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中药治疗三阴性乳腺癌的研究进展及药理机制

A Review of Traditional Chinese Medicine for Triple Negative Breast Cancer and the Pharmacological Mechanisms.

机构信息

School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, P. R. China.

出版信息

Am J Chin Med. 2024;52(4):987-1011. doi: 10.1142/S0192415X2450040X. Epub 2024 Jun 14.

Abstract

Triple negative breast cancer (TNBC) is an aggressive subtype of breast cancer. Conventional treatment options for TNBC often have limited efficacy and significant side effects. In recent years, traditional Chinese medicine (TCM) has shown promising results in the treatment of TNBC. TCMs include herb combinations that have synergistic effects to regulate homeostasis in the body, reduce tumor resistance, and improve patient quality of life. At present, three main TCM methods are used to treat TNBC in the clinic: strengthening the body's resistance, dispelling phlegm, and removing cancer toxins. This paper reviews the theories and mechanisms of each in TNBC treatment. The method of strengthening the body's resistance emphasizes enhancing the body's original Qi to fight against pathogenic factors; the method of dispelling phlegm seeks to eliminate phlegm stagnation and alleviate the burden on affected organs; the method of removing cancer toxins focuses on detoxification and detumescence to remove the toxic elements associated with TNBC. Although these methods treat TNBC from different etiologies, they have achieved good therapeutic effects and represent an important academic approach: That is, to cure the disease with a comprehensive view of the body and restore the balance of Yin and Yang. This knowledge lays a foundation for the future development and reasonable application of TCM in the clinic.

摘要

三阴性乳腺癌(TNBC)是一种侵袭性乳腺癌亚型。TNBC 的常规治疗方案往往疗效有限,且副作用明显。近年来,中医药在 TNBC 的治疗中显示出良好的效果。中药包括具有协同作用的草药组合,可调节体内的内稳态,降低肿瘤耐药性,并提高患者的生活质量。目前,临床上有三种主要的中医方法用于治疗 TNBC:增强机体抵抗力、祛痰和清除癌毒。本文综述了每种方法在 TNBC 治疗中的理论和机制。增强机体抵抗力的方法强调增强机体的正气以对抗致病因素;祛痰的方法旨在消除痰浊,减轻受累器官的负担;清除癌毒的方法侧重于解毒消肿,以去除与 TNBC 相关的有毒元素。尽管这些方法从不同的病因治疗 TNBC,但都取得了良好的治疗效果,代表了一种重要的学术方法:即从整体上看待疾病,恢复阴阳平衡。这些知识为中医药在临床上的未来发展和合理应用奠定了基础。

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