文章摘要
王怡,刘胜.刘胜教授治疗三阴性乳腺癌经验[J].浙江中医药大学学报,2019,43(7):675-678.
刘胜教授治疗三阴性乳腺癌经验
Professor LIU Sheng's Experience in Treating Triple-negative Breast Cancer
DOI:10.16466/j.issn1005-5509.2019.07.012
中文关键词: 三阴性乳腺癌  中医  健脾补肾  解毒祛风  临证经验  医案  刘胜
英文关键词: triple-negative breast cancer  traditional Chinese medicine  invigorating spleen and kidney  detoxifying and dispelling wind  clinical experience  medical case  LIU Sheng
基金项目:上海市中医药事业发展三年行动计划(重大研究)项目(ZYSNXD-CC-ZDYJ043);中医药行业科研专项(201507001-10)
作者单位E-mail
王怡 上海中医药大学附属龙华医院 上海 200032  
刘胜 上海中医药大学附属龙华医院 上海 200032 lhyytcmls@163.com 
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中文摘要:
      [目的]总结刘胜教授运用健脾补肾、解毒祛风法治疗三阴性乳腺癌的经验,为三阴性乳腺癌的辨证治疗提供新的思路。[方法]通过整理刘胜教授门诊病例资料,探析其个人协定方及用药规律,归纳出五脏亏虚为三阴性乳腺癌的发病之本,风、痰、瘀、毒,邪实胶着为其病机特点,并列举一则医案佐证。[结果]刘师在以往辨证治疗其他类型乳腺癌的基础上,着重阐述了三阴性乳腺癌正虚邪实、痰瘀毒化热、风挟毒邪流窜的病机特点,因此形成了健脾补肾、解毒祛风的治疗方法,并以此组成个人协定方。所举病案中刘胜教授运用健脾补肾、调摄冲任法调和五脏气血,辅以解毒祛风法预防复发转移,使患者在提高生活质量的基础上延长生存期。[结论]刘师以健脾补肾、解毒祛风治疗三阴性乳腺癌能有效改善患者术后症状,提高生活质量,值得临床推广。
英文摘要:
      [Objective] To summarize the experience of Professor LIU Sheng in treating triple-negative breast cancer (TNBC) and providing new ideas for the dialectical treatment of TNBC. [Methods] By arranging the information of outpatients of Professor LIU, the rules of individual agreement and the law of medication were analyzed, and the incidence of TNBC was summarized. It was generalized that deficiency of five organs was the foundation of TNBC, and sticking of pathogenic factors such as wind, phlegm, blood stasis and toxin, were the characteristics of the pathogenesis. And a case was presented as evidence. [Results] Based on the etiology and pathogenesis of other types of breast cancer in the past, Professor LIU elaborates that the characteristics of the pathogenesis of TNBC are deficiency of genuine Qi and excess of pathogenic factor, phlegm and heat, the wind carries poison and evil. Therefore, the principles of invigorating spleen and kidney, detoxifying and dispelling wind are used, and a personal agreement prescription is formed. In the case, Professor LIU used invigorating spleen and kidney, detoxifying and dispelling wind methods, adjusting the tempering and regulating the five organs and blood, supplemented with detoxifying and dispelling wind to prevent recurrence and metastasis, and prolonging the survival of patients based on improving their quality of life. [Conclusion] Professor LIU's treats TNBC with invigorating spleen and kidney, detoxifying and dispelling wind methods, it can effectively relieve postoperative symptoms and improve quality of life.
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