| 引用本文: |
易曼婷, 黎月恒, 李东芳.基于“五辨”思维探讨乳腺癌的诊治思路[J].湖南中医药大学学报,2024,44(10):1892-1897[点击复制] |
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| 基于“五辨”思维探讨乳腺癌的诊治思路 |
| 易曼婷,黎月恒,李东芳 |
| (湖南中医药大学, 湖南 长沙 410208;湖南省肿瘤医院, 湖南 长沙 410013) |
| 摘要: |
| “五辨”是一种基于整体观念的新理论，是辨病、辨症、辨证、辨机与辨人的有机结合，是运用于疾病临床诊断和治疗的思维过程，是认识疾病、探求病因、明确病机、拟定治法和方药的基本思路。从“五辨”思维角度出发，通过辨病以掌握乳腺癌的整体情况，辨症以了解乳腺癌的临床特征，辨证以明确乳腺癌的所处阶段，辨机以洞察乳腺癌的内在本质，辨人以分析乳腺癌的发病特征。临床灵活运用“五辨”思维，综合分析乳腺癌的基本表现、发病机制、病变规律和治法方药，以期为乳腺癌的诊断和治疗提供新思路和新见解。 |
| 关键词: 乳腺癌 “五辨”思维 个体化诊疗 动态评估 病证结合 |
| DOI：10.3969/j.issn.1674-070X.2024.10.024 |
| 投稿时间：2024-06-27 |
| 基金项目:黎月恒全国名老中医药专家传承工作室(湘财社[2014]119号);湖南省中医药管理局重点项目(C2022007);湖南省中医药领军人才和学科带头人(湘中医药[2022]4号)。 |
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| Exploring diagnosis and treatment strategies for breast cancer through the "five identifications" theory |
| YI Manting, LI Yueheng, LI Dongfang |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Hunan Cancer Hospital, Changsha, Hunan 410013, China) |
| Abstract: |
| The "five identifications" theory is established newly based on the holistic concept, which is a thinking process that integrates identifications of disease, symptom, pattern, pathogenesis, and person. It is applied to the clinical diagnosis and treatment of diseases, serving as the fundamental approach to?understanding diseases, exploring causes, clarifying pathogenesis, and formulating treatment methods and formulas. From the perspective of the "five identifications" theory, we can grasp the overall conditions of breast cancer by disease identification, understand its clinical characteristics by symptom identification, clarify its development stage by pattern identification, gain insights into its intrinsic nature by pathogenesis identification, and analyze its onset characteristics by person identification. In order to provide new ideas and insights for the diagnosis and treatment of breast cancer, the basic manifestations, pathogenesis, development rules, and treatment methods of breast cancer are comprehensively analyzed using the "five identifications" thoery flexibly in clinical practice. |
| Key words: breast cancer the "five identifications" theory individualized diagnosis and treatment dynamic assessment combination of disease and pattern |
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