刘亚娴辨证论治乳腺癌经验总结

LIU Ya-xian's experience in treating breast cancer on the basis of syndrome differentiation

刘亚娴教授临证经验丰富,善于辨证,在乳癌病的诊治过程中,认为其病证变化多端,应随证施治,治疗从"郁""瘀""痰""虚"入手。其中,肝气郁结是乳癌的重要发病因素。肝郁者疏肝解郁,常用逍遥散加减;瘀血内阻者,常用血府逐瘀汤加减;痰邪内阻者,方药二陈汤、逍遥丸、消瘰丸化裁;阳虚寒凝者,温阳散寒通络,方用阳和汤合补阳还五汤加减。乳癌晚期要注重保护正气,稳中求进,运用补药应注意"补""运"结合,防止"呆补",方能取得良好治疗效果,并用典型医案进行详尽分析。

Professor LIU Ya-xian is rich in clinical experience and she is good at syndrome differentiation. Professor LIU believes that in the process of diagnosis and treatment of breast cancer, the syndrome is varied and should be treated with the syndromel and the treatment from ＇stagnation＇, ＇stasis＇, ＇phlegm＇ and ＇deficiency＇. The liver qi stagnation syndrome is an important risk factor of breast cancer. Relieving stagnation of liver for the stagnation of liver commonly used Xiaoyao Powder. Internal blockade of static blood commonly used Xuefu Zhuyu Decoction. Internal blockade of phlegm commonly used modified Erchen Decoction, Xiaoyao Pill and Xiaoluo Pill. Warming yang for dispelling cold for yang deficiency and coagulated cold commonly used Yanghe Decoction and Buyang Huanwu Decoction. Advanced cancer should focus on protecting the vital qi, seeking improvement in stability, and paying attention to ＇tonify＇ and ＇transport＇ combined to prevent ＇strict tonify＇, so as to achieve a good therapeutic effect, and a detailed analysis of typical cases is presented in the paper.