文章摘要
郑婕,陈嘉斌,胡琴琴,等.柴可群教授运用四则四法论治乳腺癌经验[J].浙江中医药大学学报,2024,48(5):562-565, 571.
柴可群教授运用四则四法论治乳腺癌经验
Professor CHAI Kequn Applied Four Principles and Four Laws for Treating Breast Cancer
DOI:10.16466/j.issn1005-5509.2024.05.007
中文关键词: 乳腺癌  四则四法  全程调神  疏肝解郁  话疗  名医经验  柴可群
英文关键词: breast cancer  four principles and four laws  regulate the spirit in the whole process  soothing liver and eliminating depression  speech therapy  famous doctor’s experience  CHAI Kequn
基金项目:浙江省柴可群名老中医专家传承工作室建设项目(GZS2017001)
作者单位
郑婕 浙江中医药大学第二临床医学院 杭州 310053 
陈嘉斌 浙江省立同德医院 
胡琴琴 浙江省立同德医院 
柴可群 浙江省立同德医院 
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中文摘要:
      [目的] 围绕柴可群教授提出的中医防治肿瘤四则四法理论,总结柴可群教授治疗乳腺癌的临证经验。[方法] 通过跟师门诊,整理有关医案,分析柴可群教授对乳腺癌的认识,阐述柴可群教授运用四则四法理论治疗乳腺癌的临床经验,并通过临床医案加以验证。[结果] 柴可群教授认为,乳腺癌与肝、脾、肾以及阴寒毒邪相关,以肝郁气滞为主要病机,故疏肝解郁、全程调神尤为重要,并提出“话疗”这一治疗方法。柴可群教授采用扶正为本、祛邪有度、全程调神、随证而治的四则和健脾补肾、化痰解毒、疏肝解郁、温阳通络的四法进行辨证论治,所举验案在四则的指导下,以疏肝解郁为治疗大法,配合健脾补肾、化痰解毒的治法,临床疗效显著。[结论] 通过阐述四则四法的内涵以及在乳腺癌临证中的运用,总结柴可群教授治疗乳腺癌以疏肝解郁为核心、随证变化加减用药经验,对乳腺癌的临床治疗具有指导意义。
英文摘要:
      [Objective] To summarize Professor CHAI Kequn’s clinical experience in the treatment of breast cancer based on his theory of four principles and four laws of TCM prevention and treatment of cancer. [Methods] Professor CHAI Kequn’s understanding of breast cancer was analyzed through medical records, and his clinical experience in treating breast cancer with the theory of four principles and four laws was expounded and vertified by clinical medical records. [Results] Professor CHAI Kequn belives that breast cancer is related to liver, spleen, kidney and Yin cold toxic evil, with liver Qi stagnation as the main pathogenesis, so it is paticularly important to soothe liver and eliminate depression and regulate spirit throughout the whole process, and put foward the treatment method of“ speech therapy”.Professor CHAI Kequn uses the four principles of Fuzheng as the foundation, limited dispelling evil, the whole process of regulating the spirit and treatment based on syndromes, and the four laws of strengthening spleen and kidney, resolving phlegm and detoxification,soothing liver and resolving stagnation and warming Yang to conduct channels for syndrome differentiation and treatment. Under the guidance of the four printiples, soothing liver and resolving stagnation was used as treatment method, and combined with the treatment of strengthening spleen and kidney, resolving phlegm and detoxification, the clinical effect was remarkable. [Conclusion] By expounding the connotation of the four principles and the four laws and their application in clinical diagnosis of breast cancer, it is concluded that Professor CHAI Kequn’s treatment of breast cancer focuses on soothing liver and elimanating depression, and increases or decreases the srugs according to the changes of the syndromes, which has guiding significance for the clinical treatment of breast cancer.
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