| 周南阳,沃立科,楼丽华.楼丽华教授辨治流感大流行后产后缺乳经验浅析[J].浙江中医药大学学报,2024,48(12):1530-1533. |
| 楼丽华教授辨治流感大流行后产后缺乳经验浅析 |
| Analysis of Professor LOU Lihua’s Experience in Differentiating and Treating Postinfective Postpartum Hypogalactia |
| DOI：10.16466/j.issn1005-5509.2024.12.008 |
| 中文关键词: 流感大流行 产后缺乳 通乳育麟汤 滋阴益气 顾护脾胃 医案 楼丽华 名医经验 |
| 英文关键词: ?influenza pandemic postpartum lactation deficiency Tongru Yulin Decoction nourishing Yin and Qi protecting the spleen and stomach ?medical records LOU Lihua experience of famous doctors |
| 基金项目:全国名老中医药专家传承工作室建设项目(国中医药人教发〔2014〕20号)；楼丽华全国名老中医药专家传承工作室项目(国中医药人教发〔2017〕29号);浙江省楼丽华国医名师传承工作室项目(浙卫发〔2020〕43号) |
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| 中文摘要: |
| [目的] 总结楼丽华教授治疗流感大流行后产后缺乳的临床经验。[方法] 通过临床跟师、记录医案及查阅文献，从病因病机、临证施治两方面总结楼师治疗流感大流行后产后缺乳的临床经验，并列举验案加以佐证。[结果] 楼师指出，流感大流行后产后缺乳主要与津液灼伤、肺脾两虚密切相关，治疗宜滋阴益气、顾护脾胃、畅达情志，并重建泌乳反射，辅以通络饮食疗。所举医案为流感大流行后产后缺乳，证属肺脾气虚、津液灼伤，采用滋阴补液、益气生津之法，施以“通乳育麟汤”加减，同时注重情志疏导及瘥后饮食调护。经治疗，患者诸证好转，乳汁充盈且通畅。[结论] 楼师在治疗流感大流行后产后缺乳方面经验丰富，以滋阴益气、顾护脾胃、畅达情志为法，临床效果显著，颇具借鉴价值。 |
| 英文摘要: |
| [Objective] To summarize Professor LOU Lihua’s clinical experience in treating postpartum lactation deficiency after the influenza pandemic. [Methods] By clinical shadowing， recording medical cases and reviewing literature， the clinical experience of Professor LOU in the treatment of postinfective postpartum hypogalactia was summarized from two aspects: etiology and pathogenesis， clinical treatment; and one clinical case was presented. [Results] Professor LOU Lihua points out that after infection， this disease is mainly related to the burning of body fluids and the deficiency of both the lungs and spleen. The treatment should nourish Yin and replenish Qi， protect the spleen and stomach， promote emotional well-being， and rebuild the lactation reflex， supplemented by dietary therapy. The presented case study involved postpartum lactation deficiency after the influenza pandemic， was diagnosed as lung and spleen deficiency， body fluid burning syndrome. Therefore， the method of nourishing Yin and replenishing Qi was adopted， and the “Tongru Yulin Decoction” was used with modifications. At the same time， attention was paid to emotional counseling and post-recovery dietary care. After treatment， the patient’s symptoms were relieved， and the breast milk became abundant and unobstructed. [Conclusion] Professor LOU Lihua has rich experience in treating postpartum lactation deficiency after the influenza pandemic. Her treatment methods， which include nourishing Yin and replenishing Qi， protecting the spleen and stomach， promoting emotional well-being， have achieved significant clinical results and are worthy of reference. |
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