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基于阿育吠陀经典疗法对多西他赛、卡铂和赫赛汀化疗所致周围神经病变的管理——一例报告

Classical ayurveda management of TCH (taxane, carboplatin, and herceptin) based chemotherapy induced peripheral neuropathy- A case report.

作者信息

Buch Zankhana, Hegde Suprabha, Lakshmi Aishwarya, Bhat Swathi

机构信息

Sri Shankara- AyurVAID Centre for Integrative Oncology, India.

AyurVAID Hospitals, Bangalore, India.

出版信息

J Ayurveda Integr Med. 2024 Sep-Oct;15(5):101044. doi: 10.1016/j.jaim.2024.101044. Epub 2024 Sep 7.

Abstract

Although empirical data on the influence of Ayurveda on Chemo/Radiotherapy-induced side effects are limited, its methodological framework, grounded in a 'systems thinking' perspective, enables the precise delineation of the pathogenic stage of these side effects. This, in turn, facilitates the development of a strategy to address the decline in the quality of life parameters commonly associated with cancer treatment. Ayurveda personalized approach to disease management typically involves providing customized diets, lifestyle adjustments, medications, and detoxification therapies that target the entire body. We present a case involving a patient with numbness and pain in the right hand after undergoing chemotherapy who was referred to us by an oncologist for symptom management. This case report demonstrates the Ayurveda approach for establishing the etiology, pathogenesis, pathophysiology, and treatment of Chemotherapy-Induced Peripheral Neuropathy (CIPN) resulting from taxane-based chemotherapy. Following Ayurveda intervention, the patient exhibited significant improvements in symptoms and quality of life parameters. This case report systematically illustrates the application of Ayurveda approach in CIPN management.

摘要

虽然关于阿育吠陀对化疗/放疗引起的副作用影响的实证数据有限,但其基于“系统思维”视角的方法框架,能够精确界定这些副作用的致病阶段。这反过来又有助于制定策略,以解决通常与癌症治疗相关的生活质量参数下降问题。阿育吠陀针对疾病管理的个性化方法通常包括提供定制饮食、生活方式调整、药物治疗以及针对全身的排毒疗法。我们呈现一个病例,一名在接受化疗后右手出现麻木和疼痛的患者,由肿瘤学家转介给我们进行症状管理。本病例报告展示了阿育吠陀方法用于确定基于紫杉烷化疗导致的化疗引起的周围神经病变(CIPN)的病因、发病机制、病理生理学及治疗。经过阿育吠陀干预后,患者的症状和生活质量参数有显著改善。本病例报告系统地阐述了阿育吠陀方法在CIPN管理中的应用。

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Chemotherapy-induced neuropathy: A comprehensive survey.化疗诱导性神经病:全面调查。
Cancer Treat Rev. 2014 Aug;40(7):872-82. doi: 10.1016/j.ctrv.2014.04.004. Epub 2014 Apr 18.

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