基于中医“治未病”理论试析乳腺癌的中医诊疗特点

Analysis of the TCM diagnosis and treatment characteristics of breast cancer based on its preventive treatment theory

“治未病”的思想理论最早见于《内经》,是中医预防医学的精粹,中医“治未病”思想在乳腺癌的各阶段诊疗中皆有所体现,与现代预防医学所提倡的“三级预防”有共通之处。本文从乳腺癌高危人群、巩固治疗的无瘤患者和生命体征稳定的带瘤患者,这三个阶段、三种人群,阐述中医“治未病”的主要特点,结合患者常见临床症状,浅析了治疗的思想和用药原则,为临床工作者提供一定的参考。

The theory of preventive treatment of diseases,first proposed in the book of Huangdi Neijing(Inner Canon of Huangdi),is the essence of the preventive medicine of traditional Chinese medicine.The thought can be applied in the diagnosis and treatment of breast cancer at all stages,and has something in common with the three levels of prevention advocated by the modern preventive medicine.This article expounds the main TCM characteristics in the preventive treatment of breast cancer from the perspective of its three stages and three groups of population,respectively of the high-risk population,tumor-free patients yet undergoing a consolidation therapy,and patients suffering from a tumor yet with stable vital signs.At the same time,combined with the patients,common clinical symptoms,the article analyzes the treatment ideas and medication principles,expecting to provide certain reference for clinical workers.