[1]张 普,陈震霖,陈羽佩,等.论肉芽肿性乳腺炎的因机证治[J].陕西中医,2022,(1):97-99,107.[doi:DOI:10.3969/j.issn.1000-7369.2022.01.024]
 ZHANG Pu,CHEN Zhenlin,CHEN Yupei,et al.Etiology,pathogenesis and treatment of granulomatous mastitis[J].,2022,(1):97-99,107.[doi:DOI:10.3969/j.issn.1000-7369.2022.01.024]
点击复制

论肉芽肿性乳腺炎的因机证治
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年1期
页码:
97-99,107
栏目:
学术探讨
出版日期:
2022-01-05

文章信息/Info

Title:
Etiology,pathogenesis and treatment of granulomatous mastitis
作者:
张 普1陈震霖1陈羽佩1张 硕2
(1.陕西中医药大学,陕西 咸阳 712046; 2.北京中医药大学,北京 100029)
Author(s):
ZHANG PuCHEN ZhenlinCHEN YupeiZHANG Shuo
(Shaanxi University of Chinese Medicine,Xianyang 712046,China)
关键词:
肉芽肿性乳腺炎 乳痈 乳漏 病因病机 辨证论治
Keywords:
Granulomatous mastitis Breast carbuncle Milk leak Etiology and pathogenesis Dialectical Governance
分类号:
R 655.8
DOI:
DOI:10.3969/j.issn.1000-7369.2022.01.024
文献标志码:
A
摘要:
肉芽肿性乳腺炎属于中医学“乳痈”“乳漏”的范畴,发病主要影响冲任、肝、脾、肾等脏腑经络,病因病机主要有气血失和、肝郁气滞、脾虚痰凝等。根据临证时患者的症状和体征,常运用补气行血、疏肝解郁、健脾化痰等治疗法则,方选桃红四物汤加减、柴胡疏肝散加减或参苓白术散加减等,组方用药做到因人制宜,同病异治。除内治法治疗本病外,中医外治法在治疗早期或成脓期肉芽肿性乳腺炎时也取得了较好的疗效。
Abstract:
Granulomatous mastitis belongs to the category of “galactorrhea” and “acute mastitis” in traditional Chinese medicine,mainly affects Chong Ren,liver,spleen,kidney and other viscera meridian,the main causes and pathogenesis are Qi-blood disharmony,Stagnation of Qi due to depression of the liver,spleen deficiency and phlegm coagulation,etc.According to the symptoms and signs of the patients,we often use the treatment rules of Invigorating Qi and Blood,Dispersing stagnated liver Qi for relieving Qi stagnation,Strengthening the spleen and reducing phlegm,etc,select Taohong Siwu decoction,Chaihu Shugan powder or Shenling Baizhu powder,and so on,the prescription drug to suit the conditions of people,the same disease and different treatment.In addition to internal treatment of the disease,the external treatment of traditional Chinese medicine in the early or purulent stage of granulomatous mastitis has also achieved better results.

参考文献/References:

