PDF(3155 KB)
PDF(3155 KB)
PDF(3155 KB)
“形神同治”视角下肿瘤患者情志问题的中西医干预述评
Review of traditional Chinese and western medicine interventions for emotional issues in cancer patients from the perspective of "same treatment of form and spirit"
肿瘤引发的躯体损害与心理痛苦交互交织,严重影响患者的预后。当前,如何在肿瘤临床中构建既符合现代循证要求、又契合本土文化情境的心理干预模式,已成为中西医结合肿瘤学的重要课题。《黄帝内经》云“形与神俱,而尽终其天年”,深刻揭示了形体与神志的深层统一,这一理念与现代心身医学及脑-体互动机制高度吻合。本文以“形神同治”理念为核心,系统梳理了肿瘤情志失调的中西医病机演变及“五脏藏神”辨证框架,并从整合医学视角出发,探讨了中医临床路径与现代阶梯式分层照护模式的有机接口。本文通过系统阐释中医心理疗法、五行音乐、针灸及耳穴迷走神经调控等非药物干预手段,结合现代心理治疗技术,构建贯穿肿瘤诊断、治疗、康复及安宁疗护全病程的中西医结合干预策略,旨在为现代心理肿瘤学提供具有本土特色的整合治疗新范式。
The intertwined somatic damage and psychological distress induced by malignant tumors severely compromise patient prognosis. Currently, the construction of psychological intervention models in oncology that both meet modern evidence-based requirements and align with local cultural contexts has become an important endeavor in integrative oncology. The traditional Chinese medicine (TCM) theory of “unity of body and mind” (Xing-Shen He Yi) emphasizes the dynamic coupling of the soma and psyche, which highly aligns with modern psychosomatic medicine and the mechanisms of brain-body interaction. From the perspective of integrative medicine, this review systematically delineates the pathogenesis of tumor-related emotional disorders from both TCM and Western medicine, alongside the syndrome differentiation framework of “five Zang-organs storing spirit” (Wu Zang Cang Shen). Furthermore, it explores the organic integration of TCM clinical pathways with modern stepped-care management models. By systematically elucidating non-pharmacological interventions—including TCM psychological therapies, Five-Element music therapy, acupuncture, and auricular vagus neuromodulation—integrated with modern psychotherapeutic techniques, this paper constructs a comprehensive integrative intervention strategy spanning the entire disease trajectory: diagnosis, treatment, rehabilitation, and hospice care. Ultimately, this review aims to provide a novel treatment paradigm with local cultural characteristics for modern psycho-oncology.
肿瘤 / 形神同治 / 情志失调 / 中西医结合 / 全程管理
Tumor / Simultaneous treatment of body and mind / Emotional dysregulation / Integrative medicine / Whole-course management
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