基于引经报使理论浅析风药在乳腺癌治疗中的作用

孟爱军 陈志远 陈玉超

摘要：引经报使是中医制方用药理论的一大特色，是在归经理论基础上进一步发展，与配伍理论相结合而成。指某些中药能引导其他中药的药力到达病变部位或某一经脉，起向导作用。风药轻清上达，具有导向作用，发挥“定向”治疗的功效。乳房位于人体的上半部分，治疗乳腺癌时选用质轻味薄的风药可载药上行。乳腺癌肿块位于外上象限最多见，其次是乳头、乳晕区和内上象限，与少阳、太阳、厥阴、冲任，少阴、阳明经及冲任二脉有密切联系。根据引经报使理论在乳腺癌治疗中应用风药以期丰富乳腺癌治疗的理论体系。

关键词：引经报使;风药;乳腺癌

ABSTRACT：Meridian guiding Theory is a major feature of the theory of prescriptions in Chinese medicine. It is further developed on the basis of the theory of guijing and combined with the theory of compatibility of medicines. It means that certain Chinese medicines which playing a guiding role can guide the power of other Chinese medicines to reach the diseased part or a certain meridian . The wind medicine is clear and uplifting.It has a guiding function that can exert the effect of "directional" treatment. Breasts are located in the upper part of the human body.When we treating breast cancer， light and thin wind medicine can be used to carry the medicine up. Breast cancer lumps are most common in the upper outer quadrant， followed by the nipple， areola area and upper inner quadrant， which are closely related to the Shaoyang， Taiyang， Jueyin， Chongren， Shaoyin， Yangming and Chongren meridian. According to the meridian guiding theory， the application of wind medicine in the treatment of breast cancer is expected to enrich the theoretical system of breast cancer treatment.

Key words：Meridian guiding; Wind medicine; Breast Cancer

【中圖分类号】R737.9  【文献标识码】A  【文章编号】1673-9026（2021）09-019-02

乳腺癌是来源于乳腺腺体上皮组织中的恶性肿瘤。临床上以乳房肿块、乳房皮肤异常、乳头乳晕异常、乳头溢液、腋窝淋巴结肿大等为主要表现。中医将乳腺癌归于“乳岩”、“奶岩”、“乳栗”、“石榴翻花发 ”等范畴。中医多从疏肝健脾、调补气血、清热解毒等论治。本文另辟蹊径拟基于引经报使理论探析风药在乳腺癌治疗中的应用，以期提高乳腺癌的中医治疗效果。

1、经络与乳房的生理功能相关性功能

在最常用的中医脏腑理论里，乳房既不归于五脏六腑，又不属于奇恒之腑。在沟通其与各脏腑的联系中，经络担任了重要的桥梁作用，《黄帝内经》亦有云：“足阳明胃经行贯乳中…足太阴脾经络胃上隔布于胸中…足厥阴肝经上隔布胸胁绕乳头而行…足少阴肾经上贯肝隔而与乳联…冲任二脉起于胞中为气血之海，上行为乳下行为经，任脉循腹里上关元至胸中，冲脉夹脐上行至胸中而散”。……