基于本草文献的乳痈辨治思路探析  

An Analysis of the Diagnostic and Treatment Approaches for Mastitis Based on Herbal Medicine Literature

作　　者：徐惠 胡妮娜[2] 穆婷婷 张磊[3] 蔡秋杰 杜松[4] XU Hui;HU Nina;MU Tingting;ZHANG Lei;CAI Qiujie;DU Song(Institute of Clinical Basic Medicine of Traditional Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;Heilongjiang University of Chinese Medicine,Harbin 150040,China;Institute of Traditional Chinese Medicine Information,China Academy of Chinese Medical Sciences,Beijing 100700,China;Institute of Basic Theory for Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]中国中医科学院中医临床基础医学研究所,北京100700 [2]黑龙江中医药大学,哈尔滨150040 [3]中国中医科学院中医药信息研究所,北京100700 [4]中国中医科学院中医基础理论研究所,北京100700

出　　处：《中国中医基础医学杂志》2025年第2期291-296,共6页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：中国中医科学院科技创新工程项目(CI2021A03703,CI2021A03706);国家中医药管理局项目(GZY-KJS-2017-016)。

摘　　要：目的探讨历代本草文献中关于乳痈辨治的思路,以期指导临床辨治用药。方法检索《中华医典》数据库中本草类的全部文献数据,收集整理乳痈辨治的本草信息。对筛选纳入的本草进行著作收录频次统计。以乳痈辨治病机要素进行分类统计,提取各类本草的辨治论述内容。结果在76部历代本草专著中,筛选出70味本草。统计筛选本草被收录频次后发现,前10位依次为蒲公英、贝母、白芷、天花粉、木鳖子、芸苔、漏芦、益母草、蜂房、夏枯草。根据乳痈辨治病机要素对本草进行分类,可划分为气滞、痰阻、热壅、血瘀、正虚5类病机要素。结论本草文献中乳痈辨治用药以行气、化痰、清热、活血、补虚为主,临床实践中多联合运用;气滞、热壅、血瘀、痰阻、正虚为乳痈辨治特点,符合乳痈气机郁滞、寒热兼夹、血瘀痰凝、正虚不足的生理功能紊乱状态。Objective To explore the thinking on the differentiation and treatment of mastitis in historical herbal literature,with the aim of guiding clinical medication use for differentiation and treatment.Methods Search the entire literature data of herbal medicine in the"Zhong Hua Yi Dian"database,and collect and organize herbal information for the differentiation and treatment of mastitis.Conduct statistical analysis of the frequency of inclusion of selected herbs in the works.Classify and count the elements of the pathogenesis of mastitis,and extract the content of the differentiation and treatment discussions for each type of herb.Results Out of 76 historical monographs on herbal medicine,70 herbs were selected.Among the selected herbs,the top 10 in terms of frequency of inclusion were dandelion,fritillary bulb,angelica root,trichosanthes root,momordica seed,rapeseed,leaky reed,motherwort,honeycomb,and prunella.In the classification of herbs based on the pathogenesis elements of mastitis differentiation,they can be divided into five categories:Qi stagnation,phlegm obstruction,heat congestion,blood stasis,and deficiency.Conclusion The use of herbs in the differentiation and treatment of mastitis in herbal literature is mainly focused on promoting Qi circulation,resolving phlegm,clearing heat,activating blood circulation,and tonifying deficiency.In clinical practice,they are often used in combination;Qi stagnation,heat congestion,blood stasis,phlegm obstruction,and deficiency are the characteristics of mastitis differentiation and treatment,which are consistent with the physiological and functional disorders of mastitis,characterized by Qi stagnation,cold and heat mixed,blood stasis and phlegm coagulation,and deficiency of vital energy.

关 键 词：本草 文献 乳痈 辨治思路 

分 类 号：R24[医药卫生—中医临床基础]