本文選題：漿細胞性乳腺炎 + 中醫(yī)藥治療��； 參考：《中華中醫(yī)藥學刊》2017年08期

【摘要】：目的:探討漿細胞性乳腺炎各期辨證要點,以求指導臨床治療。方法:通過文獻分析,分析漿細胞性乳腺炎各期用藥特點,運用"以方測證"的方法來探求其各期證型。結(jié)果:1996—2015年間,按照納入標準和排除標準共納入文獻23篇。腫塊期共有22張?zhí)幏?其中使用頻率最高的中藥是柴胡,按功效分類,使用頻率最高的是清熱解毒藥,其次是活血止痛藥,寒涼藥占60.20%;膿腫期共有12張?zhí)幏?其中使用頻率最高的中藥是金銀花,按功效分類,使用頻率最高的是清熱解毒藥,其次是補氣藥,寒涼藥占70.33%;瘺管期共有16張?zhí)幏?其中使用頻率最高的中藥是當歸,按功效分類使用頻率最高的是清熱解毒藥,其次是補血藥,寒涼藥占44.64%;圍手術(shù)期共有5張?zhí)幏?其中使用頻率最高的中藥當歸,按功效分類,使用頻率最高的是補血藥,其次是清熱解毒藥,寒涼藥占62.06%。結(jié)論:腫塊期的主要辨證為肝氣郁滯,熱毒熾盛;膿腫期多為熱毒壅盛,氣血兩虛;瘺管期主要辨證為熱毒未清之證;圍手術(shù)期多為氣血兩虛之證。
[Abstract]:Objective: to explore the main points of differentiation of symptoms and signs in each stage of plasma cell mastitis in order to guide clinical treatment. Methods: according to the literature analysis, the characteristics of each stage of plasma cell mastitis were analyzed, and the syndrome types of each stage were explored by the method of "measuring the syndrome with the prescription". Results between 1996 and 2015, 23 articles were included according to inclusion criteria and exclusion criteria. There are 22 prescriptions in the mass period, of which the Chinese medicine used most frequently is Bupleurum. According to its efficacy, the most frequently used medicine is the antipyretic, followed by the painkiller for promoting blood circulation, which accounts for 60.20; the abscess period has 12 prescriptions. The most frequently used Chinese medicine is Flos Lonicerae. According to its efficacy, the Chinese medicine used most frequently is heat-clearing and detoxifying medicine, followed by the tonifying and cooling medicine, which accounts for 70.33.The total number of prescriptions during fistula is 16, of which the Chinese medicine used most frequently is Angelica sinensis. The most frequently used drugs according to efficacy are heat-clearing and detoxifying drugs, followed by blood tonifying drugs, cold and cool drugs accounting for 44.64; there are five prescriptions in the perioperative period, of which Chinese angelica, the Chinese medicine that is the most frequently used, is used the most frequently, and the blood tonic is used most frequently according to its efficacy. The second is clearing away heat and detoxification, cold medicine accounts for 62.06. Conclusion: the main syndrome differentiation of mass stage is stagnation of liver qi, heat toxin is flourishing; abscess stage is heat toxin accumulation, qi and blood deficiency; fistula stage is mainly syndrome of heat toxin is not clear; perioperative period is the syndrome of deficiency of both qi and blood.
【作者單位】： 上海中醫(yī)藥大學附屬龍華醫(yī)院;
【基金】：國家自然科學基金項目(81173269) 國家中醫(yī)藥行業(yè)科研專項項目(201507001-10) 上海市科學技術(shù)委員會科研計劃項目(13401904900) 上海市進一步加快中醫(yī)藥事業(yè)發(fā)展三年行動計劃項目(ZY3-LCPT-2-1002)
【分類號】：R269
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本文編號：1820952