刘胜基于“血不利则为水”理论辨治乳腺癌术后淋巴水肿经验  

Professor Liu Sheng’s experience in treating postoperative lymphedema in breast cancer patients based on the theory of “unsmooth blood circulation resulting in water retention”

作　　者：杨小娟 刘胜 YANG Xiaojuan;LIU Sheng(Institute of Traditional Chinese Medicine Surgery,Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China;Graduate School,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属龙华医院中医外科研究所,上海200032 [2]上海中医药大学研究生院,上海201203

出　　处：《上海中医药杂志》2022年第8期33-36,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(81774308)

摘　　要：介绍刘胜教授基于“血不利则为水”理论,从气、血、水论治乳腺癌术后淋巴水肿的经验。认为“无处不气化,无处不气血”,气化与水液代谢功能障碍乃本病发生的关键,而“血不利则为水”为核心病机;治疗上主张扶正祛邪兼顾,补肾健脾、益气养血以固本,破血逐瘀、利水消肿祛其邪。并举验案1则。In this article,Professor Liu Sheng’s experience in treating postoperative lymphedema by focusing on qi,blood and water in breast cancer patients has been introduced and his main idea comes from the theory of“unsmooth blood circulation resulting in water retention”.Pro.Liu believes that“qi-transformation and qi-blood circulation is everywhere inside the body”.Therefore,the dysfunction of qi-transformation and water metabolism is the key to the occurrence of postoperative lymphedema,and the core pathogenesis is“unsmooth blood circulation resulting in water retention”.In terms of treatment,Professor Liu advocates a balance between supporting the vital qi and dispelling the pathogenic qi.Specifically,the methods of tonifying the kidneys,strengthening the spleen,benefiting qi and nourishing the blood are adopted to strengthen the root,while the methods of removing blood stasis with drastic medicinals and expelling blood stasis,inducing diuresis to remove edema are used to dispel the pathogenic factors.One proven case is presented for exemplification.

关 键 词：血不利则为水 乳腺癌 围术期 淋巴水肿 中医药疗法 

分 类 号：R273[医药卫生—中西医结合] R249[医药卫生—中医肿瘤科]