顾氏外科乳腺癌治验  

GU's academic thought and clinical experience in the treatment of breast cancer

作　　者：张帅[1] 刘胜[1] 

机构地区：[1]上海中医药大学附属龙华医院,上海200032

出　　处：《吉林中医药》2017年第3期241-244,共4页Jilin Journal of Chinese Medicine

基　　金：上海市进一步加快中医药事业发展3年行动计划(ZY3-LCPT-2-1002);中医药行业科研专项(201507001-10);国家自然基金项目(81173269)

摘　　要：综合顾氏外科几代人的临床实践总结,"痰毒瘀结"是乳腺癌发生和发展的核心病机,"余毒"是术后复发转移的关键因素。临床以益气养阴、养血疏肝、温肾扶阳为治则,"先安未受邪之地"防止复发转移;因乳腺癌术后余毒残留体内,日久痰毒瘀结致毒性渐变而易旁窜他处的特点,以活血化瘀、化痰软坚、清热解毒为治则"截断扭转"防止复发转移。临证以生黄芪、淫羊藿、麦冬等安未受邪之地,以山慈菇、露蜂房、八月札等截断扭转。诸药合用组成乳腺术后方,防止乳腺癌术后的复发转移。Based on clinical experience of GU＇s surgery department, this paper argues that ＂Tandu Yujie＂ is the essential pathogenesis of the breast cancer in the development. ＂Yudu ＂is the key pathogenesis of recurrence and metastasis after operation. The principles of supplementing qi and yin, nourishing blood and relaxing liver, warming kidney and invigorating yang to protect the unaffected locations, because the residual poison remaining in the body is easy to change and attack other locations, the principles of activating blood and dissolving stasis, eliminating phlegm and softening mass, clearing away heat and toxic materials should also be followed to terminate and reverse the development of disease. In the clinical, with Huangqi, Yinyanghuo, Tianmendong and other drugs to prevent the disease without happen, with Shancigu, Fengfang, Bayuezha to cut off the changes of diseases. These drugs are combined to form a prescription for the operation of breast cancer and resist to recurrence and metastasis.

关 键 词：乳腺癌 复发转移 益气养阴 养血柔肝 化痰软坚 清热解毒 

分 类 号：R268[医药卫生—中医外科学]