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乳癌的中醫藥診治

TCM Diagnosis and Treatment of Breast Cancer

摘要


乳癌是女性癌症中最常見的惡性腫瘤,歐洲與台灣都佔婦女癌症罹患率的第一位,死亡率分別占第二位與第四位,其高發生率及高死亡率造成生命健康的威脅與社會家庭經濟上巨大的負擔。目前西醫在乳癌的治療有局部治療:如手術切除腫瘤或乳房、放射治療,及全身性治療:化學治療、標靶治療、荷爾蒙治療等。可能出現的副作用有淋巴水腫、倦怠、熱潮紅、盜汗、睡眠障礙、記憶和注意力困難等,這些副作用影響乳癌患者的生活品質和治療意願。現代中醫學防治乳腺癌是以扶正祛邪為總治則,根據不同的病程階段,辨明正邪衰盛,病變部位,權衡扶正祛邪的輕重,確定不同治法。一般早期宜祛邪為主,中期宜扶正祛邪兼施,晚期宜扶正為主,強調扶正不留邪,祛邪不傷正。鑒於乳腺癌的發病週期,對於已病的患者一方面應及早明確診斷,爭取早期治療,提高生存率,降低死亡率,另一方面也應在手術期間或化療期間積極的以中醫藥調理,始終不忘記維護正氣以防傳變轉移。對於處於恢復期的患者,藥物治療注意養正氣、調理臟腑氣血,防止乳腺癌的復發及轉移。近年來,中醫學與現代技術緊密的結合,將為中醫中藥對乳腺癌的預防與治療做出更多貢獻。

關鍵字

乳腺癌 中醫藥 扶正 祛邪

並列摘要


Breast cancer is the most common malignant tumor among female cancers. Europe, and Taiwan 3both account for the first cancer incidence rate among women, and the second and fourth death rates respectively. The high incidence and high mortality rate pose a threat to life and health Huge financial burden on society and family. At present, the treatment of breast cancer in Western medicine includes local treatment: such as surgical resection of tumor or breast, radiation therapy, and systemic treatment: chemotherapy, targeted therapy, hormone therapy, etc. Possible side effects include lymphedema, lassitude, hot flashes, night sweats, sleep disorders, memory and concentration difficulties, etc. These side effects affect the quality of life and treatment willingness of breast cancer patients. The modern TCM prevention and treatment of breast cancer is based on strengthening the vital energy and eliminating pathogenic factors. According to different stages of the disease, we can distinguish the decline of positive and evil factors and the location of the lesion. Generally, in the early stage, it should be mainly to eliminate pathogens, in the middle stage, it should be strengthened and eliminated, and in the late stage, it should be mainly strengthened. In view of the onset cycle of breast cancer, on the one hand, patients who have already been diagnosed should be diagnosed early and treated early to improve survival and reduce mortality. On the other hand, Chinese medicine should be actively used during surgery or chemotherapy. Don't forget to maintain righteousness to prevent change and transfer. For patients in the convalescent stage, drug therapy should pay attention to nourishing healthy qi, regulating visceral qi and blood, and preventing the recurrence and metastasis of breast cancer. In recent years, the close integration of traditional Chinese medicine and modern technology will make more contributions to the prevention and treatment of breast cancer by traditional Chinese medicine.

參考文獻


林斈府、莊岳泉、吳逸騹、黃文彥、趙祖怡 : 乳癌治療的新趨勢。腫瘤護理雜誌, 2009, 9(5): 19-35
Lei Fan, Kathrin Strasser-Weippl, Jun-Jie Li, Jessica St Louis, Dianne M Finkelstein, Ke-Da Yu, Wan-Qing Chen, Zhi-Ming Shao, Paul E Goss. Breast cancer in China. Lancet Oncol,. 2014 Jun ; 15(7): e279-89.
Xue Li, Xueqian Wang, Lijun Song, JiayueTian, Xuejiao Ma, Qiyuan Mao, Hongsheng Lin, Ying Zhang. Effects of Qigong, Tai Chi, acupuncture, and Tuina on cancer-related fatigue for breast cancer patients : A protocol of systematic review and meta-analysis. Medicine(Baltimore)., 6 ; 99(45): e23016.
Cong Liu, Man Qin, XinhuZheng, Rao Chen, JianghuaZhu.A Meta-Analysis Intervention Effect of Mind-Body Exercise on Relieving Cancer-Related Fatigue in Breast Cancer Patients. Evid Based Complement Alternat, 2021, 9980940.
Chin Long Poo, Hemaniswarri DewiDewadas, FoongLeng Ng, Chai Nien Foo, Yang Mooi Lim. Medicine on Musculoskeletal Symptoms in Breast Cancer : A Systematic Review and Meta-Analysis.J Pain Symptom Manage. 2021, Jul ; 62(1): 159-173.

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