国医大师林毅“六郁治乳”理论在早期乳腺癌分期辨证中的应用

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关键词：早期乳腺癌；六郁治乳；分期辨证；围手术期；围化疗期；围放疗期；巩固期；林毅中图分类号：R273.79 文献标志码：A 文章编号：1007-3213（2025）07-1773-06DOI：10.13359/j.cnki.gzxbtcm.2025.07.031

Application of Traditional Chinese Medicine Master Lin Yi's Theoryof Six-Stagnation-Based Breast Disease Prevention and Treatment in Staging and Syndrome Differentiation of Early Breast Cancer

SU Nanchuan，WANG Guibin，XU Biao，SITU Honglin，SONG Xue （Advisor：LIN Yi（Dept.of Breast Diseases，Guangdong Provincial Hospitalof Chinese Medicine，Guangzhou 51O120 Guangdong，China）

Abstract：By aggegating the essence of theories related with depressive syndrome from historical medical practitioners and basedon the extensive clinical experience，traditional Chinese medicine（TCM）master Lin Yi proposed the theory of six-stagnation-based breast disease preventionand treatment.She pointed out that the occurrence of breast diseases is related to six stagnations （ qi stagnancy，blood stagnancy， phlegm stagnancy， dampness stagnancy，food stagnancy，and fire stagnancy），and the treatment for breast diseases should start from the six stagnations.The development and progression of breast cancer is closely asociated with the imbalance of internal environment and the formation of six stagnations，and breast cancer is one of the major diseases suitable for the TCMsyndrome diferentiationand treatment.For the treatment of early breast cancer，Professor Lin Yi proposed to divide early breast cancer into four stages，namely perioperative period，peri-chemotherapy period， peri-radiotherapy period，and consolidation period.Guidedbythe theory of six-stagnation-based breast disease prevention and treatment，therapies of soothing the liver，resolving phlegm，removing stasis，clearing heat， eliminating dampness，promoting digestion，fortifying the spleen，and tonifying the kidney areemployed to harmonize the internal environment and aleviate symptoms.The theory of six-stagnation-based breast disease preventionand treatment enriches the TCM theory for the preventionand treatment of breast cancer，refines the principlesand methods for the stagingand syndrome diferentiation of early breast cancer，and holds significant implications for enhancing the eficacy of integrated TCMand western medicine in managing early breast cancer.

Keywords：early breast cancer； six-stagnation-based breast disease preventionand treatment；staging and syndromediffrentiation；perioperativeperiod；peri-chemotherapyperiod；peri-radiotherapyperiod; consolidation period；Lin Yi

近年来，乳腺癌的发病率已居女性恶性肿瘤之首。（剩余9408字）