许芝银教授以补气活血通络利水法治疗乳腺癌相关淋巴水肿经验

总结许芝银教授临床诊治乳腺癌相关淋巴水肿经验, 认为乳腺癌术后淋巴水肿属本虚标实之证, 与肺脾肝三脏密切相关, 正虚为本, 主要致病因素为瘀血、气滞、水湿。以扶正祛邪为基本治则, 确立补气、活血、通络、利水相结合的治法。临证治疗以红黄煎剂为基本方; 分清标本缓急, 注重个体论治, 随症加减应用, 灵活选择药物; 遵循“治未病”思想, 做到未病先防, 已病防变, 从而达到最佳疗效。 

Professor Xu Zhi-yin's Experience in Treating Breast Cancer-Related Lymphedema by Tonifying Qi and Invigorating Blood Combined with Unblocking the Collaterals and Promoting Urination

Professor Xu Zhi-yin's clinical experience in diagnosing and treating breast cancer-related lymphedema concluded that postoperative breast cancer lymphedema is deficiency in root and excess in manifestation. Considering it is deficiency in the root, its pathogenesis is closely related to the liver, lung and spleen, and the main pathogenic factors are blood stasis, qi stagnation, and water-dampness. Based on the treatment principle of reinforcing healthy qi and expelling the pathogenic factors, the specific treatments are established, such as benefiting qi, nourishing blood, unblocking the collaterals, as well as promoting urination. Clinically, the Honghuang decoction is the basic formula. In addition, physicians need to distinguish the manifestations and root causes, to keep a sense of proportion, to focus on the individual treatment, to modify the decoction according to the syndrome changes, and to choose medicinals on the grounds of different constitutions. In conclusion, physicians should follow the idea of "treating disease before its arising", which is strengthen the healthy qi and eliminate potential harmful factors to prevent the occurrence or development of a disease, to achieve the best therapeutic effect.