基于文献分析的浆细胞性乳腺炎各期辨证要点

发布时间：2018-04-29 17:50

  本文选题：浆细胞性乳腺炎 + 中医药治疗　； 参考：《中华中医药学刊》2017年08期

【摘要】：目的:探讨浆细胞性乳腺炎各期辨证要点,以求指导临床治疗。方法:通过文献分析,分析浆细胞性乳腺炎各期用药特点,运用"以方测证"的方法来探求其各期证型。结果:1996—2015年间,按照纳入标准和排除标准共纳入文献23篇。肿块期共有22张处方,其中使用频率最高的中药是柴胡,按功效分类,使用频率最高的是清热解毒药,其次是活血止痛药,寒凉药占60.20%;脓肿期共有12张处方,其中使用频率最高的中药是金银花,按功效分类,使用频率最高的是清热解毒药,其次是补气药,寒凉药占70.33%;瘘管期共有16张处方,其中使用频率最高的中药是当归,按功效分类使用频率最高的是清热解毒药,其次是补血药,寒凉药占44.64%;围手术期共有5张处方,其中使用频率最高的中药当归,按功效分类,使用频率最高的是补血药,其次是清热解毒药,寒凉药占62.06%。结论:肿块期的主要辨证为肝气郁滞,热毒炽盛;脓肿期多为热毒壅盛,气血两虚;瘘管期主要辨证为热毒未清之证;围手术期多为气血两虚之证。
[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.
【作者单位】： 上海中医药大学附属龙华医院;
【基金】：国家自然科学基金项目(81173269) 国家中医药行业科研专项项目(201507001-10) 上海市科学技术委员会科研计划项目(13401904900) 上海市进一步加快中医药事业发展三年行动计划项目(ZY3-LCPT-2-1002)
【分类号】：R269
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本文编号：1820952