Differentiation and Treatment of<italic style="font-style: italic"> </italic>Chemotherapy-Induced Nausea and Vomiting with Traditional Chinese Medicine Based on the Theory of "<italic style="font-style: italic">Yin Qi</italic> Descends，While All <italic style="font-style: italic">Yang Qi</italic> Ascends"

LI Borun; PANG Bo; LI Yi; SHEN Qian; WANG Yuwei; YAN Run

doi:10.13288/j.11-2166/r.2026.11.008

您当前的位置：

首页 >

文章列表页 >

Differentiation and Treatment of Chemotherapy-Induced Nausea and Vomiting with Traditional Chinese Medicine Based on the Theory of "Yin Qi Descends，While All Yang Qi Ascends"

更新时间：2026-05-29

- Differentiation and Treatment of Chemotherapy-Induced Nausea and Vomiting with Traditional Chinese Medicine Based on the Theory of "Yin Qi Descends，While All Yang Qi Ascends"
- Journal of Traditional Chinese Medicine Vol. 67, Issue 11, Pages: 1173-1177(2026)
- 作者机构：
  
  1.中国中医科学院西苑医院，北京市海淀区西苑操场1号，100091
  2.中国中医科学院广安门医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2026.11.008
  CLC：
- Received：17 November 2025，
  
  Revised：2026-01-05，
  
  Accepted：23 December 2025，
  
  Published：02 June 2026
- 稿件说明：
移动端阅览
李柏润,庞博,李奕等.基于“阴气在下，诸阳气浮”的化疗所致恶心呕吐辨治思路[J].中医杂志,2026,67(11):1173-1177.

LI Borun,PANG Bo,LI Yi,et al.Differentiation and Treatment of Chemotherapy-Induced Nausea and Vomiting with Traditional Chinese Medicine Based on the Theory of "Yin Qi Descends，While All Yang Qi Ascends"[J].Journal of Traditional Chinese Medicine,2026,67(11):1173-1177.
李柏润,庞博,李奕等.基于“阴气在下，诸阳气浮”的化疗所致恶心呕吐辨治思路[J].中医杂志,2026,67(11):1173-1177. DOI： 10.13288/j.11-2166/r.2026.11.008.

LI Borun,PANG Bo,LI Yi,et al.Differentiation and Treatment of Chemotherapy-Induced Nausea and Vomiting with Traditional Chinese Medicine Based on the Theory of "Yin Qi Descends，While All Yang Qi Ascends"[J].Journal of Traditional Chinese Medicine,2026,67(11):1173-1177. DOI： 10.13288/j.11-2166/r.2026.11.008.

摘要

基于《黄帝内经》“阴气在下，诸阳气浮”探讨化疗所致恶心呕吐（CINV）的中医辨治思路。认为CINV核心病机在于化疗药毒损伤中焦，导致阴阳交感失常。急性、暴发性者多属“诸阳气浮”，胃阳郁滞化火，气逆而呕，治宜通理胃阳、泻火疏逆，方选藿香正气散合清泄之品；延迟性者常因“阴气在下”，阴浊积滞、逼仄虚阳，治当承气泄浊、通补阳气，可酌用承气类方或小半夏汤；难治性与预期性者多属胃肾两虚、脏腑失调，阴阳难以自和，治宜胃肾同养、平调脏腑，方选附子理中汤或逍遥散等化裁。

Abstract

This paper discussed the differentiation and treatment of chemotherapy-induced nausea and vomiting （CINV） in traditional Chinese medicine， based on the theory of "

yin qi

descends， while all

yang qi

ascends” from

Inner Canon of Yellow Emperor

（《黄帝内经》）. The core pathogenesis of CINV is attributed to chemotherapy-induced injury to the middle

jiao

（焦）， resulting in the separation of

yin

and

yang

and loss of their mut

ual communication. Acute and explosive CINV is often characterized by "all

yang qi

ascends"， with stomach

yang

constraint transforming into fire， and

counterflow leading to vomiting， which can be treated by unblocking stomach

yang

， draining fire and scattering the counterflow， with

Huoxiang Zhengqi Powder

（藿香正气散） and medicinals of clearing function. For delayed cases， which are often due to "

yin qi

descends"， and the accumulation of turbid

yin

obstructs and constrains the deficient

yang

， the treatment should focus on promoting

flow to eliminate turbidity， unblocking and boosting

yang qi

， and

Chengqi

series Formulas

（承气类方） or

Xiao Banxia Decoction

（小半夏汤） can be considered. Refractory and anticipated cases usually involve stomach-kidney deficiency and

zang

（脏腑） organs disharmony， making

yin

and

yang

difficult to restore balance， for which the treatment should focus on nourishing both the stomach and kidneys and harmonize the

zang

organs， with formulas such as

Fuzi Lizhong Decoction

（附子理中汤） or

Xiaoyao Powder

（逍遥散） modified as appropriate.

关键词

Keywords

references

BENLAHRECH Z B ， ELHADI M A T ， DOUGHA Z ， et al . Prevalence of chemotherapy-induced nausea and vomiting： an Algerian study ［J］. Eur J Med Res ， 2024 ， 2 （ 2 ）： 239 - 241 .

GUPTA K ， WALTON R ， KATARIA S P . Chemotherapy-induced nausea and vomiting： pathogenesis， recommendations， and new trends ［J］. Cancer Treat Res Commun ， 2021 ， 26 ： 100278 . doi： 10.1016/j.ctarc.2020.100278 http://dx.doi.org/10.1016/j.ctarc.2020.100278 .

MAJEM M ， DE LAS PEÑAS R ， VIRIZUELA J A ， et al . SEOM clinical guideline emesis （2021）［J］. Clin Transl Oncol ， 2022 ， 24 （ 4 ）： 712 - 723 .

