乳腺癌术后潮热辨治体会  

Experience in Syndrome Differentiation and Treatment of Postoperative Tidal Fever of Breast Cancer

作　　者：尹剑云[1] 朱琦[1] 陈焱[1] 顾建伟[1] YIN Jianyun;ZHU Qi;CHEN Yan;GU Jianwei

机构地区：[1]南京中医药大学昆山附属医院甲状腺乳腺外科,江苏苏州215300

出　　处：《新中医》2022年第12期179-183,共5页New Chinese Medicine

摘　　要：乳腺癌术后潮热是常见临床症状,治疗较为棘手。其病因病机复杂多样,主要有肝肾亏虚之体,外加手术创伤,放射疗法、化学疗法及内分泌疗法的影响,不良情绪的刺激以及乳腺癌余毒未清等因素日久导致心、肝、肾三脏功能失调,潮热随之而生。将其分为心火上炎、肾水不足,肝阳上亢、肾水不足,心火上炎、肾阳亏虚,肝肾亏虚、痰热内扰四型论治。遵扶正祛邪为大法,以益气养阴、调摄冲任、活血解毒立法创乳癌术后方,以其为基本方,随证化裁,常获良效。Postoperative tidal fever of breast cancer is common and difficult to treat.Its etiology and pathogenesis are complex and diverse,mainly including the liver-kidney deficiency,plus surgical trauma,adverse reactions of radiotherapy,chemotherapy and endocrine therapy,induction of adverse emotions,unclear residual toxins,etc.Various factors affect the body for a long time,resulting in dysfunction of the heart,the liver and the kidney,leading to the occurrence of tidal fever.The syndrome differentiation and treatment can be divided into four types,namely heart fire flaming upward and insufficient kidney water,ascendant hyperactivity of liver yang and insufficient kidney water,heart fire flaming upward and kidney yang deficiency,and the liver-kidney deficiency and phlegm-heat harassing the interior.The main method is to reinforce healthy qi and dispel pathogen,and Ru’ai Shuhou prescription is put forward based on methods of boosting qi and nourishing yin,regulate thoroughfare and conception vessels and activating blood and detoxifying;based on syndrome differentiation,the modification of the prescription mentioned above can help achieve good effects.

关 键 词：潮热 乳腺癌术后 乳癌术后方 心火上炎 肝阳上亢 肾水不足 痰热内扰 

分 类 号：R730.6[医药卫生—肿瘤]