刘尚义从"膜络"论治急性乳腺炎经验OA

This paper summarizes Professor LIU Shangyi's clinical experience in treating acute mastitis based on the"membrane collaterals"theory.It is considered that constraint and stagnation of the membrane collaterrals is the primary pathogenic factor,with damp,heat,phlegm,and stasis being the secondary manifestations.If untreated,the condition can progress to heat toxin injuring the membrane.In treatment,the emphasis is diffusing and unblocking membrane collaterals,unblocking breast and relieving constraint.The clinical course of the disease can be divided into three stages including the early stage with mild constraint heat,the middle stage with escalating toxic heat,and the later stage with a decline of pathogens but deficiency of healthy qi.In correspondence,self-made Tongru Formula(通乳方)for diffusing membrane and venting constraint,self-made Toumo Jiedu Formula(透膜解毒方)for unblocking membrane and relieving toxin,and Tuoli Xiaodu Powder(托里消毒散)with modifications for restoring membrane and rectifying healthy qi should be used,respectively.