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"乳癖"病名源流考证

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"乳癖"病名最早见于《中藏经》,属儿科疾患.考释字义可知"乳"有生产、乳房、乳汁等意;"癖"有积聚、积块、隐匿等意.北宋《太平圣惠方》首次明确了"乳癖"概念,表示为小儿乳哺失调所致的病证,症状表现为胁腹部结块、不欲进食、逐渐消瘦等,此时病名中的"乳"字意为乳汁,实乃病因.明代时"乳癖"病名演变出新的疾病概念,指代为生于妇人乳房的肿块类疾病,此时病名中的"乳"字意为乳房,实乃病位.鉴于"乳癖"病名在历代医籍中存在一词多义、一义多词的情况,文章通过考证"乳癖"病名的源流及沿革,发现"乳癖"病名经历了从儿科乳癖到外科乳癖的演变过程,即"乳癖"在明代以前单指儿科病证,后于明清时期同时指代外科、儿科病证,至现代已成为外科乳房肿块类疾病的专属病名.
Textual research of the origin and development on the disease name of'breast lump'
The term'Rupi'(or'breast lump')first appeared in the Zhong Zang Jing and belongs to the field of pediatric diseases.The analysis of the meaning of the characters suggests that'ru'refers to the production,breast,milk,and other related concepts,while'pi'conveys the ideas of accumulation,mass,and hidden condition.The concept of'Rupi'was first defined in the Song dynasty's Taiping Shenghui Fang,which described it as a disorder in breastfeeding infants,characterized by abdominal lump formation,loss of appetite,and progressive emaciation,at this time,the word'ru'in the name of the disease means milk,which is actually the cause of the disease.In the Ming dynasty,the name of'Rupi'evolved into a new concept of disease,referring to mass diseases born in women's breast,at this time,the word'ru'in the name of the disease means breast,and it is actually the location of the disease.In view of the existence of polysemy in the name of'Rupi'in medical books of past dynasties,this paper studies the origin and evolution of the name of'Rupi',and finds that the name of'Rupi'has experienced the evolution process from pediatric'Rupi'to surgical'Rupi',that is,'Rupi'refers to pediatric diseases before the Ming dynasty,and refers to surgical and pediatric diseases at the same time in the Ming dynasty and Qing dynasty.In modern times,it has become an exclusive name for surgical breast mass diseases.

Breast lumpPediatric RupiMammary tuberculosisOrigin of the disease nameLiterature verification

胡晶、庄爱文、李晓寅、江凌圳

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浙江中医药大学,杭州 310053

浙江省中医药研究院,杭州 310007

浙江省立同德医院,杭州 310012

乳癖 小儿乳癖 乳中结核 病名源流 文献考证

2021年中医药古籍文献和特色技术传承专项

GZY-KJS-2021-032

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(8)