从中医“痰邪致病”理论看肉芽肿性小叶性乳腺炎发病  

Development of granulomatous lobular mastitis from the perspective of “phlegm pathogen causing diseases” theory in traditional Chinese medicine

作　　者：梁欢 张董晓[1] 孙宇建[1] 付娜[1] 谢芳[1] 东浩[1] 王纯[1] 高茜 黄巧[1] 赵文洁[1] Liang Huan;Zhang Dongxiao;Sun Yujian;Fu Na;Xie Fang;Dong Hao;Wang Chun;Gao Qian;Huang Qiao;Zhao Wenjiel(Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010,China;Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京中医医院,北京100010 [2]北京中医药大学

出　　处：《北京中医药大学学报》2018年第10期808-811,共4页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(No.81573971);北京市自然科学基金资助项目(No.7122095);北京市百千万人才工程资助项目(No.2017A20);北京市科技新星人才培养计划资助项目(No.2010B036);北京中医医院院级课题暨两院合作课题资助项目(No.YJ-201716);北京市卫生系统高层次卫生技术人才培养计划资助项目(No.2015-3-113)~~

摘　　要：从中医"痰邪致病"的理论研究出发,结合痰邪致病的特点,探讨肉芽肿性小叶性乳腺炎(GLM)的发病特点与中医痰湿体质之间的关系,肉芽肿性小叶性乳腺炎的临床表现复杂多样,痰邪贯穿于肉芽肿性小叶性乳腺炎发病的全过程,认为肉芽肿性小叶性乳腺炎是以痰邪致病为主要病邪所引起的结块性疾病,与中医"痰湿夹杂"侵及肌肤相关。临床辨治应从痰论治,从肾、脾、肝入手,将辨证与辨体质相结合,从而获得较好的临床疗效。并希望痰邪致病理论能够为GLM的理论和临床诊疗思路提供新的启发与指导。This paper discusses the relationship with the manifestations of granulomatous lobular mastitis and phlegm dampness constitution in traditional Chinese medicine based on the ＂phlegm pathogen causing diseases＂and features of phlegm pathogen. The clinical manifestations of granulomatous lobular mastitis are varied. Phlegm is involved in the whole process of granulomatous lobular mastitis. The authors conclude that granulomatous lobular mastitis is a mass disease caused mainly by phlegm affecting the skin. In clinical practice,diagnosis should be focused on phlegm,treating the kidney,spleen and liver. The combination of pattern diagnosis and constitution differentiation could ensure a better clinical efficacy. This paper could be used as references for the theory development and clinical treatment of granulomatous lobular mastitis.

关 键 词：肉芽肿性小叶性乳腺炎 痰邪致病 发病原因 

分 类 号：R261[医药卫生—中医外科学]