白祯祥从“瘀”论治乳腺癌术后淋巴水肿经验

Clinical experience of Professor BAI Zhenxiang in treating lymphedema after breast cancer surgery from the perspective of stasis

白祯祥老师认为,乳腺癌术后淋巴水肿归属于中医"水肿""阴水"等范畴,其病位多在肝、脾、肾,以脾肾亏虚为本,气滞、血瘀、水湿三者为标,瘀血贯穿疾病始终。临证时要灵活运用活血益气温阳、清热利湿消肿、通络化痰散结。

Professor BAI Zhenxiang believes that lymphedema after breast cancer surgery can classify into“edema”,“Yinshui(阴水)”and other categories in traditional Chinese medicine,and its location is mostly in the liver,spleen and kidneys.The spleen and kidney deficiency is its root cause,and three indicators of Qi(气)blocking,blood stasis and water dampness are its ostensible causes,while blood stasis runs through the whole course of the disease.During clinical treatment,it is necessary to activate blood circulation,invigorate Qi,warm Yang(阳),clear heat,remove dampness and swelling,dredge collaterals,dissipate phlegm,and eliminate stagnation.