乳腺癌辨证思路及治疗经验探析  

Analysis of syndrome differentiation and treatment experience on breast cancer

作　　者：杨静 高文仓 黄金昶[2] YANG Jing;GAO Wencang;HUANG Jinchang(Department of Oncology,Second Affliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310053,China;Department of Acupuncture and Moxibustion Minimally Invasive Oncology,Beijing University of Chinese Medicine Third Affliated Hospital,Beijing 100029,China)

机构地区：[1]浙江中医药大学附属第二医院肿瘤科,杭州310053 [2]北京中医药大学附属第三医院针灸微创肿瘤科,北京100029

出　　处：《中华中医药杂志》2024年第6期2945-2948,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金面上项目(No.82074545)。

摘　　要：文章介绍了黄金昶教授临床对乳腺癌的辨证与治疗经验。黄教授指出乳腺癌病机为肝血耗伤、肝郁脾虚、痰瘀毒结;辨证时应注重整体和局部辨证相结合,利用病灶部位及转移癌部位、免疫组化等辨证;该病治疗手段多样,应多管齐下,内服中药宜养血疏肝、健脾通络散结,中医外治可干预肿瘤微环境以抑瘤,同时要注重心理调节。总结黄教授对乳腺癌的辨治思路对临床治疗本病具有一定的借鉴意义。This article introduces professor HUANG Jinchang's clinical experience in treating breast cancer based on syndrome differentiation.Professor HUANG pointed out that the pathogenesis of breast cancer is liver blood deficiency,liver stagnation and spleen deficiency,and phlegm and blood stasis.It should pay attention to the combination of overall syndrome differentiation and local syndrome differentiation,and use the lesion location,cancer metastasis site,immunohistochemistry,etc.in syndrome differentiation.The treatment methods are diverse and multi-pronged:Herbal treatment should nourish the blood,soothe the liver,strengthen the spleen,regulate menstruation,and disperse stagnation.External treatment with traditional Chinese medicine intervenes in the tumor microenvironment and inhibits tumors;at the same time,psychological adjustment should be focused on.To summarize professor HUANG's experience of syndrome differentiation and treatment of breast cancer has certain reference significance for the clinical treatment of this disease.

关 键 词：黄金昶 乳腺癌 辨证 情志 综合疗法 

分 类 号：R273[医药卫生—中西医结合] R249[医药卫生—中医肿瘤科]