Professor Xu Zhiyin's Experience in Treating Non-Puerperal Mastitis from the Perspective of Middle Jiao Qi Movement
10.14148/j.issn.1672-0482.2024.0640
- VernacularTitle:许芝银教授从中焦气机论治非哺乳期乳腺炎经验
- Author:
Jun ZHOU
1
,
2
;
Weihe BIAN
;
Chang YAO
Author Information
1. 南京中医药大学第一临床医学院,江苏 南京 210029
2. 南京中医药大学附属医院,江苏 南京 210029
- Keywords:
non-puerperal mastitis;
acne mastoid carbuncle;
middle jiao qi movement;
staged treatment;
experience of renowned doctors
- From:
Journal of Nanjing University of Traditional Chinese Medicine
2024;40(6):640-644
- CountryChina
- Language:Chinese
-
Abstract:
This article summarizes Professor Xu Zhiyin's experience in treating non-puerperal mastitis from the perspective of mid-dle jiao qi movement and believes that the pathological viscera of non-puerperal mastitis are located in the liver,spleen,and stomach,and closely related to the middle jiao qi movement.According to clinical manifestations,the disease can be divided into lump stage,abscess stage,and fistula stage.The main pathogenesis of the disease is liver depression-spleen deficiency and phlegm obstructing the breast collaterals;long-term heat stagnation and excessive heat corroding the flesh;qi deficiency-evil stagnation and lingering restrai-ning.In terms of treatment,the pathogenesis should be clearly identified according to the different stages of the disease,and the medi-cine should be changed according to the pathogenesis.The key of treatment is to regulate the middle jiao qi movement and adjust the treatment according to the stage.In the lump stage,use pungency to disperse and bitterness to descend,and suppress wood and sup-port soil;in the abscess stage,lower the turbidity and raise the clearness,and discharge the fire and calm the wood;in the fistula stage,mobilize the central prefecture,and cultivate the soil and nourish the wood,so as to obtain satisfactory curative effect.
