宋爱莉教授治疗乳腺癌内分泌治疗期类更年期综合征经验总结

Summary of Professor Song Aili’s experience in treating menopausal-like syndrome in endocrine therapy of breast cancer

名老中医宋爱莉教授经验丰富,认为乳腺癌内分泌治疗期类更年期综合征的根本病机为肾精亏虚,发病特点为肾虚为本,痰毒为标。根据多年临床经验总结,结合五脏关系,宋爱莉教授将该病辨为肝肾阴虚、脾肾阳虚、心肾不交3个证型。总的治疗原则是以滋肾补肾治其本,以祛湿化痰、清热解毒治其标,在补虚的同时不忘祛邪以抑制癌症的发展。根据各证型的不同,治以疏肝解郁,益气健脾,清心除烦等法。宋爱莉教授重视脾胃的作用,提出中病即止,不要损伤脾胃,脾为后天之本,气血生化之源,补肾亦要补脾。临床上常采用二仙汤、二至丸、补中益气汤等方药,临床疗效显著。故总结宋爱莉教授的临床辨证思维,以期能够为中医药治疗乳腺癌内分泌治疗期类更年期综合征提供经验。

Professor Song Aili is a senior well-known traditional Chinese medicine physician,who has rich clinical experience.She considers that the deficiency of kidney essence is the root cause of menopausal-like syndrome in endocrine therapy of breast cancer.And the pathogenetic character is that deficiency of kidney is the root,phlegm and toxin is the manifestation.According to years of clinical experience,combined with the relationship between the five viscera,Professor Song Aili thinks the disease can be divided into three syndromes,such as the yin deficiency of liver and kidney,the yang deficiency of spleen and kidney,and the disharmony between heart and kidney.The general principle of treatment is focusing on nourishing kidney and tonifying kidney to treat its root,and removing dampness and dissipating phlegm,clearing heat and removing toxicity to treat its manifestation,in the deficiency while not forgetting to remove evil to inhibit the development of cancer.According to the difference between these syndromes,she uses treatments like dispersing stagnated liver qi for relieving qi stagnation,nourishing qi to invigorate spleen,clearing heart and removing trouble.Professor Song Aili pays attention to the function of spleen and stomach,and thinks that the prescription should be stopped as soon as the syndrome is cured in order not to harm spleen and stomach.The spleen being acquired foundation,the source of qi and blood biochemistry,tonifying kidney also needs to tonify spleen.Erxian Decoction,Erzhi Pills,Buzhong Yiqi Decoction and other prescriptions are often used in clinic,and the clinical effect is remarkable.Therefore,to summarize professor Song Aili’s clinical syndrome differentiation thinking,in order to provide experience for traditional Chinese medicine treatment of menopausal-like syndrome in endocrine therapy of breast cancer.