中医辨证治疗粉刺性乳痈32例

黄何尘，万华*，吴雪卿*

(上海中医药大学附属曙光医院，上海 200001)

摘要：目的探讨中医辨证治疗粉刺性乳痈的临床疗效。方法根据32例粉刺性乳痈患者治疗过程中的临床表现及其变化，辨为肝经蕴热证和余毒未清证，施以相应的内外治法，观察中医辨证治疗粉刺性乳痈的治疗效果。结果中医辨证治疗粉刺性乳痈的痊愈时间为25.66(20～44) d,治疗后3个月的复发率为6.25%(2/32)。结论中医辨证治疗粉刺性乳痈可缩短痊愈时间，复发率较低。

关键词：粉刺性乳痈；辨证治疗；痊愈时间

DOI:10.13463/j.cnki.jlzyy.2015.04.023

中图分类号：R655.8文献标志码： A

文章编号：1003-5699(2015)04-0387-03

基金项目:上海市教育委员会科研创新项目(13ZZ100);上海卫生局中医药科研基金(2012L028A)。

作者简介:黄何尘(1987-)，女，硕士，主要从事乳腺疾病研究。

收稿日期:(责任编辑：王丹2014-10-12)

*通信作者:万华，电话-(021)53827363，电子信箱-drwanhua@163.com

吴雪卿，电话-(021)53827363，电子信箱-snow_zi@hotmail.com

Clinical observation of treatment based on syndrome differentiation for acne mastitis

HUANG Hechen,WAN Hua*,WU Xueqing*

(Shuguang Hospital Affiliated to Shanghai University of Tradition Chinese Medicine,Shanghai 200001,China)

Abstract:ObjectiveTo explore the clinical effect of acne mastitis after the treatment based on syndrome differentiation.MethodsWe took 32 patients of acne mastitis into syndrome of stagnated heat of liver and syndrome of remained toxicity according to the treatment of the clinical symptoms in the process of change.We gave them endotherapy or external treatment of acne mastitis based on syndrome differentiation as such two types of syndrome to observe the effect of this method.ResultsIt was 25.66 (20-44) days in average recovery time of treating acne mastitis based on syndrome differentiation.We followed up the patients that after treating 3 months,the relapse rate was 6.25%(2/32).ConclusionTreating acne mastitis based on syndrome differentiation can shorten the recovery time and had a low relapse rate.It has a great clinical effect.

Keywords:acne mastitis;treatment based on syndrome differentiation;recovery time

粉刺性乳痈在国内最早于1958年由顾伯华教授命名为“慢性复发性伴有乳头内缩的乳晕部瘘管”[1]。其主要临床表现为非周期性乳痛、乳头溢液、乳晕下肿块、乳晕旁脓肿及乳晕部瘘管形成[2-3]。发病率占同期乳房良性疾病4%～5%[4],但发病迅速，误诊率高达60%～90%[4-5],且易反复,目前中西医尚无公认的治疗方法。我科采用中医辨证治疗粉刺性乳痈取得了较好的临床疗效。现总结如下：

1临床资料

1.1一般资料病例来源为2012年10月—2013年1月期间上海中医药大学附属曙光医院中医乳腺科的粉刺性乳痈患者，共32例，年龄19～43岁，平均30.81±1.88岁。已婚31例,未婚未育1例,均不属于哺乳期或妊娠期发病。……