潘立群教授运用伏邪理论治疗粉刺性乳痈经验OA
Professor Pan Liqun's Experience in Using"Latent Pathogen"Theory to Treat Acne Mastitis
粉刺性乳痈是一种发病机制尚未明确的慢性化脓性乳房疾病,主要临床表现为乳房肿块或乳房反复脓肿破溃.该病病程漫长、迁延难愈,现代医学治疗效果有限.潘立群教授长期从事乳腺疾病的基础与临床研究工作,治疗粉刺性乳痈经验丰富,提出"粉刺性乳痈虽有形可征,实则无形之正邪交争".在长期临证中,潘教授基于传统的"伏邪理论",总结凝练出"透法",在粉刺性乳痈治疗中体现出独特优势,"透法"因势利导,秉承中医外科疮疡肿块期"以消为贵",注重"透消";脓肿期"清热解毒,透毒外出",注重"透毒""透脓";恢复期采用扶助正气、托毒外出,注重"透托",顺应病机,因势利导,最大限度减少乳房毁损,保全乳房外形,取得显著临床疗效.对潘立群教授临证经验进行总结,以供临床参考.
Acne mastitis is a non-inflammatory breast condition of unclear pathogenesis,typically characterized by breast lumps or recurrent abscess formation.The disease has a prolonged course and is difficult to cure,with limited ef-fectiveness of modern medicine treatment.With extensive experience in both basic and clinical research on breast disea-ses,he has developed significant expertise in treating acne mastitis.He has proposed that"although plasma cell mastitis is tangible and visible,it is,in essence,an invisible struggle between vitality and evil".Through long-term clinical prac-tice,Professor Pan Liqun has summarized and condensed the key features and therapeutic advantages of the"Tou method"for treating acne mastitis,grounding his approach in the traditional Chinese medicine(TCM)concept of the"Latent Pathogen"theory.The"Tou method"is applied according to the clinical presentation and follow the principle that"Dispering is most valuable"in TCM surgery during the stages of ulceration and lump formation,with an empha-sis on"Tou and Dispering".In the abscess stage,the focus shifts to clearing heat and detoxifying,emphasizing the re-moval of internal toxins before external drainage.Emphasis should be placed on clearing toxins and pus.During the re-covery period,therapeutic measures should support vital Qi,promote detoxification,and apply the principle of"Tou Promoting"-adapting to the pathogenesis,responding to clinical presentation,minimizing trauma,and preserving the natural appearance of the breasts.The approach has demonstrated significant clinical efficacy,and the following is pres-ented as a reference for clinical practice.
马丙娥;费宗奇
南京中医药大学附属中西医结合医院,江苏 南京 210028南京中医药大学附属中西医结合医院,江苏 南京 210028
医药卫生
粉刺性乳痈透法名医经验伏邪理论
Acne MastitisTou MethodExperience of Famous DoctorsLatent Pathogen Theory
《亚太传统医药》 2026 (4)
99-102,4
第七批全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号)江苏省中医药研究院自然科学基金(2024YZRKXJJ02)
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