化疗相关性贫血的中医药治疗思路探讨

目的：探讨化疗相关性贫血的关键病机以及中医药治疗化疗相关性贫血的机制、辨证立法与方药。方法：通过对回顾性临床研究中两组患者化疗前后血象情况的对比分析结合长期临床实践，探讨中医药化疗相关性贫血的中医病机关键以及中医药治疗的辩证立法与方药。结果：化疗是肿瘤患者发生贫血的重要原因，91％的患者因贫血影响生活质量。目前纠正贫血的治疗状况不容乐观。相比输血和应用重组人红细胞生成素存在的诸多不足，中医药可从多环节、多靶点防治化疗相关性贫血。健脾补肾、益气养阴活血是重要的治疗方法。结论：化疗相关性贫血的病机探讨以及健脾补肾、益气养阴活血的临床实践为中医药辨证防治化疗相关性贫血提供了重要思路。

Discussion on TCM Treatment Ideas of Chemotherapy - related Anemia

Objective：To investigate the key pathogenesis of chemotherapy -related anemia, as well as principles, syndrome differentiation methods, formulas and herbs of Chinese medicine in treating chemotherapy-related anemia. Methods： In this retrospective clinical study, blood tests from two groups of patients, before and after chemotherapy, were compared and analyzed. Also, experience according to long- term clinical practice was taken into account in this discussion. Results：Chemotherapy was one of the significant causes that brought anemia to cancer patients, which affected the life quality of 91% patients. At present, the actuality of treatments for anemia is of no optimism. Comparing with drawbacks of blood transfusion and recombinant of human erythropoietin, traditional Chinese medicine could prevent and cure chemotherapy -related anemia in a multi - link and multi-target way. And the important methods of this treatment were to invigorate spleen and kidney, benefit vital energy,nourish yin and activate blood circulation. Conclusion：The pathogenesis investigation of chemotherapy-related anemia and clinical practice to invigorate spleen and kidney, benefit vital energy, nourish yin and activate blood circulation, have provided critical ideas to prevent and treat chemotherapy-related anemia based on syndrome differentiation of Chinese medicine.