Differentiation and treatment of chemotherapy and radiotherapy-induced oral mucositis based on the concept of “pain, itch, and sores belonging to heart”

QIANG Rui; PANG Bo

doi:10.16025/j.1674-1307.2024.11.018

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Differentiation and treatment of chemotherapy and radiotherapy-induced oral mucositis based on the concept of “pain, itch, and sores belonging to heart”

更新时间：2024-12-23

- Differentiation and treatment of chemotherapy and radiotherapy-induced oral mucositis based on the concept of “pain, itch, and sores belonging to heart”
- Beijing Journal of Traditional Chinese Medicine Vol. 43, Issue 11, Pages: 1310-1315(2024)
- 作者机构：
  
  1.北京中医医院顺义医院肿瘤科，北京 101300
  2.中国中医科学院广安门医院国际医疗部，北京 100053
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2024.11.018
  CLC：
- Published：25 November 2024，
  
  Received：28 December 2023，
- 稿件说明：
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强睿，庞博.基于“诸痛痒疮，皆属于心”辨治放化疗性口腔黏膜炎的思路［J］.北京中医药，2024，43（11）：1310-1315.

QIANG Rui,PANG Bo.Differentiation and treatment of chemotherapy and radiotherapy-induced oral mucositis based on the concept of “pain, itch, and sores belonging to heart”[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(11):1310-1315.
强睿，庞博.基于“诸痛痒疮，皆属于心”辨治放化疗性口腔黏膜炎的思路［J］.北京中医药，2024，43（11）：1310-1315. DOI： 10.16025/j.1674-1307.2024.11.018.

QIANG Rui,PANG Bo.Differentiation and treatment of chemotherapy and radiotherapy-induced oral mucositis based on the concept of “pain, itch, and sores belonging to heart”[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(11):1310-1315. DOI： 10.16025/j.1674-1307.2024.11.018.

摘要

口腔黏膜炎（OM）是肿瘤患者在接受放疗和（或）化疗后出现的常见并发症，可引起口腔黏膜疼痛异常、张口及吞咽困难、味觉减退、口干口臭、进食障碍等。与普通口腔溃疡相比，放化疗性OM具有难治性、症状复杂性、复发性等特点。《素问·至真要大论篇》中的病机十九条是中医病机制论鼻祖与临床实践纲领，“诸痛痒疮，皆属于心”即出于此，点明了痛、痒、疮等病症的主病之脏在心。基于此，以心立法，从心论治，从心火盛弱、血脉痹阻、心血亏耗、心神失养等角度探讨放化疗性OM的发病机制，并确立清心泻火、育阴清热、活血通络、补益心血兼顾宁心安神为相应的治疗原则，根据患者的具体情况，详察兼证，兼顾他脏，并配合局部外用药，挖掘经典理论在现代临床实践中的新内涵，以期助益放化疗性OM的中医药治疗。

Abstract

关键词

放化疗口腔黏膜炎病机十九条心

Keywords

references

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