基于"土壅木郁"理论探讨肉芽肿性乳腺炎的辨治思路与诊疗策略OA
Ideas and strategies for the syndrome differentiation and treatment of granulomatous mastitis based on the theory of"earth stagnation and wood depression"
肉芽肿性乳腺炎是一种难治性乳腺疾病,严重影响患者的身心健康和生活质量,中医药治疗肉芽肿性乳腺炎有一定的优势.文章基于中医学"土壅木郁"理论,以及结合现代医学相关研究,认为脾胃亏虚为肉芽肿性乳腺炎发病的内在基础,肝失疏泄为疾病的病理趋势.同时,结合团队长期的临床实践,提出肉芽肿性乳腺炎的三大诊疗策略,即整体与局部相结合、治病与治人相结合、手术与中药相结合,多法合用,可有效提高整体疗效,亦为中医药治疗肉芽肿性乳腺炎提供参考.
Granulomatous mastitis is a refractory breast disease,which seriously affects the physical and mental health and quality of life of patients.Traditional Chinese medicine is verified to have certain advantages in the treatment of this disease.Based on the theory of"earth congestion and wood depression"in traditional Chinese medicine and the relevant research of modern medicine,this paper argues that spleen and stomach deficiency constitutes the internal basis of its pathogenesis,while the dysfunction of the liver in controlling conveyance and dispersion is the pathological trend of granulomatous mastitis.At the same time,combined with the team's long-term clinical practice,three major diagnosis and treatment strategies for it are proposed,namely,the combination of holistic treatment and local treatment,the combination of disease treatment and individual treatment,and the combination of surgery and Chinese medicines.The integration of multiple methods can effectively improve the overall efficacy of granulomatous mastitis,providing a reference for its treatment in traditional Chinese medicine.
王玲;高翔;左禧萌;史晓光
北京中医药大学东直门医院乳腺科,北京 100700北京中医药大学东直门医院乳腺科,北京 100700北京中医药大学东直门医院乳腺科,北京 100700北京中医药大学东直门医院乳腺科,北京 100700
医药卫生
土壅木郁肉芽肿性乳腺炎辨治思路诊疗策略
earth stagnation and wood depressiongranulomatous mastitisideas for syndrome differentiation and treatmentdiagnosis and treatment strategies
《吉林中医药》 2026 (6)
697-701,5
国家自然科学基金项目(82474510)北京中医药大学青年教师项目(2022-BUCMXJKY009)
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