〔摘要〕 “五辨”是一种基于整体观念的新理论，是辨病、辨症、辨证、辨机与辨人的有机结合，是运用于疾病临床诊断和治疗的思维过程，是认识疾病、探求病因、明确病机、拟定治法和方药的基本思路。从“五辨”思维角度出发，通过辨病以掌握乳腺癌的整体情况，辨症以了解乳腺癌的临床特征，辨证以明确乳腺癌的所处阶段，辨机以洞察乳腺癌的内在本质，辨人以分析乳腺癌的发病特征。临床灵活运用“五辨”思维，综合分析乳腺癌的基本表现、发病机制、病变规律和治法方药，以期为乳腺癌的诊断和治疗提供新思路和新见解。

    〔关键词〕 乳腺癌；“五辨”思维；个体化诊疗；动态评估；病证结合

    〔中图分类号〕R273 〔文献标志码〕A 〔文章编号〕doi：10.3969/j.issn.1674-070X.2024.10.024

    Exploring diagnosis and treatment strategies for breast cancer

    through the "five identifications" theory

    YI Manting1， LI Yueheng2， LI Dongfang2*

    1. Hunan University of Chinese Medicine， Changsha， Hunan 410208， China;

    2. Hunan Cancer Hospital， Changsha， Hunan 410013， China

    〔Abstract〕 The "five identifications" theory is established newly based on the holistic concept， which is a thinking process that integrates identifications of disease， symptom， pattern， pathogenesis， and person. It is applied to the clinical diagnosis and treatment of diseases， serving as the fundamental approach to？understanding diseases， exploring causes， clarifying pathogenesis， and formulating treatment methods and formulas. From the perspective of the "five identifications" theory ......