中医药治疗骨转移癌痛的进展

疼痛是肿瘤骨转移患者难以忍受的症状之一，具有顽固性、持续性、进行性加重等特点，发病机理尚不明确。西医治疗方案以三阶梯止痛药为主，联合放化疗等个性化治疗；中医治疗包括中药口服、中药外敷、针灸、穴位贴敷、中药注射、埋线等多种方式，起到活血化瘀止痛等功效。且中医治疗价廉惠民、无成瘾性、操作便捷、毒副反应少，因此成为骨转移癌痛治疗的研究热点。中西医联合用药可增强止痛效果，实现优势互补，且作用持久，明显提升患者生活质量。本文综述了骨转移癌痛的中医治疗进展，为后续研究提供参考。

Progress in TCM treatment of bone metastatic cancer pain

Bone metastases-related pain is a debilitating and persistent condition which can severely impair quality of life.The pathogenesis is still unclear.Western medicine mainly uses three-step analgesics,combined with radiotherapy or chemotherapy and other personalized treatment.Traditional Chinese medicine(TCM)treatment includes oral medicine,plaster application,acupuncture or embedding thread,acupoint application and TCM injection,ect.It leads to the activation of blood,removal of blood stasis and relieve of pain.In addition,traditional Chinese medicine treatment is cheap and beneficial,non-addiction,convenient operation,and few adverse reactions,so it has become a research hotspot in the treatment of bone metastasis cancer pain.Combination of TCM and western medicine would elicit more profound pain suppressive effect,improved patient satisfaction and enhanced quality of life.This paper reviews the progress of TCM treatment of bone metastasized cancer pain,and provides reference for future research.