ZHANG Fang,DENG Dongyang,LIU Xiao,et al.Experience of Professor LIU Shangyi in Treating Acute Mastitis from the Perspective of "Membrane Collaterals"[J].Journal of Traditional Chinese Medicine,2026,67(11):1148-1152.
ZHANG Fang,DENG Dongyang,LIU Xiao,et al.Experience of Professor LIU Shangyi in Treating Acute Mastitis from the Perspective of "Membrane Collaterals"[J].Journal of Traditional Chinese Medicine,2026,67(11):1148-1152.DOI: 10.13288/j.11-2166/r.2026.11.003.
Experience of Professor LIU Shangyi in Treating Acute Mastitis from the Perspective of "Membrane Collaterals"
This paper summarizes Professor LIU Shangyi's clinical experience in treating acute mastitis based on the "membrane collaterals" theory. It is considered that constraint and stagnation of the membrane collaterrals is the primary pathogenic factor, with damp, heat, phlegm, and stasis being the secondary manifestations. If untreated, the condition can progress to heat toxin injuring the membrane. In treatme
nt, the emphasis is diffusing and unblocking membrane collaterals, unblocking breast and relieving constraint. The clinical course of the disease can be divided into three stages including the early stage with mild constraint heat, the middle stage with escalating toxic heat, and the later stage with a decline of pathogens but deficiency of healthy
qi
. In correspondence, self-made
Tongru Formula
(通乳方) for diffusing membrane and venting constraint, self-made
Toumo Jiedu Formula
(透膜解毒方) for unblocking membrane and relieving toxin, and
Tuoli Xiaodu Powder
(托里消毒散) with modifications for restoring membrane and rectifying healthy
qi
should be used, respectively.
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references
LOUIS-JACQUES A F , BERWICK M , MITCHELL K B . Risk factors, symptoms, and treatment of lactational mastitis [J]. JAMA , 2023 , 329 ( 7 ): 588 - 589 .
NAGEL E M , HOWLAND M A , PANDO C , et al . Maternal psychological distress and lactation and breastfeeding outcomes: a narrative review [J]. Clin Ther , 2022 , 44 ( 2 ): 215 - 227 .
SHEN F , ZHOU X , GUO F , et al . Increased risk of postpartum depression in women with lactational mastitis: a cross-sectional study [J]. Front Psychiatry , 2023 , 14 : 1229678 . doi: 10.3389/fpsyt.2023.1229678 http://dx.doi.org/10.3389/fpsyt.2023.1229678 .
DOUGLAS P . Does the academy of breastfeeding medicine's clinical protocol #36 'the mastitis spectrum' promote overtreatment and risk worsened outcomes for breastfeeding families? Commentary [J]. Int Breastfeed J , 2023 , 18 ( 1 ): 51 .
LI D , LI J , YUAN Y , et al . Risk factors and prognosis of acute lactation mastitis developing into a breast abscess: a retrospective longitudinal study in China [J]. PLoS One , 2022 , 17 ( 9 ): e0273967 .
WINK A , MITCHELL J A , LAM S K , et al . Does every patient with lactational mastitis require antibiotic treatment? [J]. Cleve Clin J Med , 2024 , 91 ( 5 ): 283 - 285 .