张卫华针药结合治疗乳头溢液经验
ZHANG Weihua's Experience on Treating Nipple Discharge with Acupuncture and Medicine
DOI:10.13192/j.issn.1000-1719.2020.06.007
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1.陕西中医药大学,陕西 咸阳 712046
2.陕西中医药大学第二附属医院,陕西 咸阳 712000
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陈蓉, 郭新荣, 张卫华. 张卫华针药结合治疗乳头溢液经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2020.06.007
CHEN Rong, GUO Xinrong, ZHANG Weihua. ZHANG Weihua's Experience on Treating Nipple Discharge with Acupuncture and Medicine[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2020.06.007
陈蓉, 郭新荣, 张卫华. 张卫华针药结合治疗乳头溢液经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2020.06.007 DOI:
CHEN Rong, GUO Xinrong, ZHANG Weihua. ZHANG Weihua's Experience on Treating Nipple Discharge with Acupuncture and Medicine[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2020.06.007 DOI:
目的,2,总结陕西省名中医张卫华教授以针药结合诊治乳头溢液的经验及学术思想,为乳头溢液的治疗提供参考思路。,方法,2,通过临床跟诊、访谈及临床原始病历和处方搜集,总结张教授对乳头溢液的诊治思路,以及运用柴胡疏肝散加减结合针刺疗法治疗本病的经验。,结果,2,张教授重视“病症结合”的诊断模式,在临床中首先通过溢液的颜色、性质、量、黏稠度、持续时间、伴随症状等初步判断病情。在治疗方面,基于传统中医理论,注重“肝主疏泄”的指导思想,提出了“肝失疏泄、气郁痰凝”是乳头溢液的基本病机,以“疏肝解郁”为主要治疗法则,以柴胡疏肝散为基础方药,配合针刺疗法,临床效果明显。,结论,2,张教授治疗乳头溢液从肝郁痰凝出发,以疏肝解郁、化痰散瘀兼补脾肾为主要治法,理论结合实践,整体审查,辨证论治,运用柴胡疏肝散灵活加减用药,联合针刺疗法治疗乳头溢液,临床疗效满意。
Objective,2,To summarize the experience and academic thought of Professor ZHANG Weihua, a famous Chinese Medicine professor in Shaanxi Province, who combined acupuncture and medicine to diagnose and treat nipple discharge, so as to provide a reference for the treatment of nipple discharge.,Methods,2,Through clinical follow-up, interview and collection of clinical original medical records and prescriptions, the author summarized Professor ZHANG's thinking on diagnosis and treatment of nipple discharge as well as the experience in the treatment of this disease by adding and subtracting ,Chaihu Shugan, Powder combined with acupuncture.,Results,2,Professor ZHANG attached great importance to the diagnosis mode of "combination of symptoms" and initially judged the condition of the disease through the color, nature, quantity, viscosity, duration and accompanying symptoms. In terms of treatment, based on the traditional Chinese medicine theory and the guiding ideology of "liver dominating soothing and dredging" , it was proposed that "liver failing to soothe and dredge, Qi stagnation and phlegm coagulation" was the basic pathogenesis of nipple discharge. The main treatment principle was "soothing liver and relieving depression" , and the basic prescription was ,Chaihu Shugan, Powder, and the clinical effect was obvious with acupuncture treatment.,Conclusion,2,Professor ZHANG's treatment of nipple discharge is based on liver stagnation and phlegm coagulation. The main treatment methods are to soothe the liver and relieve depression, dissipate phlegm and blood stasis, and replenish the spleen and kidney. The theory is combined with practice, overall review, syndrome differentiation and treatment. ,Chaihu Shugan, Powder is used flexibly to add and subtract drugs, combined with acupuncture. The clinical effect is satisfactory.
乳头溢液肝郁痰凝柴胡疏肝散针刺疗法
nipple dischargeliver stagnation and phlegm coagulationChaihu Shugan Powderacupuncture therapy
马榕, 吴土金.乳头溢液的诊断及对策[J].中国使用外科杂志, 2016, 36(7): 738-739.
蔡李芬, 赵虹, 楼丽华, 等.楼丽华治疗乳头溢液经验[J].浙江中医杂志, 2011, 46(10): 711.
李树玲.乳腺肿瘤学[M].北京: 科学技术文献出版社, 2000: 157-161.
CHANG J M, CHO N, MOON W K, et al. Does ultrasound-guideddi-rectional vacuum - assisted removal help eliminate abnormalnipple discharge in patients with benign intraductal single mass [J]. Korean J Radiol, 2009, 10(6): 575-580.
林毅, 唐汉均.现代中医乳房病学[M].北京: 人民卫生出版社, 2003: 103.
蒲倩, 张东欣, 李晓东, 等.病理性乳头溢液临床诊断进展[J].中国现代普通外科进展, 2017, 20(7): 584.
靳疆, 薛峰, 周静.328例乳头溢液患者临床表现及病理分析[J].世界最新医学信息文摘, 2018, 18(78): 55.
李子豪, 涂巍, 曲文志.乳头溢液临床特征1236例分析[J].中国现代普通外科进展, 2018, 21(1): 48-50.
FAJDIĆ J, GOTOVAC N, GLAVIĆ Z, et al. Microdochectomy in the management of pathologic nipple discharge [J]. Arch Gynecol Obstet, 2011, 283(4): 851-854.
邵稳喜, 章佳新, 祝玉祥, 等.乳头溢液306例病因分析及治疗策略[J].临床误诊误治, 2010, 23(1): 61-62.
刘明.麦芽在回乳及下乳中的应用[J].中国社区医师(医学专业), 2012, 14(2): 233.
胡瑶, 张卫华.国医大师郭诚杰教授临床应用麦芽经验探析[J].浙江中医药大学学报, 2017, 41(4): 289-290.
王晓飞, 周金影, 金向群, 等.麦芽的药理研究及临床应用[J].中成药, 2007, 29(11): 1677-1678.
SAKORAFAS G H. Nipple discharge: current diagnostic and therapeutic capprouches [J]. Cancertreat Rev, 2001, 27(5): 275-282.
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