从气论治乳腺癌术后虚劳特色理论探讨  

Characteristical experience in treating fatigue after breast cancer surgery from qi

作　　者：宋博 牟睿宇 邬明歆 李小江[1,2] 贾英杰 SONG Bo;MOU Ruiyu;WU Mingxin;LI Xiaojiang;JIA Yingjie(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300381,China;National Clinical Research Center of Traditional Chinese Medicine Acupuncture,Tianjin 300381,China)

机构地区：[1]天津中医药大学第一附属医院,天津300381 [2]国家中医针灸临床医学研究中心,天津300381

出　　处：《天津中医药》2023年第4期452-455,共4页Tianjin Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局中医药循证能力建设项目(2019XZZX-ZL007)。

摘　　要：随着人们生活方式及饮食结构的改变,乳腺癌在女性中的发病率越来越高。手术在乳腺癌治疗中占有重要地位,但手术严重耗伤人体正气,且因治疗造成的外形改变常会进一步加重患者心理负担,使患者术后出现一系列不适症状。中医药在改善患者术后症状方面疗效显著。贾英杰教授认为,乳腺癌属本虚标实,其发病机理为“正气内虚,毒瘀并存”,然手术多耗伤正气,因此术后患者多以气虚血瘀多见。贾英杰教授从气论治乳腺癌术后虚劳,以补气培本为主,同时配合使用调气助本法、调气导邪法、调气运中法,四法通用,使补气固本,气机调畅,有效缓解患者术后不良反应,同时提高患者免疫力,防止肿瘤的转移及复发。With the change of people's lifestyle and diet structure,the incidence of breast cancer in women is getting higher and higher.Surgery occupies an important position in the treatment of breast cancer,but surgery seriously damages the body's righteousness,and the appearance changes caused by the treatment often further increase the patient's psychological burden,causing patients to experience a series of discomfort symptoms after surgery.Traditional Chinese medicine has a significant effect on improving patients'postoperative symptoms.Professor JIA Yingjie believes that breast cancer always belongs to deficiency in origin and excess in superficiality,and its pathogenesis is"positive qi internal deficiency,coexistence of poison and blood stasis".However,surgery often consumes right qi,so patients with postoperative qi deficiency and blood stasis are more common.Professor JIA Yingjie's treatment of fatigue after breast cancer surgery is mainly based on qi supplementation,and at the same time,the four methods are used in combination with the qi-assisting method,the qi-adjusting evil-inducing method,the qi-adjusting transport method and the Chinese method.Guben,the ventilator can be adjusted smoothly,which can effectively relieve the postoperative adverse reactions of the patient,and at the same time improve the patient's immunity and prevent the metastasis and recurrence of the tumor.

关 键 词：乳腺癌 术后 虚劳 中医药 从气论治 

分 类 号：R737.9[医药卫生—肿瘤]