;">脾胃虚弱者喝山药枸杞粥，气血亏虚者食</span><span style="font-size: 18px; text-indent: 2em; color: rgb(217, 33, 66); text-decoration-line: underline;">当归生姜羊肉汤，忌辛辣生冷</span><span style="font-size: 18px; text-indent: 2em;">。需强调，中医药干预必须辨证，不可盲目用偏方。建议在专业中医师指导下，结合放化疗方案制定个性化方案，既保疗效，又减痛苦。</span></p><p style="margin-top: 15px; margin-bottom: 15px; line-height: 2em; text-indent: 2em;"><span style="font-size: 18px; text-indent: 2em;">多年临床以及患者反馈证实，中医药不是最后的选择，而是协同抗癌的“重要伙伴”。只要辨证精准、用药得当，就能帮患者平稳度过治疗期，为康复打下基础。</span></p><p style="margin-top: 15px; margin-bottom: 15px; line-height: 2em; text-indent: 2em;"><span style="font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 18px; letter-spacing: 0.034em; text-indent: 2em;">如果您需要中医药的帮助，</span><span style="font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 18px; letter-spacing: 0.034em; text-indent: 2em; -webkit-tap-highlight-color: transparent; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgb(217, 33, 66); text-decoration-line: underline;">手术初期增强体质；放化疗期间，减毒增效，降低副作用，增强免疫力，辅助抗癌；癌症中晚期，提高生存质量，延长生存周期；康复期，防止复发转移</span><span style="font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 18px; letter-spacing: 0.034em; text-indent: 2em;">。都可以按照以下方式，给我们留言，预约看诊。</span></p><p></p><section><section><section><section><section><p style="-webkit-tap-highlight-color: transparent; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; font-size: 14px; margin-top: 15px; margin-bottom: 15px; line-height: 2em; text-indent: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong><span style="font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 18px; letter-spacing: 0.034em; text-indent: 2em; -webkit-tap-highlight-color: transparent; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgb(217, 33, 66); text-decoration-line: underline;">李忠教授“癌状态”工作室专家每年接诊无数肿瘤患者，治疗几十种良性/恶性肿瘤：</span></strong><span style="font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 18px; letter-spacing: 0.034em; text-indent: 2em; -webkit-tap-highlight-color: transparent; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; text-decoration: none; color: rgb(0, 0, 0);">如肺癌、胃癌、乳腺癌、肝癌、食管癌、肠癌、甲状腺癌、肾癌、胰腺癌 、子宫癌、卵巢癌、脑瘤、淋巴瘤、前列腺癌、膀胱癌、鼻咽癌、牙龈癌、胸腺癌、舌癌、腮腺癌、白血病、横纹肌肉瘤、多发性骨髓瘤、骨肿瘤、恶性黑色素瘤、小儿神经母细胞瘤等。</span><strong><span style="color: rgb(217, 33, 66); font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 18px; letter-spacing: 0.034em; text-decoration-line: underline; text-indent: 2em;">以及各种癌前病变</span><span style="font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 18px; letter-spacing: 0.034em; text-indent: 2em; text-decoration: none; color: rgb(0, 0, 0);">，</span></strong><span style="font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 18px; letter-spacing: 0.034em; text-indent: 2em; text-decoration: none; color: rgb(0, 0, 0);">如息肉、肌瘤、囊肿、结节、增生、各种炎症等，提前防治癌的发生！</span></p><p style="margin-top: 15px; margin-bottom: 15px; line-height: 2em; text-indent: 2em;"><a href="https://www.jcyft.com/register" target="_blank"><span style="font-size: 18px;"><strong style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 16px;"><span style="background-color: rgb(165, 44, 49); color: rgb(255, 255, 255); font-size: 18px; -webkit-tap-highlight-color: transparent; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">如需咨询预约李忠教授及癌状态工作室专家，点我填表即可！</span></strong></span></a></p><p style="margin-top: 15px; margin-bottom: 15px; line-height: 2em; text-indent: 2em;">相关推荐：</p><p style="margin-top: 15px; margin-bottom: 15px; line-height: 2em; text-indent: 2em;"><a href="https://www.jcyft.com/article/1331" target="_self"><span style="color: inherit; font-family: inherit; font-size: 18px; text-decoration: underline;">化疗期间，这5样东西千万别吃，家属一定要记好！</span></a></p><p style="margin-top: 15px; margin-bottom: 15px; line-height: 2em; text-indent: 2em;"><a href="https://www.jcyft.com/article/1300" target="_self" style="text-decoration: underline;"><span style="color: inherit; font-family: inherit; font-size: 18px;">分享5个既简单又升阳气的方法！</span></a></p></section></section></section></section></section><p></p>
2025-11-09 23:03:46
