赵氏中医外科内外结合治疗乳腺疾病思路探究  

Exploration of internal and external combined treatment for breast diseases of Zhao’s traditional Chinese medicine surgery

作　　者：赵婧 赵铮 赵凤林 ZHAO Jing;ZHAO Zheng;ZHAO Feng-lin(Department of Traditional Chinese Medicine,The Second Affiliated Hospital of Naval Medical University(Second Military Medical University),Shanghai 200003,China;Fengxiang Hospital of Baoji,Baoji 721400,Shaanxi,China;Zhao’s Yiyuan,Baoji 721400,Shaanxi,China)

机构地区：[1]海军军医大学(第二军医大学)第二附属医院中医科,上海200003 [2]陕西省宝鸡市凤翔区医院,宝鸡721400 [3]陕西省宝鸡市赵氏医苑,宝鸡721400

出　　处：《海军军医大学学报》2022年第9期981-986,共6页Academic Journal of Naval Medical University

基　　金：上海市科学技术委员会生物医药专项(21S21902700);国家自然科学基金(81803878)。

摘　　要：乳腺疾病的非手术治疗是中医的特色与优势。陕西省宝鸡市赵氏医苑在长期临床实践中坚持内外结合治疗乳腺疾病并取得良效,在内治中突出“郁”是贯穿乳腺疾病全过程的核心病机,在“乳络以疏通为贵”理论指导下,创制了以“解郁”为主的系列治法与方药,提高了各类乳腺疾病的疗效。此外,对于乳腺疾病,赵氏中医外科重视外治疗法,创制了以“赵氏一笔消膏”为代表的诸多外用药,内服配合外治在乳腺疾病中疗效斐然。本文主要介绍了赵氏中医外科内外结合治疗乳腺疾病的思路,并以乳痈、乳癖、乳岩3种常见乳腺疾病为例,论述赵氏治法的临床疗效,为乳腺疾病的中医诊疗和中医事业传承贡献绵薄之力。Non-surgical treatment of breast diseases is the characteristic and advantage of traditional Chinese medicine(TCM).In the long-time clinical practice,Zhao’s TCM clinic in Baoji,Shaanxi,insisted on the combination of internal and external treatment for breast diseases and has achieved satisfactory results.In the internal treatment,the Zhao’s highlighted that“depression”is the core pathogenesis throughout the whole process of breast diseases.Guided by the theory of“smoothing the collaterals of the breast is the most important”,the Zhao’s developed a series of treatments and prescriptions focusing on“relieving depression”,which improved the treatment efficacy of various breast diseases.In addition,for breast diseases,Zhao’s TCM surgery attaches great importance to the external treatment,and has developed many external drugs represented by“Zhao’s Yibixiao Gao”.The combination of internal treatment and external treatment shows a remarkable effect for breast diseases.Hoping to make our own contribution to TCM diagnosis and treatment for breast diseases and the inheritance of TCM,this article introduces Zhao’s thinking of combining internal and external treatments for breast diseases and demonstrates the clinical efficacy of Zhao’s treatment for 3 common breast diseases,namely,breast carbuncle,mammary hyperplasia,and breast rock.

关 键 词：中医学 乳腺疾病 内外同治 诊疗思路 中医传承 

分 类 号：R25[医药卫生—中医内科学] R26[医药卫生—中医学]