Pathogenesis and Treatment of Recurrent Granulomatous Mastitis Based on "Deficiency， Toxin and Blood Stasis"

CHU Aijing; WANG Yuezhu; ZHENG Jieying; XIA Zhongyuan

doi:10.13288/j.11-2166/r.2024.12.015

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Pathogenesis and Treatment of Recurrent Granulomatous Mastitis Based on "Deficiency， Toxin and Blood Stasis"

更新时间：2024-06-12

- Pathogenesis and Treatment of Recurrent Granulomatous Mastitis Based on "Deficiency， Toxin and Blood Stasis"
- Journal of Traditional Chinese Medicine Vol. 65, Issue 12, Pages: 1287-1291(2024)
- 作者机构：
  
  1.中日友好医院，北京市朝阳区樱花园东街2号，100029
  2.北京中医药大学
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.12.015
  CLC：
- Received：27 September 2023，
  
  Revised：2024-03-31，
  
  Published：17 June 2024
- 稿件说明：
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楚爱景,王悦竹,郑洁莹等.从“虚、毒、瘀”论治复发性肉芽肿性乳腺炎[J].中医杂志,2024,65(12):1287-1291.

CHU Aijing,WANG Yuezhu,ZHENG Jieying,et al.Pathogenesis and Treatment of Recurrent Granulomatous Mastitis Based on "Deficiency， Toxin and Blood Stasis"[J].Journal of Traditional Chinese Medicine,2024,65(12):1287-1291.
楚爱景,王悦竹,郑洁莹等.从“虚、毒、瘀”论治复发性肉芽肿性乳腺炎[J].中医杂志,2024,65(12):1287-1291. DOI： 10.13288/j.11-2166/r.2024.12.015.

CHU Aijing,WANG Yuezhu,ZHENG Jieying,et al.Pathogenesis and Treatment of Recurrent Granulomatous Mastitis Based on "Deficiency， Toxin and Blood Stasis"[J].Journal of Traditional Chinese Medicine,2024,65(12):1287-1291. DOI： 10.13288/j.11-2166/r.2024.12.015.

摘要

基于“虚、毒、瘀”探讨复发性肉芽肿性乳腺炎的病机与治疗。认为复发性肉芽肿性乳腺炎的主要病机为脾胃亏虚，同时各种病因持续或间断存在使余毒未清，导致乳腺局部经络瘀阻，蕴结成块，郁久化脓发病。脏腑气血亏虚是主要病因，余毒未清是发病的关键因素。治疗以托法为主，托中有消，透中有补，补宜温通，毒应化解，瘀要化散，方以托里消毒散加减或自拟浆乳2号方为主。结合虚、毒、瘀偏重不同辨证论治，扶正托毒，活血通络，灵活加减，促进疾病治愈。

Abstract

To explore the pathogenesis and treatment of recurrent granulomatous mastitis based on "deficiency， toxin and blood stasis". It is believed that the main pathogenesis of recurrent granulomatous mastitis is spleen and stomach deficiency due to chronic illness， and at the same time， the persistent or intermittent presence of various causes makes the residual toxin unclear， which leads to the stagnation of local meridians and collaterals in the breast， accumulation of lumps， and then suppuration. Deficiency of

and blood in

zang

org

ans is the main cause of this disease， and residual toxin is the key factor of this disease. The treatment should focus on promoting therapy， promoting with dispersing， expelling with supplementing， supplementing with warming and dredging， dissolving toxins and releasing stasis， and the prescription is based on modified

Tuoli Xiaodu Powder

（托里消毒散） or self-prescribed

Jiangru No.2 Formula

（浆乳2号方）. Overall， the treatment should combine deficiency， toxin and blood stasis with different syndrome differentiation and treatment， reinforce healthy

and express toxin， and activate blood circulation and dredge collaterals with flexibly modification， to promote disease healing.

关键词

Keywords

references

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