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Discussion on the integrated traditional Chinese and western medicine in the treatment of cancer related malnutrition based on the principle of “reinforce insufficiency and reduce excessiveness” |
XIE Hongting1 DUAN Kexin2 LONG Sidan1 XUE Peng1 ZHU Shijie1 |
1.Department of Oncology, Wangjing Hospital of China Academy of Chinese Medicine Sciences, Beijing 100102, China;
2.Graduate School, Guangzhou University of Chinese Medicine, Guangdong Province, Guangzhou 510000, China
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Abstract Cancer related malnutrion is a common complication in patients with malignant tumors, characterized by emaciation, fatigue, and anorexia. Western medicine mostly explains its pathogenesis from negative energy balance, nutrient metabolism disorder, and dysregulation of intestinal flora. Traditional Chinese medicine believes that malignant tumors are formed by the cementation of phlegm, stasis, and cancer toxin. Prolonged accumulation of these substances can damage the vital qi and cause the vital qi deficiency failing to control. These substances then flow into the meridians and blood vessels, blocking the spread of essence and blood, leading to the loss of nourishment in the organs and resulting in a state of deficiency and barrenness. This is due to the deficiency caused by excess. Therefore, treatment should be based on the fundamental principle of “reinforce insufficiency and reduce excessiveness”, using the methods of “tonifying essence, building middle” and “resolving phlegm, removing blood stasis, and detoxifying”, integrating the advantages of traditional Chinese and western medicine to improve the nutritional status of malignant tumor patients. This aims to provide ideas and methods for the clinical treatment of tumor related malnutrition.
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