血瘤病因及辨治源流考  

Investigation on Origin and Development of Nagioma from Etiology,Differentiation and Treatment

作　　者：姜德友[1] 和鹏飞 JIANG Deyou;HE Pengfei(Heilongjiang University of Traditional Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学

出　　处：《山东中医药大学学报》2020年第1期94-97,共4页Journal of Shandong University of Traditional Chinese Medicine

摘　　要：从病名、病因病机、治疗三个方面梳理血瘤病的学术源流。血瘤病最早载于《外台秘要》,唐代以后,亦有医家将此病命名为胎瘤、红丝瘤。心火妄动、肝火燔灼、肾伏虚火、气滞血瘀是本病常见病机,病涉心、肝、肾及气机;中医治疗本病多用内服与外敷相结合,因本病若用外科手术,处理不当多可致血流不止而成危证。内治法有:软坚散结,益肾养阴,补养气血和清心凉肝。外治法有外敷、针灸、手术等相结合运用。This paper discussed the academic origin and development of nagioma from three aspects:disease name,etiology and pathogenesis,and treatment.Nagioma was first recorded in the Arcane Essentials from the Imperial Library.After the Tang Dynasty,some doctors named it fetal tumor or red silk tumor.Frenetic stirring of heart fire,liver fire burning,latent fire of kidney deficiency,qi stagnation and blood stasis were the common pathogenesis of the disease,which involves the heart,liver,kidney and qi movement.Oral administration and external application were combined to treat this disease in traditional Chinese medicine,because if the disease was treated by surgery improperly,it could cause excessive bleeding and critical syndrome.Internal treatments include:softening hardness and dissipating mass,tonifying the kidney and nourishing yin,tonifying qi and nourishing blood,clearing the heart and cooling the liver.External treatments include the combination of external application,acupuncture and moxibustion,surgery and so on.

关 键 词：血瘤 心火妄动 肝火燔灼 肾伏虚火 气滞血瘀 软坚散结 益肾养阴 补养气血 清心凉肝 

分 类 号：R275.9[医药卫生—中西医结合]