从肝胃论治肉芽肿性乳腺炎伴抑郁焦虑状态  

Treatment of Granulomatous Mastitis with Depression and Anxiety from Liver and Stomach

作　　者：田凌嘉 周亮[2] 曹永洁 王华[1] Tian Lingjia;Zhou Liang;Cao Yongjie;Wang Hua(Hunan University of Chinese Medicine,Changsha 410208,China;The First Hospital Affiliated to Hunan University of Chinese Medicine,Changsha 410007,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南中医药大学第一附属医院,湖南长沙410007

出　　处：《亚太传统医药》2024年第3期106-109,共4页Asia-Pacific Traditional Medicine

基　　金：湖南省中医药科研计划项目(C2022034);湖南省卫生健康委科研项目(202112070480);湖南省临床医疗技术创新引导项目(2021SK51417)。

摘　　要：肉芽肿性乳腺炎(GLM)是临床常见乳腺疾病之一,GLM患者常合并抑郁焦虑状态,身心同病。从中医角度分析,GLM伴抑郁焦虑状态与肝、胃关系密切,且以肝气郁结、胃热壅盛为基本病机。在治疗上,当以泄肝清胃、抑木扶土为基本治法,辅以心理疏导、饮食疗法。系统论述从肝胃论治GLM伴抑郁焦虑状态,并附医案一则,以供临证参考。Granulomatous mastitis(GLM)is one of the common breast diseases in clinical practice.GLM patients are often complicated with depression anxiety,and both physical and mental diseases.From the perspective of traditional Chinese medicine,GLM with depression and anxiety is closely related to the liver and stomach,and the stagnation of liver qi and excessive stomach heat are the basic pathogenesis.The treatment should be based on relieving the liver and clearing the stomach,suppressing trees,and helping the soil,supplemented by psychological counseling and diet therapy.Systematically discusses the treatment of GLM with depression and anxiety from the liver and stomach,and a medical case is attached for clinical reference.

关 键 词：肉芽肿性乳腺炎 抑郁焦虑状态 泄肝清胃 抑木扶土 心理疏导 

分 类 号：R261[医药卫生—中医外科学] R277.7[医药卫生—中医学]