摘要
乳癖病是女性的常见病和多发病。以乳房部位疼痛和大小不等的肿块为主要临床表现。中医学将其病因病机概括为肝经郁热、脾虚痰凝、气虚血瘀以及冲任失和。人体是一个以五脏为中心的有机整体,乳癖病的发病与五脏功能失调密切相关。痰邪既是致病因素也是病理产物,痰为阴邪易阻遏阳气,致气血运行不畅,痰瘀互结阻于乳络导致乳癖病的发生。五脏主疏泄、主行血、主运化、主宣降、主气化等功能失调与痰邪相互作用影响乳癖病的发生。故乳癖病的发生与肝郁气滞,炼液为痰;心脉瘀阻,痰瘀互结;脾虚不运,化湿生痰;肺失宣降,津滞成痰;肾阴阳不足,水泛为痰等致病因素密切相关。痰邪随经阻于乳络发为乳房结块,引起乳房疼痛不适等症状。因此临证治疗乳癖病时不应拘泥于传统的诊疗思路,根据其临床症状及体征在疏肝、散结、化痰的基础上可适当增加具有理气、健脾、补肺、温肾、化瘀等作用的中药。
Breast disease is a common and frequently-occurring disease in women.The main clinical manifestations were breast pain and lumps of different sizes.In traditional Chinese medicine,its etiology and pathogenesis are as follows:stagnated heat of liver meridian,spleen deficiency and phlegm coagulation,blood stasis due to Qi deficiency and disharmony between Chong and Ren meridians.The human body is an organic whole centered on the five Zang-organs.The incidence of breast disease is closely related to the dysfunction of the five Zang-organs.Phlegm evil is not only a pathogenic factor but also a pathological product.Phlegm is Yin evil and easy to block Yang Qi,resulting in poor circulation of Qi and blood.Phlegm and blood stasis interfere each other in the breast collaterals,leading to the occurrence of breast disease.The interaction of phlegm and the main dysfunction of the five Zang organs,such as dominating soothing and purging,promoting the circulation of blood,controlling the transportation and transformation,dominating the descending and ascending and controlling the Qi movement,affect the occurrence of breast disease.The occurrence of breast disease is associated with liver depression and Qi stagnation and condensing liquid into phlegm;blood stasis obstructing the blood vessels and intermingled of phlegm and blood stasis;impaired transportation due to spleen deficiency leading to dampness and phlegm;impairment of dispersing and descending function of lung and fluid stagnation leading to phlegm;kidney Yin and Yang deficiency and water transforming into phlegm.Withing the obstruction of phlegm evil into the breast collaterals,it causes breast lumps,breast pain and discomfort and other symptoms.Therefore,we should not stick to the traditional diagnosis and treatment in the clinical treatment of breast disease.Based on the clinical symptoms and signs of breast disease,on the basis of soothing liver,dispersing the mass and resolving phlegm,we can appropriately increase the traditional Chinese medicine with the functions of regulating Qi,invigorating spleen,tonifying lung,warming kidney and removing blood stasis.
作者
张普
张硕
陈震霖
陈羽佩
ZHANG Pu;ZHANG Shuo;CHEN Zhenlin;CHEN Yupei(Shaanxi University of Chinese Medicine,Xianyang 712046,Shaanxi,China;Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《辽宁中医杂志》
CAS
2022年第5期50-52,共3页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金(81974584)
关键词
乳癖病
痰邪
五脏
乳房结块
breast disease
phlegm evil
five Zang-organs
breast lumps
