刍议“脏腑风湿”与粉刺性乳痈的发病及分期辨治

Discussion on the Incidence,Stages and Treatment of Visceral Rheumatism and Acne Mastoid Carbuncle

粉刺性乳痈是女性乳房的常见病、多发病,通过查阅文献并结合仝小林院士"脏腑风湿"学说,认为粉刺性乳痈属于"乳房风湿性病变",归于脏腑风湿范围。粉刺性乳痈的发病、传变及分期论治均与脏腑风湿密切相关,外感风寒湿邪为其外因,胎产内虚、厥阴伏寒为其内因,寒、湿、毒、瘀胶结难解为其发病关键环节,在辨治上应以温阳化气、疏风祛湿为原则,根据其病机及临床表现区分为肿块期、脓肿期以及溃后期等疾病阶段分期论治、分期辨治,为该病提供新诊疗思路与方法。

Acne mastoid carbuncle is a common and frequently-occurring disease of female breasts.By consulting the literature and combining with the academician Xiaolin’s"Zangfu Rheumatism"theory,it is believed that acne mastoid carbuncle belongs to"breast rheumatic disease"and belongs to the scope of visceral rheumatism.The onset,transmission and staging of acne carbuncle are closely related to rheumatism in the viscera.Exogenous wind,cold and dampness are the external cause,internal deficiency of the fetus and the internal cause of fetal birth,and the internal cause of cold,dampness,poison and stasis are difficult to cement.It is a key link in the pathogenesis.The principles of warming yang and dispelling qi and dispelling wind and dampness should be used in differentiation and treatment.According to its pathogenesis and clinical manifestations,it is divided into tumor stage,abscess stage,and late ulcer stage.Diagnosis and treatment provide new ideas and methods for diagnosis and treatment of this disease.