乳腺癌术后水肿的“阳化气,阴成形”论治探究

Treatment of Lymphedema after Breast Cancer Operation Based on “Yang Hua Qi and Yin Cheng Xing”

乳腺癌在我国,近些年来发病率逐年上升,且趋于年轻化,而乳腺癌术后上肢淋巴水肿是乳腺癌常见的术后并发症,患者常出现患侧上肢不同程度的肿胀、麻木、疼痛、活动受限等临床表现,临床上具有一定的难治性,本文立足于“阳化气,阴成形”理论探究了乳腺癌术后上肢淋巴水肿的成因,结合导师临证经验,浅析了诊疗思路,从整体观念出发,辨证施治,以扶阳为核心思想,温化过甚的浊阴,加之补益肺脾肾,益气固阳,同时不忘治病求本,抗癌消癥预防疾病的转移复发,最后注重机体的阴阳平衡,促进患者机体阴平阳秘,提高患者生活质量,延长患者生存期。In recent years, the incidence of breast cancer in China has increased year by year, and tends to be younger. Breast cancer related lymphedema is a common postoperative complication of breast cancer. Patients often have different degrees of swelling, numbness, pain, limited movement and other clinical manifestations of the affected upper limb. It is clinically difficult to treat. This article is based on the theory of “transforming yang into qi, transforming yin into form” to explore the causes of postoperative upper limb lymphedema in breast cancer. By combining the clinical experience of mentors, analyzing the diagnosis and treatment ideas, starting from a holistic perspective, and treating the disease with syndrome differentiation, the core idea is to nourish yang, warm and transform excessive turbid yin, supplement the lungs, spleen, and kidneys, tonify qi, strengthen yang, while not forgetting to treat the disease at its root, prevent cancer symptoms, prevent disease metastasis, and recurrence, and finally focusing on achieving a balance of yin and yang in the body, promoting the balance of yin and yang in the patient’s body, improving the quality of life of the patient, and extending the patient’s survival period.