林洪生"固本清源"理论指导的中医防护治疗在乳腺癌内分泌治疗中的应用OA
Application of Traditional Chinese Medicine Protective Treatment Guided by Lin Hongsheng's Strengthening the Foundation and Clearing the Source Theory in Endocrine Therapy for Breast Cancer
乳腺癌内分泌治疗周期长,不良反应多,影响生活质量,林洪生教授总结出"固本清源"思想,针对乳腺癌内分泌治疗进行分期辨治.本文将其经验归纳为三期:初期病机多为肝郁化火,治以"调""和"之法,疏肝解郁;中期病机常属气阴两虚,治以"益"法,益气养阴;后期病机多见脾肾两虚,治以"补"法,脾肾双补.通过动态把握病机演变规律,灵活施治,能有效减轻不良反应,提升患者生活质量与治疗依从性.本文总结了林洪生教授的分期辨治规律,以期为乳腺癌内分泌治疗的中医防护提供临床参考.
Endocrine therapy for breast cancer is associated with problems such as long treatment cycle,numerous adverse reactions,and impaired quality of life.Professor Lin Hongsheng has developed the thought of"strengthening the foundation and clearing the source"and proposed stage-based syndrome differentiation and treatment for breast cancer patients undergoing endocrine therapy.This paper generalizes her experience into three stages.At the initial stage,the pathogenesis is mostly liver stagnation transforming into fire,and the treatment focuses on"regulating"and"harmonizing"methods to soothe liver and relieve stagnation.At the middle stage,the pathogenesis often manifests as qi-yin deficiency,and the treatment adopts"tonifying"method to replenish qi and nourish yin.At the late stage,the pathogenesis commonly presents as spleen-kidney deficiency,and the treatment applies"replenishing"method to tonify both spleen and kidney.By dynamically grasping the evolutionary law of pathogenesis and implementing flexible treatment,it can effectively reduce adverse reactions and improve patients'quality of life and treatment compliance.This article summarizes Professor Lin Hongsheng's stage-based syndrome differentiation and treatment rules,aiming to provide a clinical reference for traditional Chinese medicine protective treatment in breast cancer endocrine therapy.
唐有瑜;毛启远;谭滢;蔡瑞娟;赵志正;韩宝瑾;钟毅薇;林洪生
福建省级机关医院中医科,福建 福州 350003中国医学科学院北京协和医学院肿瘤医院中医科,北京 100730中国中医科学院广安门医院肿瘤科,北京 100053中国中医科学院广安门医院肿瘤科,北京 100053中国中医科学院广安门医院肿瘤科,北京 100053中国中医科学院广安门医院肿瘤科,北京 100053中国中医科学院广安门医院肿瘤科,北京 100053中国中医科学院广安门医院肿瘤科,北京 100053
医药卫生
乳腺癌内分泌治疗固本清源中医防护治疗临证经验
breast cancerendocrine therapystrengthening the foundation and clearing the sourcetraditional Chinese medicine protective treatmentclinical experience
《中医肿瘤学杂志》 2026 (3)
79-84,6
福建省级中医优势专科建设项目(编号:闽中医药函[2026]20号).
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