海南医科大学学报

口腔黏膜炎是恶性肿瘤患者放化疗的常见不良反应,能降低患者生存质量,影响肿瘤治疗方案的进行。肿瘤患者多属本虚标实,受到放疗、化疗的影响后,相火浮越而产生口腔黏膜炎。引火归元法是将浮越的相火导引归于本位,使其恢复生理功能。口腔黏膜炎的治疗不可过用寒凉清热,应在引火归元大法的指导下,辨清证型,从清降心火、补养脾胃、滋补肝肾、温养命门4个方面,导引相火下行。本文为放化疗性口腔黏膜炎的中医治疗提供理论参考。

Oral mucositis is a common adverse reaction of radiotherapy and chemotherapy in cancer patients,which reduces the quality of life of patients and affects the progress of cancer treatment. Most of the patients with malignant tumor have the syndrome of deficiency in root case and excess in manifestation. When undergoing radiotherapy or chemotherapy,the patients' ministerial fire becomes hyperactive,which may cause oral mucositis. With the method of"conducting fire back to its origin",ministerial fire can be led to vital gate,as well as recovering its physiological functions. In the treatment of oral mucositis,instead of attacking ministerial fire with too much heat-clearing herbs,we should,under the guidance of the theory of"conducting fire back to its origin",differentiate the syndrome,and then we can use the methods of treatment of clearing and lowering heart fire,warmly invigorating spleen and stomach,nourishing liver and kidney,or warmly invigorating vital gate,to conduct ministerial fire back to vital gate. This article aims to provide a theoretical reference for traditional Chinese medicine treatment of radiotherapy or chemotherapy induced oral mucositis.