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肉芽肿性乳腺炎半阴半阳证证治
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作者 李志鲲 程旭锋 +1 位作者 张文可 赵慧朵 《Chinese Medicine and Natural Products》 2023年第3期102-107,共6页
肉芽肿性乳腺炎是一种难治性慢性乳腺炎,属于中医外科“粉刺性乳痛”“疮病”范畴。该病按阴阳辨证可分为:阴证、阳证与半阴半阳证。其中阴证与阳证的相关理论和治法,在中医外科学中较为完善;而半阴半阳证则缺乏具体的理论阐述和治疗体... 肉芽肿性乳腺炎是一种难治性慢性乳腺炎,属于中医外科“粉刺性乳痛”“疮病”范畴。该病按阴阳辨证可分为:阴证、阳证与半阴半阳证。其中阴证与阳证的相关理论和治法,在中医外科学中较为完善;而半阴半阳证则缺乏具体的理论阐述和治疗体系,具有特殊性和复杂性,成为该病的疑难证候,限制了该病临床疗效的提高。肉芽肿性乳腺炎半阴半阳证的核心病机为“营卫延塞,阴阳不通”;临床特征为局部阴证与阳证并见,病情缠绵难愈;辨证上应“重局部,轻全身”;治疗上应以“驱阴化阳”为总治则,温托升浮,解毒化延;用药推崇“寒温并用,以温为主;重升轻降,托脓敛毒”。最终恢复机体营卫气血的正常运行与阴阳平衡,达到治愈目的。 展开更多
关键词 肉芽肿性乳腺炎 粉刺性乳痛 半阴半阳证 驱阴化阳 冲和膏 活络效灵丹 内托生肌散
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基于“阳郁”理论论治中青年女性良性积证
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作者 张文可 程旭锋 +2 位作者 李志鲲 赵慧朵 王禧禧 《Chinese Medicine and Natural Products》 2023年第1期9-14,I0003,共7页
良性乳腺结节、甲状腺结节、子宫肌瘤三者病因病机类似,均属中医学“积证”范畴,可以三病一方,异病同治。阳郁为中青年女性良性积证的根本病机,中青年女性良性积证应以通阳为根本治则,宣阳、温阳、化痰、散瘀是具体治疗方法,可通达阳气... 良性乳腺结节、甲状腺结节、子宫肌瘤三者病因病机类似,均属中医学“积证”范畴,可以三病一方,异病同治。阳郁为中青年女性良性积证的根本病机,中青年女性良性积证应以通阳为根本治则,宣阳、温阳、化痰、散瘀是具体治疗方法,可通达阳气、化瘀散结。同时注重配伍养心安神之品,改善临床症状。 展开更多
关键词 良性积证 阳郁 良性乳腺结节 甲状腺结节 子宫肌瘤 积证 通阳
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Correlation between the Distribution of Traditional Chinese Medicine Syndromes and Molecular Types of Breast Cancer in Perichemotherapy Period
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作者 Bingxin Meng xufeng cheng +3 位作者 Qi Liu Huiduo Zhao Beibei Wang Liuyan Xu 《Chinese Medicine and Natural Products》 CAS 2023年第4期183-190,共8页
Objectives The objective of this study was to explore the correlation between the distribution of traditional Chinese medicine(TCM)syndromes and molecular types of breast cancer in the perichemotherapy period.Methods ... Objectives The objective of this study was to explore the correlation between the distribution of traditional Chinese medicine(TCM)syndromes and molecular types of breast cancer in the perichemotherapy period.Methods A total of 325 cases with perichemotherapy breast cancer was classified according to syndrome differentiation in TCM,and R×C table x2 test was used to examine and analyze the relationship between TCM syndromes and molecular types of breast cancer in the perichemotherapy period.Results(1)In the early stage of chemotherapy,there was no significant difference in the distribution of different TCM syndromes among molecular types,mainly liver depression syndrome and liver depression and phlegm coagulation syndrome(p>0.05).(2)In the middle stage of chemotherapy,there were significant differences in the distribution of spleen deficiency and phlegm-dampness syndrome among HER-2 positive(HR positive),HER-2 positive(HR negative),and Luminal Atype,Luminal B type(HER-2 negative),and triple-negative type(p<0.01).(3)After chemotherapy,there were significant differences in the distribution of spleen and kidney yang deficiency syndrome and marrow sea insufficiency syndrome among HER-2 positive(HR negative),triple-negative type,and HER-2 positive(HR positive),Luminal A type,Luminal B type(HER-2 negative),and triple-negative type(p<0.01).Conclusion(1)In the middle stage of chemotherapy,HER-2 positive(HR positive)and HER-2 positive(HR negative)are more likely to show spleen deficiency and phlegmdampness syndrome than other molecular types.(2)In the late stage of chemotherapy,the HER-2 positive(HR negative)and triple-negative type is more likely to show spleenkidney yang deficiency syndrome than other molecular types,and the triple-negative type is more likely to show marrow sea insufficiency syndrome than other molecular types. 展开更多
关键词 breast cancer perichemotherapy TCM syndromes molecular types
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