国医大师郭诚杰辨治乳腺导管内乳头状瘤经验  

TCM Master Guo Chengjie's Experience in Differentiation and Treatment of Breast Intraductal Papilloma

作　　者：屈艳伟 赵娴[1] 李悦 王小刚[1] 张卫华[2] QU Yanwei;ZHAO Xian;LI Yue;WANG Xiaogang;ZHANG Weihua(Shaanxi University of Chinese Medicine,Xianyang Shaanxi China 712046;The Second Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang Shaanxi China 712000)

机构地区：[1]陕西中医药大学,陕西咸阳712046 [2]陕西中医药大学第二附属医院,陕西咸阳712000

出　　处：《中医学报》2021年第8期1683-1686,共4页Acta Chinese Medicine

基　　金：陕西省中医药管理局学术流派传承项目{陕中医药发[2018]40号};陕西省教育厅自然科学研究项目(2019-ZZ-JC024)

摘　　要：乳腺导管内乳头状瘤的发生与肝、脾及冲任密切相关,冲任失调、肝脾不和为其基本病机。针对痰湿、瘀血阻滞乳络的重要致病因素和环节,确立调冲任、理肝脾、通乳络的基本治法,总结“三辨一结合”诊断法,创立“三穴五点通调乳络针法”和乳头消瘤汤相结合的、较为成熟的针药并用综合治疗方案,以期达冲任调、肝气疏、肝火清、脾运健、乳络通、溢液止、肿块消之效。The occurrence of breast intraductal papilloma is closely related to Liver,Spleen,and thoroughfare and conception channels.disharmony of thoroughfare and conception channels and disharmony of Liver-Spleen are the basic pathogenesis.Professor Guo Chengjie aiming at the main pathogenic factors and links of phlegmatic hygrosis and blood stasis blocking the breast collaterals,established the basic treatment of regulating thoroughfare and conception channels,soothing the Liver and Spleen,and dredging the collaterals,summarized the"three differentiations and one combination"diagnostic method,and established the more mature and comprehensive acupuncture and medicine combined treatment,which unified the"three acupoints and five points breast collaterals regulating needling method"and Rutou Xiaoliu Decoction,thus to achieve the effect of thoroughfare and conception channels regulating,Liver Qi soothing,Liver Fire clearing,Spleen transportation and transformation invigorating,breast collaterals relieving,nipple discharge ceasing,and tumor eliminating.

关 键 词：乳腺导管内乳头状瘤 “三辨一结合”诊断法 “三穴五点通调乳络针法” 乳头消瘤汤 郭诚杰 国医大师 

分 类 号：R249.27[医药卫生—中医临床基础]