基于“诸湿肿满,皆属于脾”从三焦论治乳腺癌相关淋巴水肿

Treatment of breast cancer-related lymphedema from sanjiao based on the view of"All dampness syndromes with swelling and fullness are ascribed to the spleen"

乳腺癌相关淋巴水肿是乳腺癌术后、放化疗后的常见并发症,目前治疗手段有限,病情易迁延反复,严重影响患者生活质量。中医药治疗乳腺癌相关淋巴水肿疗效颇佳,但存在理论基础和机制尚不明确的问题。近现代研究逐渐发现脾与三焦均和淋巴系统有一定联系,故提出治疗上健脾利湿、恢复三焦气化功能的观点,以期为乳腺癌相关淋巴水肿临床诊断与治疗提供参考。

Breast cancer-related lymphedema is a common complication after breast cancer surgery and chemoradiotherapy.At present,its treatment methods are limited,and the condition is easy to be prolonged and reoccur,seriously affecting the quality of life of patients.Traditional Chinese medicine(TCM)is quite effective in the treatment of the disease,but its theoretical basis and mechanisms are still unclear.Modern studies have gradually discovered that both the spleen and sanjiao are related to the lymphatic system to some extent,so it is proposed to treat breast cancer-related lymphedema by invigorating the spleen and restoring the qi transformation function of sanjiao,which is expected to offer some benefits for patients with the disease.