|
|
Experience of Professor Li Tong in the prevention and treatment of radioactivity skin injury of breast cancer |
MAO Wanpeng1 SONG Fengli2 KANG Ning2 SUN Ying2 GAO Chen2 LI Tong2 |
1.Department of Oncology, Shunyi Hospital, Beijing Hospital of Traditional Chinese Medicine, Beijing 101300, China;
2.Department of Oncology, the Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China |
|
|
Abstract Breast cancer is the most common malignant tumor in women. Radiotherapy is one of the important adjuvant treatment methods for breast cancer patients after surgery. Radioactivity skin injury is the most common adverse reaction in adjuvant radiotherapy. If the prevention and treatment are not timely, the successful completion of radiotherapy plan and the quality of life of patients will be affected. Traditional Chinese medicine has certain advantages in the prevention and treatment of radioactivity skin injury. Professor Li Tong has profound attainments and rich experience in this field, and he has his own unique views on the etiology and pathogenesis of the disease and the clinical medication. Professor Li Tong thinks that the radioactivity skin damage of breast cancer is mainly caused by pathogenic dryness-heat, insidious onset, loss of body fluid, skin cauma. In the treatment, he advocates installment syndrome differentiation, combining internal treatment with external treatment, laying equal stress on pharmacologic therapy and heart therapy, taking nourishing qi, nourishing yin and moistening dryness as the basic method, the clinical curative effect is remarkable.
|
|
|
|
|
[1] Siegel RL,Miller KD,Jemal A. Cancer statistics,2018 [J]. CA Cancer J Clin,2018,68(1):7-30.
[2] Chen W,Zheng R,Baade PD,et al. Cancer statistics in China,2015 [J]. CA Cancer J Clin,2016,66(2):115-132.
[3] Early Breast Cancer Trialists’ Collaborative Group(EBCTCG),Darby S,McGale P,et al. Effect of radiotherapy after breast-conserving surgery on 10-year recurrence and 15-year breast cancer death:meta-analysis of individual patient data for 10,801 women in 17 randomised trials [J]. Lancet(London,England),2011,378(9804):1707-1716.
[4] 蔡蕴敏,戚晓霞,陆慰英.自粘性泡沫敷料治疗乳腺癌患者放射性皮炎的疗效观察[J].中国临床医学,2015,22(3):401-402,405.
[5] 宋凤丽,康宁,柯应水,等.放射性皮肤损伤从“肺热络瘀”论治[J].中华中医药杂志,2017,32(2):511-513.
[6] 刘凤智,宋凤丽,康宁,等.李仝治疗恶性肿瘤放射性损伤经验[J].中华中医药杂志,2019,34(11):5213-5216.
[7] 乔冠英,林丽珠.林丽珠治疗恶性肿瘤常见放射反应经验介绍[J].新中医,2019,51(5):319-321.
[8] 王海亭,苏新民.“六气皆从火化”非“六气皆能化火”[J].中华中医药学刊,2009,27(1):199-200.
[9] 宋凤丽,康宁,李京华,等.急性放射性皮肤损伤的中医治疗思路[J].中医外治杂志,2019,28(4):63-64.
[10] 李坤宁,张庆祥,徐成岩,等.伏邪病因病机特点的探析[J].中国中医急症,2019,28(12):2170-2173.
[11] 张磊,王涓涓,娄志杰,等.从伏邪温病的机制理论探讨中医药治疗新型冠状病毒肺炎的特点[J].天津中医药,2020,37(9):990-993.
[12] 温如果.伏邪的病因及临证应用意义浅析[J].实用中医内科杂志,2008(11):89-90.
[13] Koukourakis GV,Kelekis N,Kouvaris J,et al. Therapeutics interventions with anti-inflammatory creams in post-radiation acute skin reactions:a systematic review of most important clinical trials [J]. Recent Pat Inflamm Allergy Drug Discov,2010,4(2):149-158.
[14] 皇甫艳利,杨慧芬,徐红.乳腺癌患者术后中医体质及中医证型特点分析[J].黑龙江中医药,2013,42(6):12-13.
[15] 戚益铭,沈敏鹤,阮善明,等.乳腺癌病因病机及中医证治的研究进展[J].黑龙江中医药,2014,43(5):81-83.
[16] 魏瑜.祛风宣肺、养阴润燥法治疗慢性咳嗽临床研究[J].长春中医药大学学报,2017,33(4):587-589.
[17] 吴晓丹,孙丽英,马伯艳.《温病条辨》增液汤功效探析[J].南京中医药大学学报:自然科学版,2007,23(6):351-352,376.
[18] 杨文博,李京华,宋凤丽,等.加味四妙勇安油外涂防治急性放射性皮炎临床研究[J].中华中医药杂志,2017, 32(11):5246-5248.
[19] 石玉春.林洪生中医药配合放化疗治疗肿瘤经验初探[J].北京中医药,2012,31(3):182-184.
[20] 刘欣欣,刘林.伏气温病理论指导当今疾病治疗的临床运用[J].湖北中医杂志,2017,39(3):40-42.
[21] 滕飞.人文关怀护理对乳腺癌术后放疗患者生活质量的影响[J].中国医药指南,2020,18(5):256-257.
[22] 赵晓叶,郎静芳,郝丽霞,等.护理干预对乳腺癌患者调强放射治疗肩、肘关节功能、皮肤损伤和生活质量的影响[J].河北医药,2016,38(16):2533-2536.
[23] 仇晓霞,郭艳,钟卫菲,等.乳腺癌根治术患者婚姻质量的调查研究[J].上海护理,2010,10(2):35-39.
[24] 李晓艳.心理护理对乳腺癌患者负面情绪和免疫功能的影响[J].免疫学杂志,2013,29(12):1048-1051,1056.
[25] 胡诗芳.选择性心理干预对化疗期老年乳腺癌患者免疫功能和焦虑抑郁情绪的影响[J].中国老年学杂志,2015, 35(5):1262-1264. |
|
|
|