中医药研究论丛

233.6 乳腺增生之中西医观点与预防癌变之探讨
TJ TCM.23(3) : 75-90,2020
乳腺增生之中西医观点与预防癌变之探讨
Benign Breast Disease-Mammary Gland Hyperplasia and Breast Cancer Prevention:
Different Viewpoints from Traditional Chinese Medicine and Western Medicine 
王怡琇1 林宏隆1*
1 高雄医学大学附设医院中医部,高雄,台湾
【摘要】
乳腺增生是女性最常见的乳房疾病,其发病率占乳腺疾病的首位,近年更呈逐年上升的趋势。
本文为专论,先探讨乳腺增生的中西观点及病理机转,再探讨中医中药与针灸之治疗策略。乳腺增生根据组织学分类,分为增生性病灶有╱无非典型细胞两类,前者已被视为是癌前期病变,後者即便不算癌前病变,仍有着各种程度的癌变风险。因此无论有或无非典型细胞增生,均需以预防医学角度予以高度重视。西医目前对乳腺增生的治疗,除直接手术切除外,多以内分泌治疗为手段。中医对乳腺增生的发病机理以及治疗策略已累积深入的认识及丰富的治疗方式,病机常以肝脾肾三脏及冲任不调为本,气血痰湿郁结聚为标,采取标、本兼治,少副作用,可积极达到防止恶化癌变的预防医学。
【关键词】良性乳房疾病(BBD)、乳腺增生、乳癖、乳癌预防医学、中医预防乳癌
 
Yi-Hsiu Wang1Hung-Lung Lin1*
1Department of Traditional Chinese Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
【Summary】
Mammary gland hyperplasia is quite common among females, and is still increasing in recent years. This is a monograph firstly discussing on the viewpoints from traditional Chinese medicine and western medicine as well as the pathologic mechanisms, and secondly focusing on the Chinese Medicine treatment strategies including herbal formula and acupuncture.
Mammary gland hyperplasia is categorized into proliferative lesions without atypia and atypical hyperplasia. Both types have cancer risks, the latter especially being regarded as precancerous stage. Therefore, it is necessary and urgent to find solution to prevent the hyperplasia from getting into breast cancer stage. So far, surgery and hormone therapy are the main strategies in western medicine. Chinese medicine had long developed the knowledge and various treatment strategies on
mammary gland hyperplasia, addressing both symptoms and root causes with few side effects, actively achieving the preventive medicine.
【Keywords】Benign Breast Disease (BBD); Mammary Gland Hyperplasia; Breast Lumps; Preventive Medicine in Breast Cancer with Chinese Medicine