基于“玄府-肝络”理论探讨乳疬的辨治  

Exploring the diagnosis and treatment of areolar nodules based on the theory of“xuanfu-liver collaterals”

作　　者：苏慧敏 张雯 SU Huimin;ZHANG Wen(Third Affiliated Hospital,Beijing University of Chinese Medicine,Beijing 100029)

机构地区：[1]北京中医药大学第三附属医院,北京100029

出　　处：《现代中医临床》2024年第6期100-103,共4页Modern Chinese Clinical Medicine

基　　金：第六批北京市级中医药专家学术经验继承工作项目(No.京中医科字[2023]53号)。

摘　　要：乳疬是指男、女性儿童或中老年男性在乳晕部出现的疼痛性结块,其中,儿童乳疬多见于青春发育期女童,性早熟中的乳房早发育也可归入本病范畴。本文基于“玄府-肝络”理论探讨乳疬的病机特点、治疗及调护之法。乳疬的核心病机为肝络拂郁、乳玄府郁闭,治以木郁达之、开玄通络,调护上加强健康教育,推进体育锻炼,谓教以开玄、动以开玄。并结合病案阐述基于“玄府-肝络”理论治疗乳疬的思路。Areolar nodules refer to painful lumps that appear in the areola of boys,girls,or middle-aged and elderly men.Childhood areolar nodules are more common in girls during puberty,and early breast development in precocious puberty can also be classified as this disease.This article explores the pathogenesis,treatment,and nursing method of areolar nodules based on the theory of“xuanfu(sweat pore)-liver collaterals”.The core pathogenesis of areolar nodules is the liver collaterals stagnation,breast xuanfu stagnation,and the treatment is unblocking the stagnant wood,dredging breast xuanfu and liver collaterals.In terms of nursing care,emphasis is placed on health education and encouraging physical exercise,which are described as“education opens up the xuanfu”and“movement opens up the xuanfu.”This paper also provides case studies to illustrate the treatment of areolar nodules based on the“xuanfu-liver collaterals”theory.

关 键 词：乳疬 女童 乳玄府 肝络 木郁达之 

分 类 号：R271.44[医药卫生—中医妇科学]