摘要
针对西医学的难点与盲区,如何科学规范中医在乳腺癌中的治疗、提高中医药治疗乳腺癌的参与度是乳腺癌治疗突破的重要着眼点。本文结合国医大师林毅临证经验,在“识病为本、辨证为用”的基础上,总结、凝练乳腺癌癌瘤状态之气血失衡态、痰瘀郁积态、脏腑虚损态、寒热胶结态,并进一步提出乳腺癌平衡调治“六观”,即发病观之“正虚邪侵、癌瘤蔓生”,病机观之“癌毒内踞、阴阳失调”,诊察观之“审机求属、因发知受”,辨证观之“气血阴阳、复衡达和”,治疗观之“扶正祛邪、标本兼顾”,康复观之“调衡致中、以平为期”,致力于整体辨证论治,平衡阴阳气血,从而调和人体内部环境,调动机体免疫、康复功能。
In view of the difficulties and blind spots of western medicine,how to make scientific decisions to standardize the treatment of breast cancer in traditional Chinese medicine and improve the participation of traditional Chinese medicine in the treatment of breast cancer is an important focus of innovative breakthroughs in breast cancer treatment.Based on the clinical experience of Professor LIN Yi,a master of traditional Chinese medicine,and on the basis of"disease identification and syndrome differentiation",this paper summarizes and refines the status of qi and blood imbalance,accumulation of phlegm and blood stasis,viscera deficiency,and cold heat cementation in breast cancer,and further proposes the"six views"of breast cancer balanced treatment:the pathogenesis view focuses on"evil invasion due to vital qi deficiency,and the proliferation of tumors",and the pathogenesis view focuses on"cancer toxin and imbalance of yin and yang",the diagnostic view focuses on"examining the underlying factors and understanding the causes and effects",the differentiation view focuses on"balancing qi,blood,yin,and yang to achieve harmony",the therapeutic view focuses on"supporting vital qi and eliminating evil,and considering the root cause and syndromes",and the rehabilitation view focuses on"adjusting balance to maintain a stable state".We are committed to holistic syndrome differentiation and treatment,balancing yin,yang,qi,and blood,thereby harmonizing the internal environment of the human body,and mobilizing the immune and rehabilitation functions of the body.
作者
王桂彬
司徒红林
郭莉
文灼彬
井含光
林毅(指导)
WANG Guibin;SITU Honglin;GUO Li;WEN Zhuobin;JING Hanguang;LIN Yi(Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120,China)
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
2024年第3期440-444,共5页
Journal of Beijing University of Traditional Chinese Medicine
基金
国家重点研发计划项目(No.2018YFC1704100)
林毅全国名中医传承工作室项目(国中医药办人教函[2018]119号)
广东省中医院中医药科学技术研究专项(No.YN2023QN09)。
关键词
乳腺癌
中医
机态辨识
平衡
breast cancer
traditional Chinese medicine
pathogenesis and state identification
balance
