WANG Xixing's Experience in Differentiation and Treatment of Advanced Breast Cancer with Anxiety and Depression：Based on Shaoyang Pivot Theory
10.13288/j.11-2166/r.2025.23.005
- VernacularTitle:王晞星从少阳枢机辨治进展期乳腺癌伴焦虑抑郁经验
- Author:
Wenbo ZHAI
1
;
Xinyue WANG
1
;
Dongxin ZHANG
2
;
Zhiyao SHI
2
;
Yuyan GUO
2
;
Xi YANG
3
;
3
Author Information
1. Shanxi Provincial Institute of Traditional Chinese Medicine，Taiyuan，030012
2. The First Clinical College，Shanxi University of Chinese Medicine
3. Shanxi Province Hospital of Traditional Chinese Medicine
- Publication Type:Journal Article
- Keywords:
breast cancer;
anxiety;
depression;
shaoyang;
pivot;
experience of famous doctors;
WANG Xixing
- From:
Journal of Traditional Chinese Medicine
2025;66(23):2421-2425
- CountryChina
- Language:Chinese
-
Abstract:
To summarize Professor WANG Xixing's clinical experience in treating advanced breast cancer with anxiety and depression from the perspective of shaoyang pivot. It is believed that the core pathogenesis of advanced breast cancer with anxiety and depression lies in the dysfunction of shaoyang pivot （referring to the imbalanced regulatory function of the shaoyang meridian system that governs the transportation and transformation of qi， blood， and body fluids）. This dysfunction can lead to abnormal circulation of qi， blood， and body fluids， as well as the intermingling of phlegm and blood stasis， which further promotes the spread and diffusion of cancer toxin. Meanwhile， it disturbs mental activity， resulting in a condition characterized by stagnation of cancer toxin and concurrent disorders of both the physical body and the spirit. Based on this pathogenesis， the basic therapeutic principles of harmonizing shaoyang， regulating the pivot to calm the spirit， and dissipating masses and resolving toxins are proposed. Clinically， the disease is classified into three syndromes for differentiation and treatment. For shaoyang pivot dysfunction syndrome， treatment should use self-prescribed Chaiqin Hengshu Ningxin Decoction （柴芩衡枢宁神汤）； for sanjiao pivot dysfunction syndrome， treatment should prescribe Chaigui Tongshu Dashen Decoction （柴归通枢达神饮）； for gallbladder function disorder syndrome， treatment should apply Wendan Qishu Shoushen Decoction （温胆启枢守神汤）. Throughout the treatment process， the concept of "simultaneous treatment of cancer and depression" is implemented to smooth the shaoyang pivot， block the vicious cycle where cancer toxin and emotional abnormalities mutually reinforce each other.
