吕培文应用芙蓉膏治疗哺乳期急性乳腺炎经验  

Lü Peiwen’s experience of using Furong Ointment in the treatment of acute mastitis during lactation

作　　者：李雨薇 张董晓[2] 吕培文[2] LI Yuwei;ZHANG Dongxiao;LYU Peiwen(Clinical Medical School,Beijing University of Chinese Medicine,Beijing 100105,China;Department of Galactophore,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China)

机构地区：[1]北京中医药大学临床医学院,北京100105 [2]首都医科大学附属北京中医医院乳腺科,北京100010

出　　处：《中国医药导报》2023年第36期108-111,共4页China Medical Herald

基　　金：国家中医药管理局青年岐黄学者培养项目(国中医药人教函[2022]256号);国家中医药管理局中医药古籍文献和特色技术传承专项项目(GZY-KJS-2022-035);首都临床诊疗技术研究及转化应用项目(Z211100002921020)。

摘　　要：本文总结吕培文教授使用芙蓉膏治疗哺乳期急性乳腺炎的临床经验。近些年哺乳期急性乳腺炎的发病率明显升高,如果治疗不及时、方法不正确,从乳腺炎发展到乳腺脓肿的概率就会大大增加。吕培文教授认为该病多由乳汁蓄积、感受外邪引起,治宜清热解毒散结。芙蓉膏作为燕京外科流派的经典验方,临床使用已50年以上,其在传统组方基础上巧妙加入增效及防治副作用的药物,治疗哺乳期急性乳腺炎效果确切,有着使用方便、价格实惠、不良反应少的优点。吕培文教授辨证为主,注重治疗方式及切入时机,在疾病早期使用芙蓉膏外敷治疗法简力专,有效减轻患者症状,控制病情发展,体现了中医“以人为本,已病防变”的治疗思路。并附验案1则。This paper summarizes the clinical experience of Professor LüPeiwen in the treatment of acute mastitis during lactation using Furong Ointment.The incidence of acute mastitis during lactation has increased significantly in recent years,and the probability of progression from mastitis to breast abscess increases greatly if the treatment is untimely and incorrect.Professor LüPeiwen believes that this disease is mostly caused by the accumulation of breast milk,and the feeling of external evils,and the treatment is to clear away heat,remove toxins and dissipate lumps.Furong Ointment,as a classic prescription of yanjing school of surgery,has been used clinically for more than 50 years,which is based on the traditional formula and skillfully adds drugs to enhance the effectiveness and prevent therapeutic side effects,and is highly effective in treating acute mastitis during lactation,and it has the advantages of being easy to use,affordable,and with fewer adverse reactions.Professor LüPeiwen emphasizes syndrome differentiation,focusing on the treatment modalities as well as the timing of entry,the use of Furong Ointment in the early stage of the disease is simple but specialized to reduce the patient’s symptoms and control the development of the disease effectively,reflecting the traditional Chinese medicine thinking of“people oriented and preventing transform when sickness”.And with one experimental case.

关 键 词：哺乳期急性乳腺炎 燕京外科 芙蓉膏 吕培文 

分 类 号：R271.44[医药卫生—中医妇科学]