基于“抑木扶土”相关理论探讨调理肝脾在乳腺增生病中的应用  

Discussion on the Application of Regulating Liver and Spleen in Mammary Gland Hyperplasia based on the Theory of"Suppressing Wood and Supporting Earth"

作　　者：孙恒 刘磊 吕威林 王寒笑 李文娟 李敬伟 SUN Heng;LIU Lei;LYU Wei Lin;WANG Han Xiao;LI Wen Juan;LI Jingwei(Taihe County Hospital of Traditional Chinese Medicine Affiliated of Anhui University of Chinese Medicine,Anhui Taihe 236600,China)

机构地区：[1]安徽中医药大学附属太和中医院,安徽太和236600

出　　处：《中医药临床杂志》2024年第9期1651-1654,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：阜阳市重点研究与开发计划项目临床医学转化专项(FYZDYF2023LCYX029);安徽中医药大学临床科研重点项目(2023LCTH08)。

摘　　要：乳腺增生症是育龄女性最常见乳腺疾病,其治疗主要以中医药为主。乳腺增生症归属中医学“乳癖”“乳痞”“乳中结核”等范畴,作者认为其基本病机为肝气郁结,脾虚湿阻,痰淤互结于乳房,在治疗上主张以调理肝脾为大法,以疏肝健脾为基础,始终贯穿乳癖治疗的全程;重在疏肝行气止痛、健脾化痰散结。临证时依据患者证候特点,疏肝、健脾各有侧重。临床上往往能取得较好的疗效,具有一定的临床应用价值,并附验案一则。Breast hyperplasia is the most common breast disease in women of childbearing age,and its treatment is mainly based on traditional Chinese medicine.Breast hyperplasia belongs to the category of“breast knot”,“breast knot”,“breast tuberculosis”in traditional Chinese medicine.The author believes that its basic pathogenesis is liver Qi stagnation,spleen deficiency and dampness obstruction,and phlegm and blood stasis in the breast.In terms of treatment,it is advocated to regulate the liver and spleen as the main method,and to soothe the liver and strengthen the spleen as the basis,which runs through the whole process of breast knot treatment;the emphasis is on soothing the liver,promoting Qi and relieving pain,and strengthening the spleen to resolve phlegm and dissipate knots.In clinical practice,according to the characteristics of the patient’s symptoms,soothing the liver and strengthening the spleen have different emphases.It can often achieve good clinical effects and has certain clinical application value.A case is attached.

关 键 词：抑木扶土:乳腺增生症 乳癖 调理肝脾 

分 类 号：R269[医药卫生—中西医结合]