通涩兼用法治疗乳腺导管扩张期粉刺性乳痈  

Treatment of Comedonal Carbuncle in Dilated Stage of Breast Ducts with Tong Se Jian Yong Method

作　　者：蒋可心 孙霃平[1] JIANG Kexin;SUN Piping(Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai China 200030)

机构地区：[1]上海中医药大学附属龙华医院,上海200030

出　　处：《中医学报》2022年第4期713-717,共5页Acta Chinese Medicine

摘　　要：粉刺性乳痈的发病机制与肝、肾、脾胃及冲任有密切联系。该病初期以导管扩张、乳头溢液为主要表现,若能在此阶段加以重视并治疗,既能降低疾病的传变风险,缩短病程,又能最大程度保护乳房原有外形,保证患者的生活质量。治疗乳腺导管扩张期粉刺性乳痈应注重两个方面,即疏通乳腺导管和抑制粉刺样溢液的病理性分泌。中医通涩兼用法相反相成,通法为从治,涩法为逆治。通涩二法联系紧密,合用方能祛邪外出,闭门不留寇。The pathogenesis of acne mastitis is closely related to Liver, Kidney, Spleen, Stomach, as well as Chong Meridian and Ren Meridian.In the early stage of the disease, duct dilatation and nipple discharge are the main manifestations.If attention and treatment can be taken at this stage, it can not only reduce the risk of disease transmission, shorten the course of the disease, but also protect the original shape of the breast to the greatest extent and ensure the patient′s life quality.Two aspects should be paid attention to in the treatment of comedonal carbuncle in the dilated breast duct, namely dredging the breast duct and inhibiting the pathological secretion of comedo-like discharge.In TCM Tong Se Jian Yong method, the two methods are opposite to each other.The Tong method is the contrary treatment, and the Se method is the orthodox treatment.The two methods of Tong and Se are closely related, and only when they are used together can they dispel evil pathogens outside and leave no toxins inside.

关 键 词：乳腺导管扩张期粉刺性乳痈 通涩兼用法 从治 逆治 浆细胞性乳腺炎 

分 类 号：R271.44[医药卫生—中医妇科学]