摘要
化疗在乳腺癌治疗中占重要地位,但易损伤人体正气,在围化疗期进行中医药干预能够顾护正气,减毒增效。患者体质不同,对化疗的耐受性有异,故化疗前宜辨体论治以求本,提高患者对化疗的耐受性;不同的肿瘤类型化疗方案有所不同,化疗中应辨病与辨证相结合,辨病以制定化疗方案,再针对不同方案中药物产生的不良反应辨证论治;化疗后患者正气尚未完全恢复,应重点扶助正气、改善患者体质、清除余毒,防止复发、转移。
Chemotherapy plays a vital role in the treatment of breast cancer,but it usually damages the healthy qi of patients.Traditional Chinese medicine(TCM)intervention in the peri-chemotherapy period could protect healthy qi and reduce toxicity.Patients with different constitutions have different tolerance to chemotherapy.Therefore,it is advisable to differentiate the body constitution before chemotherapy in order to treat the root and improve the patient’s tolerance to chemotherapy.Chemotherapy regimens vary according to tumor types.Disease differentiation and syndrome differentiation should be combined during chemotherapy.Disease differentiation should be used to establish chemotherapy regimens,and adverse reactions caused by drugs in different regimens should be treated based on syndrome differentiation.After chemotherapy,healthy qi of patient is not fully recovered,and therefore strengthening healthy qi and improving body constitution should be emphasized to remove residual toxin,and prevent recurrence and metastasis.
作者
崔莎莎
姜翠红
CUI Shasha;JIANG Cuihong(Southern Branch,Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 102618,China)
出处
《山东中医杂志》
2022年第7期706-710,共5页
Shandong Journal of Traditional Chinese Medicine
基金
国家自然科学基金项目(编号:81703918)
中国中医科学院广安门医院南区院级课题(编号:Y2019-04)。
关键词
乳腺癌
围化疗期
辨体论治
病证结合
扶正解毒
breast cancer
peri-chemotherapy period
treatment based on constitution differentiation
combination of disease and syndrome
strengthening healthy qi and detoxicating
