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陆明治疗乳腺癌处方春季用药特色研究

     

摘要

Objective To analyze the drug using regularity in treating breast cancer in spring of professor Lu Ming. Methods Prescriptions that treated breast cancer in 2013 spring of professor Lu Ming were collected, and then metrology analysis was used to study the frequency, property, flavor and meridian attribution of herbal medicine in these prescriptions, and analyze their basic medication features. Results Among the collected 111 prescriptions of professor Lu Ming for treatment of breast cancer, the most often used prescription was sedatives and tranquilizers and nourishing yin;commonly used medications were Lanceleaf lily bulb, cortex albiziae, radix astragali, radix paeoniae alba and so on. The herbal medicine used included five kinds of properties, and the two most common ones were warm and plain. There were six different flavors, among which sweet and bitter were the two most common ones. Nine meridian attributions were identified, among which liver meridian and spleen meridian were the two most common ones. Conclusion Clinical treatment of breast cancer should be based on sweet-warm nourishing herbal medicine, while paying attention to tranquilizing and sedating the mind. Symptoms should be treated by using clearing heat and promoting diuresis. In addition, it should be noted that the spring medication should conform the warmth of spring qi.%目的:探讨陆明教授春季治疗乳腺癌的用药规律。方法收集陆明教授2013年春季门诊治疗乳腺癌的处方,采用计量学的方法确定处方中药物的频次及其性、味、归经等,分析处方基本用药特点。结果对筛选的111首处方分析发现,高频用药前2位的是安神药和补阴药,单味药依次为百合、合欢皮、黄芪、白芍等。所用药物涉及药性5种,前2位为温、平;药味6种,前2位为甘、苦;归经9条,前2位为肝、脾。结论春季乳腺癌的治疗当以甘温补益为主,安神定志为辅,清热利湿治标,同时注意春季用药要顺应春生之气。

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