Chinese expert consensus on the diagnosis and treatment of chronic pain after lung surgery with integrated Traditional Chinese and Western medicine (2026 edition)_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

QU Jichen ¹ , ZHANG Wentian ⁴ , CAI Jianqiao ⁴ , CHEN Zhigang ⁴ , LI Bin ⁵ , DAI Wei ³ , WANG Xiangwu ⁶ , LI Yan ⁷ , Lü Xiang ⁷ , ZHU Yongfu ⁸ , XIE Mingran ⁹ ,  ZHANG Sufang ² ,  JIANG Lei ⁴ , Committee of Chest Minimally Invasive Integrated Traditional Chinese and Western Medicine

1. Department of Thoracic Surgery, Jiuquan Hospital of Shanghai General Hospital, Shanghai General Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, 200400, P. R. China;
2. Department of Integrated Traditional Chinese and Western Medicine, Shanghai Pulmonary Hospital Affiliated to Tongji University, Shanghai, 200433, P. R. China;
3. Department of Thoracic Surgery, Sichuan Cancer Hospital, Chengdu, 610041, P. R. China;
4. Department of Thoracic Surgery, Shanghai Pulmonary Hospital Affiliated to Tongji University, Shanghai, 200433, P. R. China;
5. Geriatrics Department, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610072, P. R. China;
6. Preventive Treatment Center, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610072, P. R. China;
7. Department of Oncology, Shanghai Traditional Chinese Medicine Hospital, Shanghai, 200433, P. R. China;
8. Department of Oncology, The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, 230031, P. R. China;
9. Department of Thoracic Surgery, The First Affiliated Hospital of University of Science and Technology of China, Hefei, 230001, P. R. China;

Corresponding?author：

ZHANG Sufang, Email: d_zhangsufang@126.com; JIANG Lei, Email: jiangleiem@aliyun.com

Keywords：

Lung surgery; chronic post-lung surgery pain; integrated Chinese and Western medicine; multimodal analgesia; individualized treatment; herbal prescriptions; acupuncture; expert consensus

DOI：

10.7507/1007-4848.202602041

Video：

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Chronic post-surgical pain (CPSP) is a common long-term complication following lung surgery. Its high incidence significantly impacts patients’ quality of life and functional recovery, and imposes a substantial socioeconomic burden. This consensus aims to systematically establish a standardized integrated Chinese and Western medicine diagnostic and treatment framework for chronic post-lung surgery pain (CPLSP). Based on the latest domestic and international evidence-based medical research and multidisciplinary clinical experience, the working group comprehensively elaborates on core issues regarding CPLSP, including its definition, epidemiology, pathogenesis, clinical assessment, Western medical treatment, traditional Chinese medicine (TCM) treatment, and integrated strategies. The consensus emphasizes a patient-centered approach, adhering to the principles of multimodality, individualization, and stepwise management, highlighting the synergistic advantages of integrating Chinese and Western medicine throughout the entire perioperative management cycle encompassing "perioperative anti-inflammation, acute analgesia, and chronic rehabilitation." Through systematic literature retrieval and evidence integration, a total of 9 core recommendations were established to provide scientifically sound and clinically practical guidance.

Citation： QU Jichen, ZHANG Wentian, CAI Jianqiao, CHEN Zhigang, LI Bin, DAI Wei, WANG Xiangwu, LI Yan, Lü Xiang, ZHU Yongfu, XIE Mingran, ZHANG Sufang, JIANG Lei, Committee of Chest Minimally Invasive Integrated Traditional Chinese and Western Medicine. Chinese expert consensus on the diagnosis and treatment of chronic pain after lung surgery with integrated Traditional Chinese and Western medicine (2026 edition). Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2026, 33(4): 522-534. doi: 10.7507/1007-4848.202602041 Copy

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Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Chinese expert consensus on the diagnosis and treatment of chronic pain after lung surgery with integrated Traditional Chinese and Western medicine (2026 edition)

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