乳腺癌是女性高发恶性肿瘤，随着综合疗法改进，患者生存期延长，但部分患者常因慢性疼痛综合征而影响生活质量，其发病与手术创伤、化疗放疗毒性、内分泌治疗副反应和心理因素等有关，属于中医学"痹证"范畴，病机有不荣而痛和不通而痛两类，常见证候为血虚失养证、气滞血瘀证、肝郁脾虚证，治疗原则为扶正祛邪，常用治法有养血柔肝法、理气活血法、调和肝脾法，方药可选四物汤、柴胡疏肝散、身痛逐瘀汤、逍遥散等加减，并配合适当的心理疏导。在本文中作者试将乳腺癌相关性疼痛综合征的病机与证治进行总结分析。

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