Breast cancer refers to malignant tumors occurring in the lobular and ductal epithelium of the breast, which is one of the most common malignant tumors among women in China. The disease is prevalent in women over 40 years of age.
This disease belongs to the categories of "breast rock", "breast stone", "breast stone carbuncle" and "jealous breast" in Chinese medicine. The category. Its location in the breast, and with the liver, spleen, kidney, stomach and other organs. Its etiology and pathogenesis are generally emotional disorders, stagnation of liver qi or disorders of Chong Ren, and unbalance of qi and blood, which result in the internalization of evil and poison, stagnation of qi and blood stasis, and coagulation of phlegm and turbidity to form lumps. After surgical radical treatment, although the cancer tumor is removed and the qi and blood are greatly injured, at the same time, the local qi and blood do not run smoothly and the tendons and muscles are constricted, or the body's positive qi is weakened and the cancer tumor is not completely cleared up after radiotherapy or chemotherapy, which mostly results in qi and blood loss, disorder of viscera function, imbalance of yin and yang, and coexisting of the original deficiency and the standardized reality. In the late stage of the disease, due to the decreasing function of internal organs, a series of positive deficiency symptoms such as spleen-yang deficiency and double deficiency of qi and blood can appear.
(I) Identification of drugs
1. Liver depression and stagnation of Qi
[Points to note] The two coercive and breast swelling, hidden nucleus in the breasts, sometimes painful, upset and irritable, dizziness and dizziness, the symptoms are obvious if you are not comfortable with your feelings and moods, the tongue is red, the moss is thin and yellow, and the pulse is thin and stringy.
[Treatment] Dispersing the liver and regulating qi, softening and dispersing knots.
[Prescription] Chai Hu Shuo Liver San plus reduction: Chai Hu 10g, Hang Bai Shao 15g, green Chen Pi 10g, Angelica sinensis 10g, Atractylodes Macrocephala 10g, Poria 10g, Yu Jin 10g, Orange Leaf 10g, Shan Ci Mushroom 10g, Xia Ku Cao 15g, Tu Bei Mu 15g, Semen Aphanizomenon 15g.
2. Heat and toxicity knot
[Points of view] The hidden nucleus of breasts is rapid, increasing, pain obvious, fever and anxiety. The rapid increase in the size of the hidden nucleus in the breast, pain is obvious, fever and thirst, bitter mouth and dry throat, upset sleeplessness, local redness and swelling, general weakness, the seriousness of the flopping and ulceration, the end of the day, qi and blood failure, emaciation, do not think of food, tongue dark red, petechiae or ecchymosis, moss is yellow or greasy, the pulse is fine or fine.
[Treatment] Activating blood circulation and removing blood stasis, clearing heat and removing toxins.
[Prescription] Tao Hong Si Wu Tang plus reduction: peach kernel 10g, safflower 10g, angelica 10g, dandelion 10g, zedoary 10g, honeysuckle 30g, zhi hua di ding 15g, Gong Ying 15g, Tu Bei Mu 15g, Xia Ku Cao 15g, Liu Fu Nu 15g, raw astragalus 30g, artemisia 30g, Yuan Shen 15g, raw land 10g, licorice 10g.
3. Yin deficiency of the liver and kidney
[Points for identification] soreness and weakness of the waist and knees, menstrual disorders, heat in the heart, astringency of the eyes and dryness of the mouth, dizziness and tinnitus, hidden pain in the hypochondriacs, a red tongue with little or no moss, and a fine pulse.
[Treatment] Nourish the liver and kidney, regulate the Chong Ren.
[prescription] Six-flavored dihuang soup combined with the seven system of incense pill plus and minus: raw and ripe ground 10g each, cornelian cherry 12g, Poria 10g, zedoary 15g, incense 10g, yujin 10g, neem 10g, angelica root 10g, Hangzhou white peony 15g, Chinese wolfberry 30g, chasteberry 30g, Chinese yam 10g, mountain cactus mushroom 15g, Ligusticum chuanxiong 7g, tangerine leaf 10g, Gongying 15g.
