“痰瘀毒”与浆细胞性乳腺炎相关性探讨The Correlation between "Phlegm,Blood Stasis and Poison" and Plasma Cell Mastitis
舒然晞,张嗣兰,吕钢
摘要(Abstract):
浆细胞性乳腺炎发生发展与痰、瘀、毒密切相关。其病因病机演变极为复杂,脏腑上多与"肝脾气机"升降有关。痰、瘀、毒并不是孤立存在的,三者有着密切的内在联系性。痰瘀互结,痰瘀生毒,毒生痰瘀,可运用疏肝运脾,祛痰、化瘀、清毒并重的方法治疗浆细胞性乳腺炎。
关键词(KeyWords): 痰;瘀;毒;肝脾气机;浆细胞性乳腺炎
基金项目(Foundation): 重庆市基本科研业务费计划项目(CSTC-2015JBKY-330025003);; 重庆市“十三五”中医重点专科
作者(Author): 舒然晞,张嗣兰,吕钢
参考文献(References):
- [1]张帅,刘胜.顾氏外科三代传承治疗浆细胞性乳腺炎[J].浙江中医药大学学报,2016,40(10):747-749.
- [2]Al-Khaffaf B,Knox F,Bundred NJ.Idiopathic granulomatous mastitis:a 25-year experience[J].J Am Coll Surg,2008(206):269-273.
- [3]Bani-Hani KE,Yaghan RJ,Matalka II,et al.Idiopathic granulo-matous mastitis:time to avoid unnecessary mastectomies[J].Breast J,2004(10):318-322.
- [4]Yabanoglu H,Colakoglu T,Belli S,et al.A comparative study of conservative versus surgical treatment protocols for 77patients with idiopathic granulomatous mastitis[J].Breast J,2015(21):363-369.
- [5]Pandey TS,Mackinnon JC,Bressler L,et al.Idiopathic granulomatous mastitis-a prospective study of 49 women and treatment outcomes with steroid therapy[J].Breast J,2014(20):258-266.
- [6]Hur SM,Cho DH,Lee SK,et al.Experience of treatment of patients with granulomatous lobular mastitis[J].J Korean Surg Soc,2013(85):1-6.
- [7]Kim J,Tymms KE,Buckhingham JM.Methotrexate in the management of granulomatous mastitis[J].ANZ J Surg,2003(73):247-249.
- [8]程亦勤,陈红风,刘胜,等.149例浆细胞性乳腺炎的中医药治疗及临床病情分析[J].浙江中医杂志,2005,50(3):25-27.
- [9]沈加君,丁嫦英,孙芸.温通法治疗浆细胞性乳腺炎72例[J].中国中西医结合外科杂志,2013,19(4):458-459.
- [10]宋鲁梅,姚瑾.浆细胞性乳腺炎的高频超声检查与病理对照分析[J].医学影像学杂志,2013,23(4):618-619.
- [11]宋剑南.从生物化学角度看痰及痰瘀相关[J].中国中医基础医学杂志,2000,6(3):40-43.
- [12]Wang Z,Wang N,Liu X,et al.Broadleaf Mahonia attenuates granulomatous lobular mastitis associated inflammation by inhibiting CCL-5 expression in macrophages[J].Int J Mol Med,2018,41(1):340-352.
- [13]杨辉,谢志军,温成平,等.论“瘀”与慢性难治性疾病的病理关系[J].中华中医药杂志,2014,29(8):2416-2418.
- [14]王永炎.关于提高脑血管疾病疗效难点的思考[J].中国中西医结合杂志,1997,3(4):195-196.
- [15]陈可冀.血瘀证与活血化瘀治疗的研究[J].中国中医药现代远程教育,2005,3(11):10-12.
- [16]董汉良.“痰瘀同源”初探[J].浙江中医学院学报,1980,(6):9-12.
- [17]Benson JR,Dumitru D.Idiopathicgranulo matous mastitis:presentation,investigation andmanagement[J].Future Oncol,2016,12(11):1381-1394
- [18]付嘉,熊斌,司传平,等.浆细胞性乳腺炎患者外周血CD4~+CD25~+CD127~-调节性T细胞变化[J].中国免疫学杂志,2013,29(8):821-824.