
1. 上海中医药大学附属龙华医院中医外科,上海,200032
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李淑娟, 阙华发. 阙华发治疗乳腺癌术后上肢淋巴水肿经验撷菁[J]. 上海中医药杂志, 2016,50(8):24-26.
LI Shu-juan, QUE Hua-fa. Que Huafa’s experience in the treatment of upper extremity lymphedema after breast cancer surgery[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(8):24-26.
总结阙华发教授治疗乳腺癌术后上肢淋巴水肿的经验。认为主要病机为瘀血化水,主张以活血利水为主要治法,辅以通络、益气、理气之法。早期,湿瘀互结,侧重利湿消肿;后期,痰瘀互结,侧重化痰软坚、温阳散结。同时注重辨证、辨病、辨体质相结合,灵活运用扶正祛邪、标本缓急治则。并举验案1则。
This paper summarized professor Que Huafa’s experience in the treatment of upper extremity lymphedema after breast cancer surgery. Professor Que recommended the blood stasis and water retention as the main pathogenesis. He advocated that the main therapeutic method included promoting blood circulation and excreting water with dredging collaterals,replenishing and regulating qi.In early stage,blood stasis combined with dampness, the treatment focused on draining dampness and alleviating edema.In advanced stage,blood stasis combined with phlegm,the treatment focused on resolving phlegm and softening hardness,warming yang and dissipating mass. He emphasized the combination of syndrome differentiation,disease differentiation and constitution differentiation. The principle of treatment as reinforcing healthy qi and eliminating pathogen and treating branch or root should be flexible used. One proven case was recorded.
乳腺癌术后上肢淋巴水肿瘀血化水活血利水阙华发
postoperative breast cancerupper extremity lymphedemablood stasis and water retentionpromoting blood circulation and excreting waterQue Huafa
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