Syndrome Differentiation and Treatment of Cancer-Related Fatigue from the Three Etiological Factors of "Constraint，Stasis，and Treatment"

WANG Xinmiao; LI Jie

doi:10.13288/j.11-2166/r.2025.17.016

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Syndrome Differentiation and Treatment of Cancer-Related Fatigue from the Three Etiological Factors of "Constraint，Stasis，and Treatment"

更新时间：2025-08-28

- Syndrome Differentiation and Treatment of Cancer-Related Fatigue from the Three Etiological Factors of "Constraint，Stasis，and Treatment"
- Journal of Traditional Chinese Medicine Vol. 66, Issue 17, Pages: 1832-1836(2025)
- 作者机构：
  
  中国中医科学院广安门医院，北京市西城区北线阁街5号，100053
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.17.016
  CLC：
- Received：31 March 2025，
  
  Revised：2025-05-25，
  
  Published：02 September 2025
- 稿件说明：
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王新苗,李杰.从“郁、瘀、治”三因辨治癌因性疲乏[J].中医杂志,2025,66(17):1832-1836.

WANG Xinmiao,LI Jie.Syndrome Differentiation and Treatment of Cancer-Related Fatigue from the Three Etiological Factors of "Constraint，Stasis，and Treatment"[J].Journal of Traditional Chinese Medicine,2025,66(17):1832-1836.
王新苗,李杰.从“郁、瘀、治”三因辨治癌因性疲乏[J].中医杂志,2025,66(17):1832-1836. DOI： 10.13288/j.11-2166/r.2025.17.016.

WANG Xinmiao,LI Jie.Syndrome Differentiation and Treatment of Cancer-Related Fatigue from the Three Etiological Factors of "Constraint，Stasis，and Treatment"[J].Journal of Traditional Chinese Medicine,2025,66(17):1832-1836. DOI： 10.13288/j.11-2166/r.2025.17.016.

摘要

认为癌因性疲乏的致病因素，除考虑肿瘤本身对机体的恶性消耗外，还有情志因素、病理产物及治疗因素三个方面。将癌因性疲乏的中医病因归结为“郁”“瘀”“治”。“郁”来源于患者面对恶性肿瘤疾病及治疗过程中的心理压力；“瘀”即恶性肿瘤发生发展中血脉瘀阻的病理变化；“治”即手术、化疗、放疗等现代医学治疗手段带来的身体损伤。针对因郁致虚采用开郁行气之法，使郁去气通，寓通于补；针对因瘀致虚采用活血化瘀之法，使瘀祛新生，寓攻于补；针对因治致虚则采取升陷解毒之法，使手术所致下陷之气得升，化疗或放疗之毒得解，寓衡于补。

Abstract

In addition to the malignant consumption of the body caused by the tumor itself， the pathogenic factors of cancer-related fatigue （CRF） also include three aspects， emo

tional factors， pathological products， and treatment-related factors. In traditional Chinese medicine， the etiology of CRF can be summarized as "constraint"， "stasis"， and "treatment". "Constraint" refers to the psychological stress experienced by patients when facing malignant tumors and their treatment process； "stasis" refers to the pathological change of obstructed blood vessels during the occurrence and development of malignant tumors； "treatment" refers to the bodily damage caused by surgery， chemotherapy， and radiotherapy. For deficiency due to constraint， the method of relieving constraint and regulating

is adopted， so that the constraint is resolved and

flows freely， with tonification embedded in unblocking. For deficiency due to stasis， the method of invigorating blood circulation and removing blood stasis is applied， so that stasis is eliminated and new vitality is generated， with tonification embedded in dispersion. For deficiency due to treatment， the method of raising the sunken and detoxifying is used， so that the

depressed by surgery is lifted， and the toxins from chemotherapy or radiotherapy are resolved， with balance embedded in tonification.

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references

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Related Institution

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