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赵虹教授基于"补土调木"法论治乳头溢液经验OA

Professor ZHAO Hong's experience in treating nipple discharge based on the theory of"strengthening spleen and soothing liver"

中文摘要英文摘要

乳头溢液是乳头出现持续性或自发性的液体溢出,是常见的乳腺科病症之一,属中医学"乳泣""乳衄"等范畴.赵虹教授从事乳腺疾病防治二十余年,临床经验丰富.赵虹教授认为,本病病机本虚标实,脾土虚弱,固摄失司,肝木郁窒,气机紊乱,冲任不调,上发为溢液.治疗上遵从"补脾益气,调肝疏郁"之法,健脾培本以复中焦统摄之职,疏肝理气以调少阳疏泄之功,临证兼顾益肾与治标,重视调畅情志,用药灵活,疗效较好.文章总结了赵虹教授基于补土调木法治疗的经验,并佐证以验案1例.

Nipple discharge,a common breast disorder,refers to persistent or spontaneous leakage of fluid from the nipple.In traditional Chinese medicine(TCM),it is termed"Ru Qi(乳泣)"or"Ru Nv(乳衄)".Professor ZHAO Hong has over 20 years of experience in the prevention and treatment of breast diseases,possessing extensive clinical expertise.Professor ZHAO posits that the pathogenesis of this condition involves underlying deficiency with superficial excess:spleen deficiency leads to impaired control function;liver stagnation causes Qi(气)dysfunction,and disharmony of the Chong(冲)and Ren(任)vessels.Treatment adheres to the principle of"strengthening the spleen and boosting Qi,regulating the liver and dispersing stagnation."Strengthening the spleen to restore the middle Jiao's(中 焦)function of controlling and retaining fluids,while regulating the liver and harmonizing Qi restores the Shaoyang's(少 阳)dispersing function.ZHAO also emphasizes both kidney tonification and emotional regulation and uses herbs flexibly,achieving remarkable therapeutic outcomes.This article summarizes Professor ZHAO Hong's experience in treating nipple discharge using the"strengthening spleen and soothing liver"method,supported by one verified case.

雒钰涛;边竹君;雷天天;赵虹

浙江中医药大学第一临床医学院,浙江 杭州,310000浙江中医药大学第一临床医学院,浙江 杭州,310000浙江中医药大学第一临床医学院,浙江 杭州,310000浙江中医药大学第一临床医学院,浙江 杭州,310000||浙江中医药大学附属第一医院,浙江 杭州,310000

医药卫生

乳头溢液补土调木名医经验

Nipple dischargeStrengthen spleen and soothe liverExpert clinician's experience

《中医临床研究》 2026 (11)

74-78,5

浙江省国医名师传承工作室建设项目(GZS2021006)浙江省中医药科技计划项目(2024ZF072).

10.3969/j.issn.1674-7860.2026.11.011

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