首页|期刊导航|中医肿瘤学杂志|蒋士卿基于"治下焦如权"论治中晚期乳腺癌经验

蒋士卿基于"治下焦如权"论治中晚期乳腺癌经验OA

Jiang Shiqing's Experience in the Treatment of Middle-and Advanced-Stage Breast Cancer Based on the Theory of"Treating the Lower Energizer with the Principle of Heavy Sinking"

中文摘要英文摘要

乳腺癌属中医"乳岩""乳癖"等范畴,其核心病机与下焦失调密切相关.蒋士卿教授基于清代吴鞠通《温病条辨》所论"治下焦如权"辨治乳腺癌,认为乳腺癌的核心病机主要为本虚标实、下焦失和,其以肝肾亏虚为病之根本,痰瘀毒结为病之标象,病程传变与吴鞠通三焦顺传规律高度契合;治疗恪守"治下焦如权,非重不沉"原则,以温补肝肾、疏肝理气、重镇调衡为核心治法.临床实践表明此法可有效改善乳腺癌患者术后体质、缓解抗肿瘤治疗相关不良反应、抑制术后复发转移、延长患者生存期.该理论实现了中医经典理论与现代肿瘤临床实践相结合,为中晚期乳腺癌的中医全程治疗提供了有效方案,彰显了中医药防治恶性肿瘤的特色优势.

Breast cancer falls under the category of"liver stone"and"liver tumor"in traditional Chinese medicine.Its core pathogenesis is closely related to the disharmony of the lower energizer.Based on the theory of"treating the lower energizer with the principle of heavy sinking"from Wu Jutong's Systematized Identification of Warm Diseases in the Qing Dynasty,Professor Jiang Shiqing holds that the core pathogenesis of breast cancer primarily manifests as root deficiency and branch excess with the lower energizer disharmony.Liver-kidney deficiency is considered the fundamental cause of the disease,while the accumulation of phlegm,stasis,and toxin is the manifestation of the disease.The disease progression and transmission are highly consistent with the three-energizer ascending transmission law proposed by Wu Jutong.The treatment adheres to the classic principle of"Treating the lower energizer with heavy sinking;without heavy agents,it will not descend",with the core treatment methods of warming and nourishing liver and kidney,soothing liver and regulating qi,and using heavy herbs to regulate balance.Clinical practice demonstrates that this approach can effectively improve the postoperative physical condition of breast cancer patients,alleviate adverse reactions related to anti-tumor therapy,inhibit postoperative recurrence and metastasis,and prolong survival.This theory combines the classical theories of traditional Chinese medicine with modern tumor clinical practice,providing an effective whole-course traditional Chinese medicine treatment strategy for middle-and advanced-stage breast cancer,and demonstrating the unique advantages of traditional Chinese medicine in the prevention and treatment of malignant tumors.

刘潼;安怡;姬佳琦;康涵钰;郭子强;张思涵;蒋士卿

河南中医药大学第一附属医院血液肿瘤科,河南 郑州 450000||中西医防治重大疾病河南省协同创新中心,河南 郑州 450000河南中医药大学第一附属医院脑瘤科,河南 郑州 450000河南中医药大学第一附属医院血液肿瘤科,河南 郑州 450000||中西医防治重大疾病河南省协同创新中心,河南 郑州 450000河南中医药大学第一附属医院血液肿瘤科,河南 郑州 450000||中西医防治重大疾病河南省协同创新中心,河南 郑州 450000河南中医药大学第一附属医院血液肿瘤科,河南 郑州 450000||中西医防治重大疾病河南省协同创新中心,河南 郑州 450000河南中医药大学第一附属医院血液肿瘤科,河南 郑州 450000||中西医防治重大疾病河南省协同创新中心,河南 郑州 450000河南中医药大学第一附属医院血液肿瘤科,河南 郑州 450000||中西医防治重大疾病河南省协同创新中心,河南 郑州 450000

医药卫生

中医药治下焦如权乳腺癌名医经验

traditional Chinese medicinetreating the lower energizer with the principle of heavy sinkingbreast cancerexperience of famous doctors

《中医肿瘤学杂志》 2026 (3)

85-93,9

国家科技创新2030四大慢病重大专项(编号:2023ZD0502700&2023ZD0502701)河南省中医药科学研究重大专项课题(编号:2024ZYZD03).

10.19811/j.cnki.ISSN2096-6628.2026.05.011

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