| 吕政仪,楼丽华,聂云梦,等.楼丽华应用虫类药治疗乳房疑难病经验[J].浙江中医药大学学报,2021,45(3):236-239. |
| 楼丽华应用虫类药治疗乳房疑难病经验 |
| LOU Lihua’s Experience of Applicating Insect Drug in the Treatment of Complicated Breast Diseases |
| DOI：10.16466/j.issn1005-5509.2021.03.006 |
| 中文关键词: 虫类中药 名医经验 非哺乳期乳腺炎 楼丽华 肉芽肿性小叶乳腺炎 蜈蚣 地龙 医案 |
| 英文关键词: insect drugs experience of famous doctors non-puerperal mastitis LOU Lihua granulomatous lobular mastitis Scolopendra subspinipes Lumbricus medical records |
| 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)；国家自然科学基金青年基金项目(81703368) |
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| 中文摘要: |
| [目的]总结介绍浙江省名中医楼丽华教授运用虫类中药治疗非哺乳期乳腺炎等乳房疑难病的临床经验。[方法]通过整理、分析楼师医案，查阅相关文献与古籍，归纳楼师临床常用的虫类中药及其特性，总结和介绍楼师运用虫类药治疗各种乳房疑难病的经验和方法，并指出临床应用的注意事项和禁忌要点。举例并分析非哺乳期乳腺炎典型医案一则作为佐证。[结果]楼师临床常用虫类中药共10味，分为四类。攻坚破瘀类虫药常用于治疗瘀滞性非哺乳期乳腺炎及乳腺癌术后相关并发症，通络消肿类对乳腺癌术后淋巴水肿、中后期非哺乳期乳腺炎可起明显作用，祛风透疹类虫药可用于乳头风的治疗，参用益肾收涩类虫药能有效缓解乳腺癌术后体虚患者相关的临床症状，各种虫类药使用时均需注意用法用量与禁忌。所举验案楼师辨为标阳本阴证，以温通法治疗，并将蜈蚣、地龙用于治疗中后期，加速痊愈。[结论]楼师临床灵活应用虫类中药，内外兼治，注重增效减毒，使其在乳腺疑难病的治疗中发挥了独特的作用，值得借鉴。 |
| 英文摘要: |
| [Objective]To summarize and introduce the experience of Professor LOU Lihua， the famous Chinese medicine doctor in Zhejiang Province， in applicating insect drug in the treatment of complicated breast diseases.[Methods]Through sorting out and analyzing the medical cases of Professor LOU， consulting relevant literature and ancient books， the commonly used insect drug and its characteristics were summed up， the experience and methods of using insect drug to treat various breast diseases were summarized and introduced， and the points for attention and contraindications in clinical application were pointed out. A typical case of non-puerperal mastitis was reported as proof.[Results] Ten kinds of insect drugs commonly used by Professor LOU were sorted out， which could be divided into four categories: Insect drugs for removing blood stasis are often used to treat stagnant non-puerperal mastitis and postoperative complications of breast cancer， drugs for dredging collaterals can play an obvious role in breast cancer-related lymphedema and non-puerperal mastitis which is in the middle and late stages， insect drugs for penetrating rash can be used for the treatment of nipple rash， and drugs that tonify the kidney can be used to treat weak patients after breast cancer surgery. Attention should be paid to usage， dosage and contraindications of various insect drugs. The case was identified as the syndrome of Yang in the manifestation and Yin in the root， the treatment of warming and dredging was advocated， and Scolopendra subspinipes and lumbricus were used in the middle and late stages of treatment to accelerate the recovery.[Conclusion]Professor LOU applicates insect drugs flexibly in clinic， and emphasizing both internal and external treatment， enhancing efficiency and reducing toxicity， and making it play an unique role in the treatment of complicated breast diseases. |
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