%0 Journal Article
%T 胃癌化疗后呕吐中药药对配伍规律探析<br>Analysis of Compatibility Rules of Traditional Chinese Medicine Pairs for Vomiting after Gastric Carcinoma Chemotherapy
%A 王佳宾
%A 刘松江
%J Advances in Clinical Medicine
%P 1880-1886
%@ 2161-8720
%D 2025
%I Hans Publishing
%R 10.12677/acm.2025.153817
%X 胃癌(gastric carcinoma)是起源于胃黏膜上皮的恶性肿瘤&#65292;中医根据症状将其归于反胃、噎膈、积聚范畴。胃癌发病有明显的地域性差别&#65292;在我国的西北与东部沿海地区&#65292;胃癌发病率比南方地区明显为高。近年来&#65292;胃癌的患病人数越来越多&#65292;根据临床观察&#65292;胃癌患者进行西医治疗后常常伴有恶心、呕吐等症状。而中医药在防治化疗呕吐方面具有独特优势&#65292;中药药对作为中医方剂配伍的基本单位&#65292;药味虽然少&#65292;但效果十分显著。中药药对治疗胃癌放化疗后呕吐是符合现代医学提出的多层次、个体化的治疗理念。由于胃癌放化疗多对人体正气有所损伤&#65292;现从&#8220;疏补和&#8221;的治疗原则下选择降逆化痰的半夏配伍温中止呕的生姜、清热燥湿的黄连配伍疏肝和胃的吴茱萸、健脾燥湿的白术配伍行气温中的砂仁、养阴润燥的麦冬配伍益气生津的人参。<br>Gastric carcinoma is a malignant tumor originating from the gastric mucosal epithelium. In traditional Chinese medicine (TCM), it is classified into the categories of regurgitation, dysphagia, and accumulation based on symptoms. The incidence of gastric carcinoma shows significant regional differences, with higher rates in northwestern and eastern coastal regions of China compared to southern regions. In recent years, the number of gastric carcinoma patients has increased. Clinical observations indicate that patients often experience nausea and vomiting after Western medical treatments. TCM has unique advantages in preventing and treating chemotherapy-induced vomiting. As the basic unit of TCM formula compatibility, herbal pairs (composed of two herbs) are concise yet highly effective. The application of herbal pairs in the treatment of vomiting after radiotherapy for gastric carcinoma aligns with modern medicine&#8217;s emphasis on multi-level and individualized treatment. Since chemotherapy for gastric carcinoma often damages the body&#8217;s vital energy (Zheng Qi), this study selects four herbal pairs under the principle of &#8220;soothing, tonifying, and harmonizing&#8221;: <i>Pinellia</i> <i>ternata</i> (Ban Xia) paired with <i>Zingiber officinale</i> (Sheng Jiang) for resolving phlegm and stopping vomiting; <i>Coptis chinensis</i> (Huang Lian) paired with <i>Evodia rutaecarpa</i> (Wu Zhu Yu) for clearing heat and harmonizing the liver-stomach; <i>Atractylodes macrocephala</i> (Bai Zhu) paired with<i> Amomum villosum </i>(Sha Ren) for strengthening the spleen and regulating Qi; and <i>Ophiopogon japonicus</i> (Mai Dong) paired with <i>Panax ginseng</i> (Ren Shen) for nourishing Yin and generating fluids.
%K 胃癌&#65292
%K 呕吐&#65292
%K 药对&#65292
%K 疏补和&#65292
%K 中医药<br>Gastric Carcinoma
%K Vomiting
%K Herbal Pairs
%K Soothing-Tonifying-Harmonizing
%K Traditional Chinese Medicine
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=109842