1.西南医科大学附属中医医院普外科 四川 646000
2.中日友好医院
3.北京中医药大学
彭婧,女,硕士,住院医师
# 夏仲元,女,博士,教授、主任医师,博士生导师,E-mail:2718421708@qq.com
纸质出版日期:2021-07-30,
收稿日期:2021-01-11,
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彭婧, 王玥琦, 陆钰原, 等. 托法在非哺乳期乳腺炎中的运用[J]. 现代中医临床, 2021,28(4):58-61,66.
Jing Peng, Yueqi Wang, Yuyuan Lu, et al. Application of Tuofa in non-lactation mastitis[J]. Modern Chinese Clinical Medicine, 2021,28(4):58-61,66.
彭婧, 王玥琦, 陆钰原, 等. 托法在非哺乳期乳腺炎中的运用[J]. 现代中医临床, 2021,28(4):58-61,66. DOI: 10.3969/j.issn.2095-6606.2021.04.012.
Jing Peng, Yueqi Wang, Yuyuan Lu, et al. Application of Tuofa in non-lactation mastitis[J]. Modern Chinese Clinical Medicine, 2021,28(4):58-61,66. DOI: 10.3969/j.issn.2095-6606.2021.04.012.
非哺乳期乳腺炎是一组发生于乳房的慢性非细菌性炎症疾病,以乳房肿块、脓肿和窦道、瘘管为主要表现,病情反复发作,迁延难愈。中医外科内治法按照疾病初起、成脓、溃后3个不同阶段,确立消、托、补3个治疗原则,托法是其中最具代表性的特色疗法。该病以半阴半阳证最为常见。治疗上,阳证以清消为主,阴证以为温通为主,而对于半阴半阳证,托法则更为合适。从清托透邪法、托里透脓法、托里生肌法探讨托法在非哺乳期乳腺炎中的具体运用,治疗以托法为主,与他法联用,寓消于托,寓补于托。根据托法治疗非哺乳期乳腺炎的理论,在辨病辨证基础上,创立治疗成脓期和溃后期的“浆乳2号方”,并结合临床病例对具体用药进行介绍。
Non-lactation mastitis is a group of chronic non-bacterial inflammatory diseases occurring in the breast
with breast lumps
abscess
sinus tract and fistula as its main manifestations. It relapses and is difficult to heal. According to the three different stages of the disease
namely the initial stage
the purulent stage and the ulceration stage
the internal treatment method of TCM surgery establishes three treatment principles of elimination
supporting and tonification
among which the supporting method is the most representative characteristic therapy. Half-yin and half-yang syndrome is the most common type. In terms of treatment
clearing and elimination are mainly used for yang syndrome and warming method is mainly used for yin syndrome
and supporting method is more appropriate for half-yin and half-yang syndrome. The specific application of the supporting method in non-lactation mastitis is discussed in this article from the perspective of clearing-supporting method to outthrust the pathogens
supporting the interior to bring out the pus and to generate fleshes
in combination with other methods. According to the theory of the supporting method for non-lactation mastitis and based on disease differentiation and syndrome differentiation
the "No. 2 formula"
used for the purulent stage and the ulceration stage
is introduced in terms of its specific drug use in combination with clinical cases.
非哺乳期乳腺炎托法半阴半阳证
non-lactating mastitisTuofa(supporting method)half-yin and half-yang syndrome
胡玥,奚佩雯,石靓,等.非哺乳期乳腺炎的分类和诊治进展[J].南京医科大学学报(自然科学版),2019,39(5):769-773.
胡晓峰.中医外科伤科名著集成:刘涓子鬼遗方[M].北京:华夏出版社,1997:29
齐德之.外科精义[M].北京:人民卫生出版社,1990:32.
高秉钧.疡科心得集[M].徐福松,点注.南京:江苏科学技术出版社,1983:7.
薛己.薛氏医案选:上册[M].北京:人民卫生出版社,1983:156.
陈实功.外科正宗[M].裘钦豪,高葆良,杜江南,点校.上海:上海科学技术出版社,1989:30.
王肯堂.证治准绳[M].北京:人民卫生出版社,1993:83.
薛己.外科发挥[M].胡晓峰,整理.北京:人民卫生出版社,2006:146.
张山雷.疡科纲要[M].上海:上海卫生出版社,1958:7.
浙江中医学院.医宗金鉴:外科心法要诀白话解[M].北京:人民卫生出版社,1965:302.
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.
郝福明,赵清树,任秀玲,等.托法扶正托毒机理的动物实验研究[J].中华中医药学刊,2010,28(7):1418-1420.
陈德轩,蔡红蝶,宿树兰,等.透脓散组方对大鼠疮疡模型干预作用及其机制的血浆代谢组学研究[J].时珍国医国药,2019,30(1):9-16.
陈自明.校注妇人良方[M].薛己,校注.上海:上海卫生出版社,1956:142.
许克昌,毕法.外科证治全书[M].北京:人民卫生出版社,1961:116.
彭婧,李黎靖,刘昕怡,等.火针为主综合治疗非哺乳期乳腺炎30例[J].安徽中医药大学学报,2020,39(5):47-50.
关青青,刘守尧,韩静,等.祛腐生肌法治疗非哺乳期乳腺炎溃后期临床研究[J].世界中医药,2018,13(6):1388-1391.
宋波洋,王聪,姚昶.鹿角在急性乳腺炎中的应用总结[J].中医药导报,2019,25(24):91-93.
严晶,袁嘉嘉,刘丽娜,等.金荞麦药理作用及临床应用研究进展[J].山东中医杂志,2017,36(7):621-624.
苏颂.本草图经[M].尚志钧,辑校.合肥:安徽科学技术出版社,1994:272.
张璐.本经逢原[M].赵小青,裴晓峰,杜亚伟,校注.北京:中国中医药出版社,2007:116.
李时珍.本草纲目[M].北京:人民卫生出版社,1982:903.
陈自明.外科精要[M].薛己,校注.北京:人民卫生出版社,1982:45.
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