| 徐艳琳,韩诗筠,黄硕,等.何若苹清疏养三法治疗急性乳腺炎经验[J].浙江中医药大学学报,2021,45(5):493-496. |
| 何若苹清疏养三法治疗急性乳腺炎经验 |
| Experience of HE Ruoping in Treating Acute Mastitis with Three Methods of Clearing， Dispersing and Nourishing |
| DOI：10.16466/j.issn1005-5509.2021.05.009 |
| 中文关键词: 急性乳腺炎 乳痈 清法 疏法 养法 何若苹 名医经验 医案 |
| 英文关键词: acute mastitis mammary abscess clearing method dispersing method nourishing method HE Ruoping experience of famous doctor medical records |
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| 中文摘要: |
| [目的]介绍何若苹教授运用清疏养三法治疗急性乳腺炎的经验。[方法]通过跟师学习、整理临床医案，从详审病因病机、三法分步辨治角度分析并总结何师治疗急性乳腺炎的诊疗思路、辨治方法，并附验案佐证。[结果]何师认为，急性乳腺炎多与产后女性多虚多瘀的体质有关，还与肝、脾胃、肾、冲任等脏腑经络功能失调密切相关，其病因病机为营虚受邪、虚热蕴蒸，乳汁淤积、排乳不畅，肝郁脾虚、冲任失调等。根据急性乳腺炎的发展阶段，分别用清疏养三法调治:乳痈初期清热透表、通乳消肿，中期疏调营血、散结通络，后期养胃健脾、澄本清源。所举医案中的乳痈患者，初期气滞热壅，治以疏风清热、通乳消肿，中期热退乳胀，治以疏调营血、散结通络，后期以调护脾胃为治，三法分步，效如桴鼓。[结论]何师运用清疏养三法治疗急性乳腺炎，临床疗效确切，值得学习推广。 |
| 英文摘要: |
| [Objective] To introduce the clinical experience of Professor HE Ruoping in treating acute mastitis with three methods: Clearing， dispersing and nourishing.[Methods] Through learning from Professor HE and sorting out clinical medical records, this paper analyzed and summarized the treatment ideas and methods of Professor HE in treating acute mastitis from the perspective of detailed examination of etiology and pathogenesis and three methods. A proven case was attached for suppporting. [Results] Professor HE believes that acute mastitis is mostly related to the constitution of postpartum women with more deficiency and blood stasis， and is also closely related to the dysfunction of the liver， spleen and stomach， kidney， Chong Ren and other organs and meridians.The etiology and pathogenesis of acute mastitis are deficiency of Ying and suffering of evil， accumulation of deficiency and heat， deposition of milk， non-fluent lacteal output， depression of the liver and deficiency of the spleen， and imbalance of Chong Ren. According to the development stage of acute mastitis， the methods of clearing， dispersing and nourishing were used respectively. In the early stage of mastitis， the treatment should be clearing away the heat and relieving the exterior， removing swelling and promoting breast function; in the middle stage， the treatment should be dredging and recuperating the Ying and blood， eliminating stagnation and dredging the collaterals; in the later stage， methods of nourishing the stomach， strengthening the spleen and clarifying the source should be adopted.The medical records were also treated step by step with three methods， in the early stage， there was Qi stagnation and heat congestion， the patient was treated by dispersing wind and clearing heat， promoting lactation and removing swelling; in the middle stage， the fever was dropped while the breast was swollen， so the treatment was dredging and recuperating the Ying and blood， eliminating stagnation and dredging the collaterals; in the later stage， the treatment was mainly regulating the stomach and nourishing the spleen. After the staged treatment， the patient achieved good results.[Conclusion]Professor HE’s treatment of acute mastitis with three methods of clearing， dispersing and nourishing is effective and worthy of further study and application. |
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