散结法治疗腺体类疾病的临床体会  

Clinical Experience of Accumulation-dispersing Method in Treatment of Gland Diseases

作　　者：宋竖旗[1] 李灿 冯兴华[1] 

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]北京市卫生局临床药学研究所,北京100035

出　　处：《世界科学技术-中医药现代化》2015年第10期1982-1985,共4页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：国家自然科学基金委主任基金项目(81250032/H2709):基于Wnt/β-catenin信号通路研究前列消癥汤干预前列腺癌干细胞的生物学机制;负责人:宋竖旗;北京市自然科学基金委面上项目(7112119):从PI3K/AKT通路探讨前列消癥汤治疗前列腺癌的分子机制;负责人:宋竖旗;国家中医药管理局第一批中医药传承博士后科研流动工作项目(135157):中医内科学;负责人:宋竖旗;国家中医药管理局"十二五"中医药重点学科项目:中西医结合临床;负责人:宋竖旗

摘　　要：本文介绍了散结法的概念及其临床治疗腺体类疾病的理论依据及临床应用。以干燥综合征(Sjogren’s Syndrome,SS)、乳腺囊性增生症、前列腺增生症3个疾病为线索,从解剖特点、病理特点、经络循行3个方面阐述了腺体类疾病的共性病因病理和病机特点,其病机总属中医"结聚"范畴。具体临床应用:1血瘀证者,予以活血散结;2痰证者,治以化痰散结;3热证者,治以清热解毒、散结消痈;4"瘤"或"痨"者,治以扶正散结;5散结同时配合使用虫类药。该文为腺体类疾病的中医治疗提供了可借鉴的思路和方法。This paper introduced the concept of accumulation-dispersing method and its theoretical basis as well as clinical application in the treatment of gland diseases. With three diseases, which were the Sjogren＇s syndrome, cystic hyperplasia of breast and benign prostatic hyperplasia, as clues, common characteristics from etiology, pathology and pathogenesis were elaborated from the anatomical features, pathological characteristics and meridian pathways for the gland diseases. The disease pathogenesis always belonged to ＂mass＂ and ＂knot＂ of traditional Chinese medicine（TCM）. The detailed clinical applications were as follows. For the pattern of blood stasis, the treatment principle was to promote blood circulation and to resolve masses. For the pattern of phlegm, the treatment principle was to reduce phlegm and to resolve masses. For the pattern of heat, the treatment principle was to clear heat, to relieve toxin and to resolve masses. For patients of ＂tumor＂ or ＂phthisis＂, the treatment principle was to strengthen vital qi and to eliminate stagnation. Worm medicine should also be combined during accumulation-dispersing. This paper provided referential ideas and methods for TCM treatment of gland diseases.

关 键 词：散结法 临床应用 干燥综合征 乳腺囊性增生症 前列腺增生症 

分 类 号：R26[医药卫生—中医外科学]