经方辨治乳腺增生病研究进展

Research Progress on Classical Prescriptions in Treating Mammary Glands Hyperplasia

张仲景提出妇人病之三大病因为“因虚、积冷、结气”,其论治妇人杂病一是以气血为总纲,二是多从肝论治。乳腺增生病发病之本是肝肾虚弱、冲任不调,发病之因是情志失调、肝气郁结、脾虚失运,发病之标是气滞、痰凝、血瘀,主要与肝、脾、肾、冲脉、任脉相关。临证时,乳腺增生病若属气滞证,可予小柴胡汤或四逆散;若属痰凝证,可予小陷胸汤;若属血瘀证,可予桂枝茯苓丸或大黄蛰虫丸;若属脾虚证,可予小建中汤;若属虚寒证,可予温经汤。

According to Zhongjing Zhang's academic thought,gynecological diseases mostly result from deficiency,accumulated cold,and qi stagnation,so the treatment of gynecological miscellaneous diseases should take qi and blood as the general principle,and focus on the liver.The pathogenesis of mammary glands hyperplasia(MGH)is liver and kidney deficiency,disharmony of the thoroughfare vessel and the conception vessel,the causes of which are emotional imbalance,liver qi depression,and failure of transportation due to spleen deficiency.The superficial causes include qi stagnation,phlegm coagulation,and blood stasis,which are mainly related to the liver,spleen,kidney,the thoroughfare vessel,and the conception vessel.In clinical treatment of MGH,Xiaochaihu Decoction or Sini Powder can be used for qi stagnation syndrome,Xiao Xianxiong Decoction for phlegm coagulation syndrome,Guizhi Fuling Pill or Dahuang Zhechong Pill for spleen deficiency syndrome,and Wenjing Decoction for the deficiency-cold syndrome.