国医大师周仲瑛教授辨治乳腺癌临证医案经验

Clinical Experience of Professor Zhou Zhongying in Diagnosis and Treatment of Breast Cancer

目的:研究周仲瑛教授临床治疗乳腺癌经验及规律。方法:采用Medcase数据处理平台,运用频数规则方法对周仲瑛教授临床治疗乳腺癌的医案进行解构分析,并结合结果运用辨治规律。结果:本研究涉及病例316例,1664诊次,临床症状429种,病机181条,药物344种,药物种类覆盖10大类。结论:周仲瑛教授认为乳腺癌病性总属本虚标实、虚实夹杂,主要病位在肝肾,涉及脾、胃等脏腑;核心证型为气阴两伤、肝肾两虚等;治疗乳腺癌常用药物多为清热类和益气养阴类药物,祛邪药物使用多于扶正药物。

Objective:To study Professor Zhou Zhongying′s clinical experience in the treatment of breast cancer.Methods:Medcase was employed to analyze the breast cancer cases treated by Professor Zhou Zhongying with the frequency counting method,on the basis of which the rules of syndrome differentiation and treatment were mined.Results:This study involved 316 cases,1664 visits,429 clinical symptoms,181 disease causes,344 drugs,and 10 categories of drugs.Conclusion:Professor Zhou believes that breast cancer is caused by the combination of deficiency in the body and excess pathogen on the body,and the disease mainly attacks the liver and kidney,involving the spleen,stomach,and other viscera.Most of the patients showed the syndromes of qi and yin consumption and liver and kidney deficiency.Heat-clearing herbs and qi-replenishing and yin-nourishing herbs were commonly used for treating breast cancer.The frequency of pathogen-dispelling herbs was higher than that of healthy qi-reinforcing herbs.