蒋士卿辨治乳腺癌内分泌药物治疗后不良反应经验  

Professor Jiang Shiqing's Treatment Experience of Adverse Reactions When Using Endocrine Drug to Treat for Treast Cancer

作　　者：张孟哲 杜如辛 徐鑫[1] 宋文佳[1] 肖兴辉[1] 蒋士卿[1] 

机构地区：[1]河南中医药大学,河南郑州450046

出　　处：《中医学报》2018年第1期15-17,共3页Acta Chinese Medicine

基　　金：国家中医临床研究基地业务建设科研专项课题(JDZX2012025)

摘　　要：蒋士卿教授结合自身多年临床经验和对中医理论的认识,从虚、郁、痰三方面阐述乳腺癌病机变化,认为肾为元气之根,肾精充则天癸溢泻。内分泌药物抑制肾精,阻碍天癸充实,致使肾阴阳俱虚于下,虚火上扰,为发病的根本;脾虚失运,痰浊内生为发病的重要条件。蒋教授临证重视肝、脾、肾三脏,以虚、郁、痰为病理因素论治激素依赖性乳腺癌患者内分泌药物治疗后不良反应,确立调补肝肾、开郁化痰的治疗原则,同时结合临床证候辨证施治,取得良好成效。Based on many years of clinical experience and the understanding of TCM theory,Professor Jiang Shiqing elucidated the pathogenesis of breast cancer from three aspects： deficiency,depression and phlegm. Kidney is the source of human Yuan Qi,and the adequate Kidney essence would bring about the Tiangui production. However,endocrine drugs inhibit Kidney essence and impede the enrichment of the decoction,which would result in the decreasing of Kidney Yin and Yang and the deficiency Fire within human body to interfere with the healthy system. This is the fundamental factor in pathogenesis. Besides,Spleen deficiency and Phlegm are the important physical conditions based on which illnesses take place. Professor Jiang pays great emphasis on regulating the function Liver,Spleen and Kidney in clinical treatment. In cope with the adverse reactions caused by endocrine drugs in treatment of breast cancer,Deficiency,Stasis and Phlegm syndrome are the main pathological factors and treatment principles of regulating Liver and Kidney,regulation patients＇ emotion and resolving Phlegm are used in combination in clinical syndrome differentiation and treatment. In this way,good results can be achieved.

关 键 词：乳腺癌 不良反应 内分泌药物 蒋士卿 名医经验 

分 类 号：R273.379[医药卫生—中西医结合]