肉芽肿性乳腺炎之阴阳属性与治法*

作者：龙俊瑶，范洪桥

单位：湖南中医药大学第一附属医院，湖南 长沙 410007

引用：引用：龙俊瑶，范洪桥.肉芽肿性乳腺炎之阴阳属性与治法[J].中医药导报,2025,31(6):182-185.

DOI：10.13862/j.cn43-1446/r.2025.06.034

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摘要：从痈疽病名、病因病机及临床表现等角度探讨肉芽肿性乳腺炎的阴阳属性。肉芽肿性乳腺炎病名虽为“痈”，却有“疽”的内涵与实质；病因病机以阳虚为本，痰瘀互结、郁久化热为标。根据临床表现，肉芽肿性乳腺炎主要证型为半阴半阳证，以阴证为主。治法当以温阳法为基础，温阳可促阳化气，透阴可转阳，促使阴证转变为阳证。方药以阳和汤为基本方,根据具体辨证可灵活采用温阳清热解毒、温阳化痰散结、温阳活血化瘀等治法。

关键词：肉芽肿性乳腺炎；阴阳属性；半阴半阳证；温阳法；阳和汤

Abstract：This paper discusses the Yin-Yang attribute of granulomatous mastitis from the perspectives of carbuncle and ulcer names, etiology, pathogenesis, and clinical manifestations. Although the disease name of granulomatous mastitis is "carbuncle", it contains the connotation and essence of "ulcer". The etiology and pathogenesis are rooted in Yang deficiency as the fundamental aspect, with phlegm-blood stasis intermingling and prolonged stagnation transforming into heat as the secondary manifestation. According to clinical manifestations, the main syndrome type of granulomatous mastitis is semi-Yin semi-Yang syndrome, predominantly Yin syndrome. The treatment should be based on Yang-warming therapy, as warming Yang can promote Yang to transform Qi, penetrate Yin to turn Yang, and facilitate the transformation of Yin syndrome into Yang syndrome. Yanghe Decoction (阳和汤) is used as the basic prescription, and specific therapies such as warming Yang to clear heat-toxin, warming Yang to resolve phlegm and dissipate nodules, and warming Yang to promote blood circulation and remove blood stasis can be flexibly adopted according to syndrome differentiation.

Key words：granulomatous mastitis; Yin-Yang attribute; semi-Yin semi-Yang syndrome； Yang-warming therapy; Yanghe Decoction

发布时间：2026-01-04

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