从“引火归元”论治局部晚期乳腺癌

Discussion on Treatment of Locally Advanced Breast Cancer Based on“Guiding Fire to Origin”

“引火归元”是从相火立论认识和解释人体生理和病理变化的重要理论。从“引火归元”的视角认识局部晚期乳腺癌,认为乳房多气多血的生理特点决定了其易于从阳化火的特点。相火妄动,与乳房局部的病理因素搏结,则杂合形成邪火,整个病理过程中包含相火妄动、邪火炽盛、阴阳两虚三方面,且三者常互为因果、彼此纠缠。临证可选用引火汤、封髓丹等内治法改善机体状态,并酌用外治法清散邪火。

“Guiding fire to origin”originated from the theory of ministerial fire,is an important theory for understanding and explaining human physiology and pathology.The physiological characteristics of breast with much Qi and blood determined the easiness to turn into fire following Yang,though understanding locally advanced breast cancer from the perspective of“guiding fire to origin”.Ministerial fire madness and the combination with the local pathological factors of the breast would form the evil fire.The whole pathological process includes three aspects:Ministerial fire madness,blazing evil fire and deficiency of Yin and Yang.Yinhuo Decoction,Fengsui Pill were considered to be available as supplemental treatment to improve body condition,and external treatment was also available to clear the evil fire away.