从风、痰、瘀论治乳腺癌脑转移

Treatment of Brain Metastasis of Breast Cancer from Wind-Pathogen,Phlegm and Blood Stasis

风邪、痰凝、血瘀、毒结是乳腺癌的重要致病因素,也是病理产物,风邪上扰,痰瘀互结,阻滞脑络是乳腺癌脑转移的病机所在。治疗当从风、痰、瘀入手,治疗原则当以祛风、化痰、散瘀、解毒为主。具有化痰散瘀解毒之功效的经验方剂乳移平(蜂房、山慈姑、莪术、八月札、薏苡仁)为上海中医药大学附属龙华医院刘胜的多年经验总结,结合笔者的临证经验体会,配伍制天南星、全蝎、蜈蚣后,能够改善乳腺癌脑转移患者的诸多临床不适症状。

Traditional Chinese medicine considers that wind pathogen, phlegm coagulation and blood stasis toxin are important pathogenic factors as well as pathological products of breast cancer. Wind pathogen, phlegm and blood stasis blocking brain collaterals are the pathogenesis of brain metastasis of breast cancer. The treatment of such diseases should start with wind pathogen, phlegm and blood stasis. The treatment principle should be based on removing wind pathogen, phlegm and blood stasis and detoxification. Ruyiping(乳移平) was made by LIU Shen(Longhua Hospital Affiliated to Shanghai University of Chinese Medicine) based on his years of experience summary. Ruyiping was made up of Beehive(Fengfang), Sagittaria(Shancigu), Curcuma(Ezhu),Bayzha(Bayezha) and Coix seed(Yiyiren), with the effect of resolving phlegm, removing blood stasis and detoxifying. The compatibility of processed rhizoma arisaematis(Tiannanxing), scorpion(Quanxie) and centipede(Wugong) can improve many clinical uncomfortable symptoms of breast cancer patients with brain metastasis.