刘红英教授辨治乳腺癌类围绝经期汗证临证经验

高朗 邓兴华 蔡政 刘红英

【摘 要】 乳腺癌类围绝经期汗证是临床中常见的难治性疾病，西医治疗无统一认识且疗效欠佳，中医药治疗对于本病以辨证论治入手，具有因人、因证而异的治疗特点，在临床上常常取得较好疗效。刘红英教授认为乳腺癌类围绝经期汗证虽病因复杂，而“心肾不交”往往是其基本病机，故以交通心肾、调和阴阳之法辨证处方治疗本病常取得满意疗效。

【关键词】 刘红英；交通心肾；乳腺癌类围绝经期汗证

【中图分类号】R249.2/.7   【文献标志码】 A    【文章编号】1007-8517（2023）08-0090-03

Abstract：Peri-menopausal sweating of breast cancer is a common refractory disease in clinic. Western medicine treatment has no unified understanding and the curative effect is not good. Traditional Chinese medicine treatment for this disease starts with syndrome differentiation and treatment，which has the treatment characteristics of different people and syndromes，and often achieves a good effect in clinical practice. Professor Liu Hongying believes that although the etiology of peri-menopausal sweating of breast cancer is complicated，“heart and kidney failure”is often its basic pathogenesis，so the method of coordinate the Heart and the Kidney，balance between Yin and Yang is often used to treat this disease with satisfactory results.

Key words：LIU Hongying；Coordinate the Heart and the Kidney；Peri-menopausal Sweating of Breast Cancer

目前，乳腺癌位居我国女性恶性肿瘤发病谱首位［1］，主要治疗方式包括手术、放疗、化疗、靶向治疗及内分泌治疗等。女性患者发病年龄高峰多集中在围绝经期［2］，雌激素水平相对不足，加之患者经过放疗、化疗或内分泌治疗后卵巢功能受损，雌激素低下，内分泌紊乱［3］；而未绝经患者往往需采用卵巢去势的治疗方法达到人工绝经的目的，因此乳腺癌患者会较早较容易出现潮热、汗出、心烦、失眠等类围绝经期综合征［4］，影响了患者的生活质量，且易降低该群体规范化治疗的积极性。其中汗出是较为常见的症状之一［5］，表现为无规律心胸烦热后即汗出，甚者浸透衣衫，发作频繁等。该病病名在中医医籍中尚无明确记载，根据发病特点和病因，可将其归为绝经前后诸证之“汗证”论治。

刘红英教授为云南省名中医，从事中医内科疾病的临床、科研与教学30余年，临床诊疗上见解独特，疗效显著，擅长中医药防治恶性肿瘤及其相关疾病。……