台北中医医学杂志

105.6 癌因性疲惫中医治疗文献综论

 

癌因性疲惫中医治疗文献综论
A review of the literature on traditional
Chinese medicine treatment of cancer-related
fatigue
许哲维1 杨仁邻1,2,3*
【摘要】
大约三分之一接受癌症治疗的患者,会在治疗後数年内经历癌因性疲惫
(Cancer-related fatigue,CRF),本文汇整了评估CRF 的量表工具,其中以MFI
(Multidimensional Fatigue Inventory) 最为推荐。癌因性疲惫於简短疲劳量表评
分超过4 分时即会介入症状治疗。中医病因病机以气血两虚论述最多,各家不同治法
的辨证论治、治则中多强调补气,经实证医学验证的药物包括人叁、西洋叁、黄耆、
黄精、补中益气汤,多项临床试验研究已验证其疗效,其中黄耆注射液在台湾经过三
期临床试验疗效甚佳。
【关键词】癌因性疲惫、中药、综论
Je-Wei Hsu1 Jen-Lin Yang1,2,3,*
1 Center of Traditional medicine, Taipei Veterans General Hospital, Taipei, Taiwan
2 Institute of Traditional Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
3 School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
【Summary】
Approximately one-third of patients treated for cancer will suffer Cancer-related Fatigue
(CRF) within several years after treatment. This article summarizes the assessment tools for CRF, with the Multidimensional Fatigue Inventory (MFI) being recommended. CRF, with a score of over 4 on the Brief Fatigue Inventory (BFI), warrants intervention for symptom management. In Traditional Chinese Medicine (TCM), the pathogenesis of CRF mainly involves deficiency of both Qi and Blood. Various schools of thought in TCM propose different treatment methods, mostly emphasizing Qi supplementation. Validated empirical medications include Ginseng, Astragalus, Polygonatum and Bu-Zhong-Yi-Qi-Tang. Several clinical trials have been conducted,among which Astragalus injection has shown excellent efficacy in Taiwan through three-phaseclinical trials.
【Keywords】