[1] 郭 瑞,祝东升,李 巍,等.肉芽肿性乳腺炎中医病名建议改用“烂乳痈”[J].2020,12(4):13-16.
[2] 黄维芳,刘丽芳,范洪桥,等.刘丽芳教授运用“消”法治疗粉刺性乳痈经验研究[J].陕西中医,2020,41(3):371-373.
[3] 樊炜静,柳国斌.从气血理论探讨难愈性创面的中医药防治[J].中医药学报,2020,48(5):6-8.
[4] 罗玉群,白小丽.女性乳腺炎决定因素的纵向评价[J].陕西医学杂志,2016,45(12):1615-1616.
[5] 丘维钰,郜 洁,高飞霞,等.“肾—天癸—冲任—胞宫”生殖轴的研究进展[J].广州中医药大学学报,2017,34(6):945-947.
[6] 张董晓,付 娜,谭玉培,等.吕培文教授托法在难愈性肉芽肿性乳腺炎中的应用[J].世界中西医结合杂志,2020,15(7):1235-1238.
[7] 于远航,曾 一.曾一教授治疗肉芽肿性乳腺炎伴结节性红斑验案1例[J].现代养生,2020,20(3):97-100.
[8] 闫 菲.中西医女性生殖轴互参探讨继发性闭经的辨治思路[J].环球中医药,2020,13(7):1178-1181.
[9] 陈桂林,陈丽娟,黎润尧,等.类固醇激素治疗后手术切除与单纯类固醇治疗肉芽肿性小叶性乳腺炎的疗效对比分析[J].药物生物技术,2020,27(4):348-351.
[10] 范洪桥,刘丽芳,周 亮,等.基于“阳虚阴结”思想刍议温阳法治疗肉芽肿性乳腺炎[J].中国中医药信息杂志,2019,26(10):121-123.
[11] 冯佳梅,蒋思韵,徐瑞敏,等.清化痰湿方治疗痰湿型粉刺性乳痈临床疗效观察[J].上海中医药杂志,2016,50(8):58-59,66.
[12] 张 颖.不同方法治疗难治性肉芽肿性乳腺炎临床效果比较[J].临床军医杂志,2020,48(7):828-829.
[13] 刘小利,王清平.疏肝解毒消痈汤联合抗生素治疗早期急性乳腺炎33例[J].陕西中医,2016,37(10):1277-1278.
[14] 徐 飚.林毅运用中医外治法治疗肉芽肿性小叶性乳腺炎经验介绍[J].新中医,2020,52(14):187-189.
[15] 高晴倩,万 华,吴雪卿,等.清化痰湿方联合盾构切开术对浆细胞性乳腺炎患者术后创面愈合、疾病复发的影响[J].陕西中医,2020,41(11):1556-1558.
[16] 陈梅兰,佃丽萍,朱华宇,等.林毅“提脓祛腐”治疗复杂难治性肉芽肿性小叶性乳腺炎临床验案[J].中国医药导报,2020,17(28):113-116,143.
[17] 牛领锋,王志军.消痈汤加减方联合手术治疗肉芽肿性乳腺炎[J].河南医学研究,2020,29(32):6088-6090.
[18] 刘向伟,李超平,张洪光.观察康复新液联合地塞米松对肉芽肿乳腺炎手术效果及预后的影响[J].黑龙江医药,2018,31(4):818-819.
[19] 吕 锋,李建军.特发性肉芽肿性乳腺炎的诊断及治疗现状[J].济宁医学院学报,2020,43(2):132-136.
[20] 赵慧朵,楚爱景,王 伟,等.消肿散联合按摩治疗肉芽肿性乳腺炎肿块期疗效研究[J].陕西中医,2019,40(6):743-745.

相似文献/References:

[1]赵慧朵,楚爱景,王 伟,等.消肿散联合按摩治疗肉芽肿性乳腺炎肿块期疗效研究*[J].陕西中医,2019,(6):743.
[2]邓显光,刘丽芳,曾丽红,等.从伏邪学说论治肉芽肿性乳腺炎[J].陕西中医,2021,(10):1433.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.028]
[3]王雨青,孙霃平,刘 胜.从“乳为肝窍”论治乳房疾病[J].陕西中医,2022,(7):929.[doi:DOI:10.3969/j.issn.1000-7369.2022.07.028]
 WANG Yuqing,SUN Chenping,LIU Sheng.Discussion on the treatment of breast disease from the theory based on “breast is the opening of liver”[J].,2022,(1):929.[doi:DOI:10.3969/j.issn.1000-7369.2022.07.028]
[4]刘晓青,任伊宁,兴 伟,等.疏肝理气方对浆细胞性乳腺炎患者术后恢复及免疫因子的影响[J].陕西中医,2024,(7):926.[doi:DOI:10.3969/j.issn.1000-7369.2024.07.014]
 LIU Xiaoqing,REN Yining,XING Wei,et al.Effects of Shugan Liqi on recovery and immune factors of patients with plasma cell mastitis after operation[J].,2024,(1):926.[doi:DOI:10.3969/j.issn.1000-7369.2024.07.014]

备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助项目(81974584)
更新日期/Last Update: 2022-01-09