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

The American journal of Chinese medicine Pub Date : 2024-01-01 Epub Date: 2024-06-14 DOI:10.1142/S0192415X2450040X
Qinhang Wu, Hongkai Yan, Ziyi Kang
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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.

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中药治疗三阴性乳腺癌及其药理机制综述。
三阴性乳腺癌(TNBC)是乳腺癌的一种侵袭性亚型。TNBC的常规治疗方案往往疗效有限,且副作用较大。近年来,传统中医药(TCM)在治疗 TNBC 方面取得了可喜的成果。中医药包括具有协同作用的中草药组合,可调节体内平衡,降低肿瘤耐药性,改善患者生活质量。目前,临床上治疗TNBC的中医方法主要有三种:增强机体抵抗力、祛痰、清除癌毒。本文回顾了这三种方法在TNBC治疗中的理论和作用机制。增强机体抵抗力法强调增强机体本元之气,以对抗致病因素;祛痰法旨在消除痰浊瘀滞,减轻受累脏器的负担;清除癌毒法侧重于解毒、排毒,以清除与TNBC相关的有毒元素。这些方法虽然治疗的TNBC病因不同,但都取得了良好的疗效,是一种重要的学术思路:即从机体的整体观出发,恢复阴阳平衡,达到治疗疾病的目的。这些知识为今后中医药在临床上的发展和合理应用奠定了基础。
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