乳腺癌术后的临证思考

Considerations on Treatment of Postoperative Mammary Carcinoma

古代重视乳岩之辨证,现代应重视乳腺癌术后之辨证;乳腺癌术后乃虚实挟杂之疾,整体属虚,局部属实,“扶正祛邪”是治疗大法,“扶正”应以益气健脾法贯穿始终,“祛邪”应以清化浊毒法辨证选用。中医药在乳腺癌综合治疗中占有重要地位,尤其是乳腺癌术后、放化疗期间 (或后),中医药具有改善机体免疫状态,增强放化疗疗效,降低放化疗毒副作用,降低复发转移率,提高生活质量,延长生命的作用。

In ancient times, careful attention was paid to syndrome differentiation for mammary cancer; nowadays, the attention should be paid to syndrome differentiation for postoperative mammary carcinoma. Postoperative mammary carcinoma is of excess-deficiency complex, deficiency in whole and excess in local. Supporting healthy aspects and eliminating pathogens are the major method; supporting healthy aspects concentrates on enriching qi and nourishing spleen, eliminating pathogens on clearing away turbid toxin. Chinese medicine pays a vital role in improving immunity, enhancing therapeutic effects, reducing side effects of radiotherapy and chemotherapy, decrease recurrence and metastasis, increasing life quality and prolonging life span.