摘要
总结王晞星教授从少阳枢机角度论治进展期乳腺癌伴焦虑抑郁的临证经验。认为进展期乳腺癌伴焦虑抑郁的核心病机为少阳枢机不利,可致气血津液运行失常,痰瘀互结,促使癌毒扩散弥漫,同时扰动神明,形成癌毒郁结、形神共病的局面。据此提出和解少阳、调枢安神、散结解毒的基本治则,并将该病分为少阳枢机不利证、三焦枢机不利证、胆腑功能失常证进行辨治,分别运用自拟柴芩衡枢宁神汤、柴归通枢达神饮、温胆启枢守神汤施治。治疗全程贯穿“癌郁同治”理念,调畅少阳枢机,阻断癌毒和情志异常互为因果的恶性循环。
To summarize Professor WANG Xixing's clinical experience in treating advanced breast cancer with anxiety and depression from the perspective of shaoyang pivot.It is believed that the core pathogenesis of advanced breast cancer with anxiety and depression lies in the dysfunction of shaoyang pivot(referring to the imbalanced regulatory function of the shaoyang meridian system that governs the transportation and transformation of qi,blood,and body fluids).This dysfunction can lead to abnormal circulation of qi,blood,and body fluids,as well as the intermingling of phlegm and blood stasis,which further promotes the spread and diffusion of cancer toxin.Meanwhile,it disturbs mental activity,resulting in a condition characterized by stagnation of cancer toxin and concurrent disorders of both the physical body and the spirit.Based on this pathogenesis,the basic therapeutic principles of harmonizing shaoyang,regulating the pivot to calm the spirit,and dissipating masses and resolving toxins are proposed.Clinically,the disease is classified into three syndromes for differentiation and treatment.For shaoyang pivot dysfunction syndrome,treatment should use self-prescribed Chaiqin Hengshu Ningxin Decoction(柴芩衡枢宁神汤);for sanjiao pivot dysfunction syndrome,treatment should prescribe Chaigui Tongshu Dashen Decoction(柴归通枢达神饮);for gallbladder function disorder syndrome,treatment should apply Wendan Qishu Shoushen Decoction(温胆启枢守神汤).Throughout the treatment process,the concept of"simultaneous treatment of cancer and depression"is implemented to smooth the shaoyang pivot,block the vicious cycle where cancer toxin and emotional abnormalities mutually reinforce each other.
作者
翟文博
王馨悦
张东信
石智尧
郭昱妍
杨晞
王晞星(指导)
ZHAI Wenbo;WANG Xinyue;ZHANG Dongxin;SHI Zhiyao;GUO Yuyan;YANG Xi(Shanxi Provincial Institute of Traditional Chinese Medicine,Taiyuan,030012;The First Clinical College,Shanxi University of Chinese Medicine;Shanxi Province Hospital of Traditional Chinese Medicine)
出处
《中医杂志》
北大核心
2025年第23期2421-2425,共5页
Journal of Traditional Chinese Medicine
基金
国家中医药管理局第四届国医大师传承工作室建设项目(国中医药办人教函[2022]245号)
山西省中医药管理局科研课题计划(2023ZYYC007)。
关键词
乳腺癌
焦虑
抑郁
少阳
枢机
名医经验
王晞星
breast cancer
anxiety
depression
shaoyang
pivot
experience of famous doctors
WANG Xixing
