Chinese Medicine Outside Cancer Pain Clinical Evaluation And Speculative

Pain is the most common symptom of cancer patients and is the important factor to affect the quality of life in patients with advanced cancer.It is largely due to tumor growth, oppression and infiltration.Now modern medical think the main reason is: bone metastasy, oppression and excitement on the nerves,secreted some factors,stimulate the tissues, etc. In addition, the related but not the direct cause of cancer pain is treatment, and also psychological factors caused the pain. In clinic, to know the pain, only through patient or family members is not reliable and not scientific. After many practice,we got a lot of effective evaluation tools and methods, and VAS,NRS,VRS are used most widely.Now we can apparently relieve the first and second phase of pain through the oral drugs, surgery, nerve plexus block and traditional chinese medicine. Cancer patients which is under active treatment of cancer relieve the pain can let them tolerated anticancer treatment to increase anticancer effects.Medication is the most common way through the system, the correct use of drug treatment,90% of cancer patients to relieve the pain of sexual satisfaction, can make more than 75% of cancer patients was late for the pain got the better control. Chinese medicine practitioners in pain,at the same time can help solve the spiritual and psychological to the patient, is the impact of and improve the patient's symptoms and improve the subjective and the quality of life.Seientific clinical evaluation methods were lacking for Chinese medicine external therapy on cancerous pain.The level of clinical study was needed to be improved.When used Chinese medicine external therapy to treat with cancerous pain, different types of cancerous pain should be distinguished,and then applied treatments according to the differendation, and evaluated seientifieally.A nouncements of randolmized, blinded, control trial needed to be advanced.Introduced titration of morphine into the clinical trail of Chinese medicine external therapy on cancerous pain was exercisable.That not only complied with the three ladder principle for managing cancer pain which were suggested by the WHO, but also did not influence the effect evaluation of extemal therapy of TCM on caneerous pain.Patient diaries of pain were revised as observation indexes.The primary indicator of efficacy was the pain intensity seores, and the secondary ones were the equivalent of morphine and the remission rate of pain.The time to onset, remission duration and comparison of assessment of pain influence can mirror the characteristies of external therapy of TCM on cancerous pain.