赵若含，王璐，付玮，等 . 中医药防治化疗后胃肠道反应的概况［J］. 中国中西医结合消化杂志， 2021 ， 29 （ 10 ）： 747 - 751 .

龚自坤，郑秋惠，梅凯雁 . 肿瘤化疗后恶心呕吐的中医治疗研究进展［J］. 亚太传统医药， 2020 ， 16 （ 9 ）： 200 - 205 .

中国临床肿瘤学会指南工作委员会组织 . 中国临床肿瘤学会（CSCO）抗肿瘤治疗相关恶心呕吐预防和治疗指南［M］. 北京：人民卫生出版社， 2025 ： 6 .

朱潇雨，吴喆，高瑞柯，等 . 从“阳虚毒结”角度探讨化疗耐药形成及温阳法干预机理［J］. 中医杂志， 2021 ， 62 （ 8 ）： 672 - 676 .

YAKU H ， FUDIM M ， SHAH S J . Role of splanchnic circulation in the pathogenesis of heart failure： state-of-the-art review ［J］. J Cardiol ， 2024 ， 83 （ 5 ）： 330 - 337 .

NAVARI R M ， QIN R ， RUDDY K J ， et al . Olanzapine for the prevention of chemotherapy-induced nausea and vomiting ［J］. N Engl J Med ， 2016 ， 375 （ 2 ）： 134 - 142 .

LANG I M . Physiology of the digestive tract correlates of vomiting ［J］. J Neurogastroenterol Motil ， 2023 ， 29 （ 1 ）： 20 .

温成平，谢志军 . 激素不同使用阶段的中医证候诊断和治疗指南［J］. 中华中医药杂志， 2020 ， 35 （ 9 ）： 4536 - 4540 .

RADHAKRISHNAN V ， SESHADRI R A ， NAIR S . Olanzapine for chemotherapy-induced nausea and vomiting control ［J］. Lancet Oncol ， 2024 ， 25 （ 5 ）： e174 .

LIU J ， FENG W ， PENG C . A song of ice and fire： cold and hot properties of traditional Chinese medicines ［J］. Front Pharmacol ， 2021 ， 11 ： 598744 . doi： 10.3389/fphar.2020.598744 http://dx.doi.org/10.3389/fphar.2020.598744 .

HE Y ， ZHENG J ， YE B ， et al . Chemotherapy-induced gastrointestinal toxicity： pathogenesis and current management ［J］. Biochem Pharmacol ， 2023 ， 216 ： 115787 . doi： 10.1016/j.bcp.2023.115787 http://dx.doi.org/10.1016/j.bcp.2023.115787 .

VERA G ， NURGALI K ， ABALO R . Chemotherapy-induced neuropathy affecting the gastrointestinal tract ［J］. Neurogastroenterol Motil ， 2025 ， 37 （ 8 ）： e14976 .

王婧琳，李鸿涛 . 《黄帝内经》“胃肾相关”理论探析［J］. 北京中医药大学学报， 2023 ， 46 （ 9 ）： 1232 - 1236 .

CHEN W ， ZHAO Y ， DAI Y ， et al . Gastrointestinal inflammation plays a critical role in chemotherapy-induced nausea and vomiting ［J］. Eur J Pharmacol ， 2022 ， 936 ： 175379 . doi： 10.1016/j.ejphar.2022.175379 http://dx.doi.org/10.1016/j.ejphar.2022.175379 .

陈斯琪，聂克 . 基于网络药理学探讨小半夏汤防治化疗性恶心呕吐的作用机制［J］. 中国实验方剂学杂志， 2020 ， 26 （ 3 ）： 156 - 165 .

CRICHTON M ， MARSHALL S ， ISENRING E ， et al . Effect of a standardized ginger root powder regimen on chemotherapy-induced nausea and vomiting： a multicenter， double-blind， placebo-controlled randomized trial ［J］. J Acad Nutr Diet ， 2024 ， 124 （ 3 ）： 313 - 330 .

查看原文

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

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

The Protection of Jiawei Shengxue Plaster （加味升血贴） on Hematologic Toxicity Caused by Tumor Chemotherapy: a Double-Blind,Randomize-Controlled Clinical Trail of 138 Cases

Construction and Application of "Source-Pivot-Convergence" Pattern Identification and Treatment Model for Malignant Tumors

Application of Shen （Spirit）Regulation in the Screening，Treatment，and Prognosis of Malignant Tumor

Exploration on the the Relationship Between Tumor Microenvironment and Malignant Progression，and Microscopic Syndrome Differentiation and Treatment From the Perspective of "Turbidity Impairing Clarity and Harmony"

Related Author

WANG Xinmiao

LI Jie

FU Qi

LIANG Shanshan

WANG Hao

YANG Guowang

HAN Dong

WANG Xiaomin

Related Institution

Guang'anmen Hospital，China Academy of Chinese Medical Sciences

Beijing Hospital of Traditional Chinese Medicine,Capital Medical University

Affiliated Hospital of Chengdu University of Traditional Chinese Medicine

TCM Prevention and Treatment of Metabolic and Chronic Diseases Key Laboratory of Sichuan Province

Cancer Research Institute，Chengdu University of Traditional Chinese Medicine

Address：No.16, Nanxiao street, Dongzhimen, Dongcheng District, Beijing Postal code：100700
Tel：010-64035632 Email：jtcmcn@188.com
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19 京公网安备11010102007558号
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰

Differentiation and Treatment of Chemotherapy-Induced Nausea and Vomiting with Traditional Chinese Medicine Based on the Theory of "Yin Qi Descends，While All Yang Qi Ascends"

DOI：10.13288/j.11-2166/r.2026.11.008

摘要

Abstract

关键词

Keywords

references