肉芽肿性乳腺炎中医证型及证素分布特点的文献研究  

Literature Study on Distribution of TCM Syndromes and Syndrome Elements of Granulomatous Mastitis

作　　者：孙琪琦 张董晓[1] SUN Qiqi;ZHANG Dongxiao(Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010,China;Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京中医医院,北京100010 [2]北京中医药大学,北京100029

出　　处：《辽宁中医杂志》2022年第10期1-6,共6页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81573971);北京市百千万人才工程(2019A31);全国中医药创新骨干人才项目([2019]128号)。

摘　　要：目的 分析从肉芽肿性乳腺炎疾病出现至今的临床研究文献,归纳其证候、证素、症状体征、舌脉分布特点,以期为中医药辨证论治肉芽肿性乳腺炎提供参考。方法 以“肉芽肿”“乳腺炎”“乳痈”作为检索词,从中国知网、万方数据知识服务平台、维普网中检索文献,剔除不相关文献后,使用EXCEL软件建立数据库,运用SPSS25.0软件对证候、证素、症状体征、舌脉出现的频次和频率进行统计分析。结果 肉芽肿性乳腺炎证候频次较高的是肝郁痰凝证、热毒炽盛证、半阴半阳证。证素频次较高的病位是肝、脾,病性是火、气滞、痰。症状体征频次较高的为肿块、疼痛、皮色异常和皮温异常。舌象频次较高的为舌质红、苔薄白、舌质淡、苔黄腻,脉象为脉滑数、弦、数。结论 肉芽肿性乳腺炎最常见于肝、脾二脏发病,与火、气滞、痰关系最为密切,临床主要表现为肿块、疼痛及皮色皮温异常,最常见肝郁痰凝证、热毒炽盛证等分型,这为本病的临床规范辨证及后续治疗提供参考。Objective Through retrospective study of the literatures related to granulomatous mastitis, the distribution of TCM syndromes, syndrome elements, symptoms, tongue and pulse were analyzed, so as to provide the basis for standardization of TCM syndromes differentiation for granulomatous mastitis.Methods The words such as “granulomatous”,“mastitis” and “mammary abscess”were used as the subject words to retrieve the relevant literaturein CNKI,Wanfang and VIP database.The results wereused to establish the database by using EXCEL,and then the frequency of TCM syndromes and syndrome elements were analyzed by SPSS 25.0.Results The leading TCM syndromes of granulomatous mastitis were liver depression and phlegm coagulation syndrome, severe heat toxin syndrome, half-Yin and half-Yang syndrome.The disease-locations with high frequency were liver and spleen.The disease-natures were heat, Qi stagnation and phlegm.The symptoms were lump, pain and ulceration.The tongue image with high frequency was red tongue, thin and white tongue coating, pale tongue with very little coating and the yellow and greasy tongue coating.The pulses were slippery and rapid pulse, taut and weak pulse, thready and rapid pulse.Conclusion Granulomatous mastitis is most commonly observed in liver and spleen, and most closely related to fire, Qi stagnation and phlegm.The main clinical symptoms are lump, pain, skin color abnormality and skin temperature abnormality.The common syndromes are liver depression and phlegm coagulation syndrome, severe heat toxin syndrome and so on.We wish to provide a reference for the clinical syndromesdifferentiation and subsequent treatment of granulomatous mastitis.

关 键 词：肉芽肿性乳腺炎 证候 证素 

分 类 号：R271.44[医药卫生—中医妇科学]