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从三焦论治乳腺癌内分泌治疗相关毒副反应的中医研究现状
张蕴超1, 尹世强2, 贾英杰1, 张瑶瑶3, 秦磊3
1.天津中医药大学第一附属医院肿瘤科, 天津 300193;2.国药控股天津有限公司, 天津 300004;3.天津中医药大学, 天津 301617
摘要:
乳腺癌内分泌治疗是乳腺癌术后激素受体阳性的临床常用治疗手段,服用内分泌治疗药物的患者会出现类更年期综合征、骨质疏松、关节疼痛,子宫内膜增厚、肝功能异常、脂代谢紊乱的不良反应,目前西医无安全有效的治疗方法。文章就中医三焦角度,从上焦补益心肺,调和营卫;中焦疏肝健脾,合胃消导;下焦活血通络,调理冲任,以治疗内分泌治疗相关毒副反应。
关键词:  乳腺癌  内分泌治疗  中医药  毒副反应
DOI:10.11656/j.issn.1672-1519.2019.10.23
分类号:R737.9
基金项目:
Current status of traditional Chinese medicine research on the toxic side effects of endocrine therapy for breast cancer from Sanjiao
ZHANG Yunchao1, YIN Shiqiang2, JIA Yingjie1, ZHANG Yaoyao3, Qin Lei3
1.Department of Oncology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China;2.Sinopharm Holding Tianjin Co. Ltd, Tianjin 300040, China;3.Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
Abstract:
Endocrine therapy for breast cancer is a common clinical treatment for hormone receptor positive in breast cancer. Patients taking endocrine therapy may have climacteric syndrome,osteoporosis,joint pain,endometrial thickening,abnormal liver function,and adverse reactions of lipid metabolism disorder. Currently there is no safe and effective treatment method for western medicine. Based on the theory of Sanjiao in TCM,the therapy of upper-jiao should supplement the heart and lung,and make the coordinate ying and wei,the therapy of middle-jiao should disperse liver qi and strengthen spleen,regulate the stomach and discharge stagnation,the therapy of lower-jiao should promote blood circulation for removing obstruction in collaterals,harmonize chong and ren. All the therapies aim to alleviate the toxic side effects of endocrine.
Key words:  breast cancer  endocrine therapy  traditional Chinese medicine  toxic side effects
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