基于"虚气留滞"理论探讨产后乳汁过少的病机及论治OA
Pathogenesis and treatment of postpartum hypogalactia based on the"Deficiency Qi Stagnation"Theory
本文以"虚气留滞"理论为核心,结合刘丽芳教授的临床经验,系统阐述产后乳汁过少的中医病机及下乳天浆散的组方原理.本病核心病机为正气已虚则虚邪留滞.治则为补肾填精,健脾生乳,补虚以治本;化痰祛瘀,通利乳络,通滞以治标.通过分析下乳天浆散"补气血、通乳络、疏肝郁"的立方思路,"补而不滞,通而不伤"的立方原则,体现"以补为通"的治乳思想,论证其治疗产后乳汁过少的临床优势.
This article centers on the"Deficiency Qi Stagnation"Theory and integrates Professor LIU Lifang's clinical experience to systematically elucidate the Chinese Medicine pathogenesis of postpartum hypogalactia and the formulation principles of Xiaru Tianjiang Powder.The core pathogenesis of this condition is that deficient healthy qi leads to stagnation of deficiency pathogens.The therapeutic principles are to tonify the kidney,replenish essence,strengthen the spleen to promote lactation,and tonify deficiency to treat the root;to transform phlegm,eliminate stasis,and unblock the mammary meridians to treat the tip.By analyzing the formulation rationale of Xiaru Tianjiang Powder,which focuses on"tonifying qi and blood,unblocking the mammary meridians,as well as soothing the liver and resolving depression,"and its principle of"tonifying without causing stagnation,and unblocking without causing damage,"this article embodies the therapeutic philosophy of"achieving unblocking through tonification"and demonstrates its clinical advantages in treating postpartum hypogalactia.
夏小凡;刘丽芳
湖南中医药大学第一中医临床学院,湖南 长沙 410208湖南中医药大学第一附属医院乳腺科,湖南 长沙 410007
医药卫生
"虚气留滞"理论产后乳汁过少下乳天浆散中医辨治
"Deficient Qi Stagnation"Theorypostpartum hypogalactiaXiaru Tianjiang Powderpattern differentiation and treatment of Chinese medicine
《药食同源杂志》 2026 (5)
388-393,6
湖南省中医药管理局"十四五"第一批中医药领军人才培养项目([2022]5 号).
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