王肯堂《证治准绳》相关乳腺癌辨证论治经验  

Wang Kentang’s experience in differential diagnosis and treatment of breast cancer related to Zhengzhi Zhunsheng

作　　者：王宁杰 谷宁[2] 张凯新 张溢洋 李志刚[2] WANG Ningjie;GU Ning;ZHANG Kaixin;ZHANG Yiyang;LI Zhigang(College of Acupuncture and Massage,Henan University of Chinese Medicine,Henan Province,Zhengzhou450046,China;Department of Oncology,the Third Affiliated Hospital,Henan University of Chinese Medicine,Henan Province,Zhengzhou450008,China)

机构地区：[1]河南中医药大学针灸推拿学院,河南郑州450046 [2]河南中医药大学第三附属医院肿瘤科,河南郑州450008

出　　处：《中国医药导报》2023年第31期137-141,共5页China Medical Herald

基　　金：河南省中医药科学研究专项课题(2022ZY1095)。

摘　　要：《证治准绳》系明代医家王肯堂所著,对乳岩的论治在前人基础之上又有所创新,其病因病机主要与忧怒郁遏、肝郁气滞、肝脾两伤,痰毒蕴结、气血亏虚等有关,少见的男性乳腺癌则因怒火房欲损伤肝肾所致;王肯莹倡导辨证立法,依据临床表现灵活施治,重视情志疗法,在调畅情志之余明辨病机差异,谨查气血虚实;提出乳岩应早发现,早诊断,早治疗,这与现代医学对乳腺癌的认识不谋而合。探析王肯堂治疗乳岩的临证经验,对乳腺癌辨证施治有启发和指导意义。Zhengzhi Zhunsheng is a medical book written by Wang Kentang,a physician of the Ming dynasty,which revolutionizes the diagnosis and treatment of breast diseases based on the work of his predecessors,the main etiology and pathogenesis of breast diseases are anxiety and depression,liver depression and qi stagnation,impaired liver and spleen function,accumulation of phlegm and poison,and deficiency of qi and blood,etc.In rare cases of male breast cancer,it is attributed to liver and kidney damage caused by anger and excessive libido.Wang Kentang emphasizes the importance of dialectical treatment,where treatment methods are flexibly applied based on clinical manifestations.He also highlights the significance of emotion therapy,distinguishs the difference in pathogenesis while regulating emotion,emphasizes the importance of examining the actual condition of qi and blood.He propose that milky rock should be detected,diagnosed and treated early,which coincides with the understanding of breast cancer in modern medicine.The analysis of Wang Kentang’s clinical experience in the treatment of milky rock is of enlightening and guiding significance for the syndrome differentiation and treatment of breast cancer.

关 键 词：王肯堂 《证治准绳》 乳岩 辨证论治经验 

分 类 号：R256.56[医药卫生—中医内科学]