许芝银教授从中焦气机论治非哺乳期乳腺炎经验
Professor Xu Zhiyin's Experience in Treating Non-Puerperal Mastitis from the Perspective of Middle Jiao Qi Movement
周君 1卞卫和 2姚昶2
作者信息
- 1. 南京中医药大学第一临床医学院,江苏 南京 210029;南京中医药大学附属医院,江苏 南京 210029
- 2. 南京中医药大学附属医院,江苏 南京 210029
- 折叠
摘要
总结许芝银教授从中焦气机论治非哺乳期乳腺炎经验,认为非哺乳期乳腺炎病变脏腑在肝脾胃,与中焦气机失调关系密切,根据临床表现分为肿块期、脓肿期和瘘管期,主要病机为肝郁脾虚,痰阻乳络;日久郁热,热盛肉腐;气虚邪滞,缠绵阻遏.治疗上应根据疾病不同时期明辨病机,药随机转,以调畅中焦气机为关键分期化裁论治,肿块期辛开苦降,抑木扶土;脓肿期降浊升清,泻火平木;瘘管期运转中州,培土荣木,从而获得满意疗效.
Abstract
This article summarizes Professor Xu Zhiyin's experience in treating non-puerperal mastitis from the perspective of mid-dle jiao qi movement and believes that the pathological viscera of non-puerperal mastitis are located in the liver,spleen,and stomach,and closely related to the middle jiao qi movement.According to clinical manifestations,the disease can be divided into lump stage,abscess stage,and fistula stage.The main pathogenesis of the disease is liver depression-spleen deficiency and phlegm obstructing the breast collaterals;long-term heat stagnation and excessive heat corroding the flesh;qi deficiency-evil stagnation and lingering restrai-ning.In terms of treatment,the pathogenesis should be clearly identified according to the different stages of the disease,and the medi-cine should be changed according to the pathogenesis.The key of treatment is to regulate the middle jiao qi movement and adjust the treatment according to the stage.In the lump stage,use pungency to disperse and bitterness to descend,and suppress wood and sup-port soil;in the abscess stage,lower the turbidity and raise the clearness,and discharge the fire and calm the wood;in the fistula stage,mobilize the central prefecture,and cultivate the soil and nourish the wood,so as to obtain satisfactory curative effect.
关键词
非哺乳期乳腺炎/粉刺性乳痈/中焦气机/分期论治/名医经验Key words
non-puerperal mastitis/acne mastoid carbuncle/middle jiao qi movement/staged treatment/experience of renowned doctors引用本文复制引用
基金项目
江苏省中医院高峰学术人才培养项目(y2021rc09)
江苏省中医院培育项目(Y20031)
出版年
2024
NETL
NSTL
万方数据