从“风气通于肝”理论探析肉芽肿性乳腺炎的治疗

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[关键词]肉芽肿性乳腺炎；风气通于肝；肝郁化风；外风引动内风；从肝论治 [中图分类号]R275 [文献标志码]A [文章编号]doi：10.3969/j.issn.1674-070X.2026.01.012

[Abstract]The theory "windconnectswiththe liver"positsthat windcoresponds totheliver'sfunctionof govemingthe freeflowofqi，therebynourishingtheliver-woodsystem.Inpathologicalproceses，windandtheliverbelongtothesameategory; externalwindtendstostirinteralwind，andduetotheirsharednature，theycombineandinteract，resultinginmutual reinforcementbetweeinternalandexteralfactors.Theonsetandrecurenceofgranulomatousmastitisarecloselyrelatedtothe dysfunctinofwind.Itisproposedthatliverqisagnationransformingintowindacompaniedbytheinsidiousgeneatioof phlegmandstasisconsiutestheinitialrigeroftsease.emutaliductionofintealandetealwind，wiciats phlegmandstasis，representsthekeypathogenicmechanism.Deficienthealthyqiandlingering latentwindserveasthedeeprotedcauseofrecurrence.Intreatment，theaproachshouldfocusonfivekeyaspects："sothingtheliverandregulatingqiand extinguishing interal wind，"dispersingexteral windandpreventingmutualinduction"，"resolvingphlegm-turbidityandreoving bloodstasis"，"supportinghealthyqiandsearchingoutlatentwind，and"regulatingemotionsandharmonizingthefiveflavors". Thiscomprehensivestrategydemonstratesfavorableclinicaleficacyinreducingmasssize，shorteningdiseasedurationand preventing recurrence.A representative case example is appended for peer reference.

[Keywords]granulomatousmastis；windconnectswiththeliver;liverqistagnationtransformingintowind；external wind stirring internal wind; treatment based on the liver

肉芽肿性乳腺炎（granulomatousmastitis，GM）是一种慢性炎症性疾病，其病理特征为乳腺小叶非干酪样坏死和肉芽肿的形成，该病具有病程迁延、易反复发作、病变范围广泛等特点。（剩余8282字）