林毅“提脓祛腐”治疗复杂难治性肉芽肿性小叶性乳腺炎临床验案  

Clinical case of Lin Yi's therapy named “Tinong Qufu” for complex and refractory granulomatous lobular mastitis

作　　者：陈梅兰 佃丽萍 朱华宇[2] 王海珠 林毅[2] CHEN Meilan;DIAN Liping;ZHU Huayu;WANG Haizhu;LIN Yi(The Second Clinical College,Guangzhou University of Chinese Medicine,Guangdong Province,Guangzhou510405,China;Department of Breast Diseases,Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangdong Province,Guangzhou510115,China)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510405 [2]广东省中医院乳腺科,广东广州510115

出　　处：《中国医药导报》2020年第28期113-116,143,共5页China Medical Herald

基　　金：林毅全国名中医传承工作室建设项目;“十三五”重点研发项目(2018YFC1704102)。

摘　　要：肉芽肿性小叶性乳腺炎是一种多见于经产妇的乳腺慢性炎症,现代医学对其病因及发病机制尚不明确。肾上腺皮质激素对其具有一定的治疗作用,但治疗周期长,且停药后会反复形成脓肿和伤口感染,患者不得已进行反复手术,甚至乳房全切除术方能治愈。林毅教授认为该病主要病因为异物郁积,治疗以“祛腐生肌”为主要原则,治疗关键是彻底驱腐排脓。本文介绍了林毅教授运用首创的“提脓祛腐”法成功治愈复杂难治性肉芽肿性乳腺炎的典型案例,效果明显且疗程短,最大程度上保留乳房外形,值得借鉴运用。Granulomatous lobular mastitis is a chronic inflammation of the breast that is common in multipara.The etiology and pathogenesis are still unclear in modern medicine.Adrenal cortical hormone has a certain therapeutic effect on the treatment of this disease,but the treatment cycle is long,and abscesses and wound infections are repeatedly formed after the drug withdrawal.The patients have to undergo repeated operations or even total mastectomy in order to be cured.Professor Lin Yi believes that the main cause of this disease is the accumulation of foreign bodies,and the treatment is based on the principle of“Qufu Shengji”,and the key to the treatment is to thoroughly remove slough and pus.This article describes a clinical case of Professor Lin Yi's initiating therapy named“Tinong Qufu”for complex and refractory granulomatous lobular mastitis.“Tinong Qufu”therapy has significant effect for granulomatous mastitis and the course of treatment is short,and the breast appearance is preserved to the greatest extent,which is worthy of reference.

关 键 词：林毅 外治法 提脓祛腐 提脓药捻 

分 类 号：R655.8[医药卫生—外科学]