[treatment] nourishing liver and kidney, regulating Chongren.
4. Qi and blood deficiency
[Points for identification] Advanced breast cancer, mass enlargement, multiple metastases, palpitations, shortness of breath, pale, fatigue, insomnia, night sweating, shortness of breath on movement, loss of appetite, loose stools, pale tongue, thin pulse, weakness.
[Treatment] Tonify qi and blood.
[Prescription] Gui Spleen Tang plus reduction: raw Astragalus 30g, Radix Codonopsis 15g, Atractylodes macrocephala 15g, Poria 15g, Radix Angelicae Sinensis 20g, Radix Aromatica Sinensis 10g, Radix et Rhizoma Polygonati Odorati 15g, Radix Jujubae Jujubae 30g, Radix Paeoniae Alba 10g, Honeysuckle Flower 30g, Xia Kucuo Cao 30g, Xian Hesuo Cao 30g, Radix et Rhizoma Glycyrrhizae 15g.
5.symptomatic medication
(1)The affected side of the upper limb after the operation. Swelling and pain, or breast pain, add 10g of lutong, 10g of zeran, 15g of wangbuliuhang, 6g of frankincense, 6g of myrrh to reduce swelling and relieve pain.
(2) irritability, bitter mouth, add gentian 10g, dandelion 10g, gardenia 10g in order to clear the liver in addition to annoyance.
(3) For palpitations and insomnia, add Poria 10g, Polygala 10g, Ziziphi 10g, Jujubae 20g, and Mother of Pearl 30g to tranquilize the mind.
(4) If the affected area is red, swollen and ulcerated, even with pus and foul smell, add 20g of Honeysuckle, 20g of Forsythia, 15g of Dandelion, 15g of Herba Hedera, 20g of Coix lacryma, 20g of Cynanchum officinale to clear away heat, detoxify and expel pus.
(2) Other therapies
1. Single prescription, prescription
(1) 60g of wild grape root, decocted water as tea, taken frequently.
(2) 30g of dandelion, 30g of Taraxacum officinale, decoction with water, 1 dose daily.
(3) Plum Blossom Pointing Tongue Dan, 2 capsules each time, 3 times a day, serving 3 months for a course of treatment.
(4) centipede, scorpion 10g each, andrographis paniculata 12g, hippocampus 10g, 4 drugs roasted and powdered, 1g each time, 2 times a day, warm water delivery.
(5) mountain mushroom, dewberry each 15g, andrographis 6g, first respectively, and evenly powder *** research, each service 1.5g, 2 times a day (capsule service).
(6) Xiaojindan, each time 0.8 ~ 1.2g, 2 times a day, orally.
2. Acupuncture and moxibustion therapy takes the breast root, shoulder well, danzhong, three yinjiao, according to the specific disease, can be supplemented points and the use of tonic and diarrhea techniques, once a day.
3. Qigong therapy
(1) Exercise as early as possible after surgery. Pay special attention to the exercise of the affected limbs, the range of activities from small to large, in order to promote venous return, reduce upper limb edema.
(2) Qigong therapy is feasible. The purpose of practicing qigong for breast cancer patients is to stabilize their mood and relax their qi, so it is better to choose sitting and lying down; they can practice taijiquan.
(3) Prevention and care
1. For women in the age of high incidence of breast cancer, they should carry out regular self-examination of breasts, and once a lump is suspected, they should consult the doctor immediately, which is the key to preventing and treating breast cancer.
2. It is advisable to improve the emotional state. The lack of good mood is enough to aggravate the condition of breast cancer, so it is of great significance to regulate the mood for the treatment of breast cancer.
3. Diet. Breast cancer patients should eat more fresh vegetables and fruits, avoid spicy and fatty products. Adolescents should abstain from high-fat diet.
4. Encourage mothers to breastfeed their babies.