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1.上海中医药大学龙华临床医学院(上海 200032)
2.上海中医药大学附属龙华医院中医乳腺科(上海 200032)
何斌俊,女,博士研究生,主要从事乳腺良恶性疾病的临床与基础研究工作
孟畑,副主任医师,硕士研究生导师;E-mail:mengt202302@outlook.com
收稿:2024-12-26,
纸质出版:2026-02-10
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何斌俊,陈红风,周悦,等.陈红风运用柴胡类方调治乳腺病经验拾萃[J].上海中医药杂志,2026,60(2):49-52.
HE Binjun,CHEN Hongfeng,ZHOU Yue,et al.Selected insights from Chen Hongfeng's experience in treating breast diseases with Bupleuri Radix⁃based formulas[J].Shanghai Journal of Traditional Chinese Medicine,2026,60(2):49-52.
何斌俊,陈红风,周悦,等.陈红风运用柴胡类方调治乳腺病经验拾萃[J].上海中医药杂志,2026,60(2):49-52. DOI: 10.16305/j.1007-1334.2026.z20241226005.
HE Binjun,CHEN Hongfeng,ZHOU Yue,et al.Selected insights from Chen Hongfeng's experience in treating breast diseases with Bupleuri Radix⁃based formulas[J].Shanghai Journal of Traditional Chinese Medicine,2026,60(2):49-52. DOI: 10.16305/j.1007-1334.2026.z20241226005.
介绍陈红风教授基于六经辨证之方证相应原则,运用柴胡类方诊治乳腺病的临床经验。主张乳腺病当从肝论治,以辨识“柴胡证”为核心,结合“柴胡带”体表反应区切诊及“柴胡体质”综合辨证,以相对固定的柴胡类方配伍应对复杂证候。临证强调抓主证、查体辨位、辨体用药,论治始终贯穿疏肝调气之法,兼调脾胃、和气血、平阴阳。并附验案2则。
Guided by the principle of correspondence between formulas and syndromes within the framework of the six-meridian syndrome differentiation, this paper introduces the clinical experience of Professor Chen Hongfeng in the treatment of breast diseases using Bupleuri Radix (Chaihu)-based formulas. She advocates that breast diseases should be treated from the perspective of the liver, with the identification of "Chaihu syndrome" as the core, combined with palpation of the "Chaihu-corresponding" cutaneous reaction zone and comprehensive syndrome differentiation of the "Chaihu-prone constitution". In clinical practice, Professor Chen applies relatively fixed Chaihu-based formulas to managing complex syndromes. Her therapeutic strategy emphasizes identifying the primary syndrome, locating affected areas through physical examination, and prescribing according to constitutional differentiation. Throughout the treatment, the principle of soothing the liver and regulating qi is consistently applied, supplemented by harmonizing the spleen and stomach, regulating qi and blood, and balancing yin and yang. Two clinical cases are presented for reference.
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