摘要
肉芽肿性乳腺炎是当前社会中越来越常见的乳腺疾病,主要表现为乳房红肿热痛,后形成脓肿,溃后形成窦道,长期不能愈合,期间可伴随各类免疫反应,可严重影响乳房美观,病程长,患者痛苦大。临床及相关数据表明肉芽肿性乳腺炎发病与情绪呈正相关。张董晓教授认为,本病的发生与肝气郁而化火,犯及脾胃相关。在中医学思想中,乳头属肝,乳房属胃,肝属木,肝“喜条达恶抑郁”,是人体调节情绪最主要的器官,脾胃是人体气机的枢纽,其属土,常为肝木郁结所克。因此张董晓教授提出,肝火犯胃是本病发生的根本病机,而疏肝清胃是治疗本病的重要思路。本文主要就张董晓教授从肝火犯胃病机切入,采用疏肝清胃法治疗肉芽肿性乳腺炎的经验进行总结,并附验案一则,以供临证参考。
Granulomatous mastitis is an increasingly common breast disease in the current society.It is mainly manifested as redness,swelling and heat pain of the breast,followed by abscess and sinus formation after ulcers,long-term failure to heal,during which various immune reactions can be accompanied,which can seriously affect the appearance of the breast.The course of disease is long,and the patient suffers great pain.Clinical and related data show that the incidence of granulomatous mastitis is positively correlated with emotion.Professor Zhang Dongxiao believes that the occurrence of this disease is related to liver qi depression and turning to fire,and offense the spleen and stomach.In traditional Chinese medicine,papilla belongs to liver,breast belongs to stomach,and liver belongs to wood.The liver “likes to be unobstructed and hates depression”.It is the most important organ for regulating emotions in human body,and spleen and stomach is the hub of human qi movement,which belongs to soil and is often restrained by liver’s stagnation.Therefore,Professor Zhang Dongxiao put forward that the basic pathogenesis of this disease is liver fire invading stomach,and the important idea of treating this disease is to sooth liver and clear stomach.This article mainly summarizes the experience of Professor Zhang Dongxiao in treating granulomatous mastitis with the method of soothing liver and clearing stomach,which is introduced from the mechanism of liver fire invading stomach,and attached a test case for clinical reference.
作者
徐子寒
张董晓
XU Zihan;ZHANG Dongxiao(School of Clinical Medicine,Beijing University of Chinese Medicine,Beijing100020,China;Department of Mammary Gland,Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing100010,China)
出处
《中国医药导报》
CAS
2023年第1期132-136,共5页
China Medical Herald
基金
全国中医药创新骨干人才培训项目(国中医药人教函〔2019〕128号)
北京市百千万人才工程(2019A31)
北京市东城区优秀人才培养资助项目(2019WJGW-10-05)。
关键词
肉芽肿性乳腺炎
粉刺性乳痈
肝火犯胃证
疏肝清胃法
临床经验
Granulomatous mastitis
Plasma cell mastitis
Syndrome of liver fire invading stomach
Soothing the liver and clearing the stomach method
Clinical experience
