中西医结合治疗乳腺增生的研究进展与展望

Research Progress and Prospects of Integrated Traditional Chinese and Western Medicine in the Treatment of Breast Hyperplasia

摘要: 乳腺增生是一种常见的乳腺良性疾病，在女性群体中发病率较高，以30~50岁居多。西医认为，乳腺增生多因内分泌失调，与雌孕激素失衡及精神因素密切相关，目前主要采用他莫昔芬、孕激素类等调节激素水平的药物口服治疗，抑制乳腺组织增生；手术治疗一般针对症状严重、疑有恶变倾向的患者。中医将乳腺增生归为“乳癖”的范畴，多由肝气郁结、痰瘀互结或冲任失调引发。在临床中，多采用口服中药进行治疗，肝郁气滞型用柴胡疏肝散，痰瘀互结型选二陈汤合桃红四物汤，冲任失调型予二仙汤合四物汤，配合中药外敷、针灸等外治法。目前，中西医结合治疗乳腺增生的研究不断深入，治疗优势显著，可提升疗效、降低复发率。本文就中西医结合治疗乳腺增生的研究进展进行论述，为此病的防治提供参考。

Abstract: Hyperplasia of mammary gland is a common benign disease of mammary gland, with a high incidence rate among women, mostly 30-50 years old. Western medicine believes that breast hyperplasia is often caused by endocrine disorders, which are closely related to imbalances in estrogen and progesterone levels and psychological factors. Currently, oral treatment with drugs such as tamoxifen and progesterone that regulate hormone levels is mainly used to inhibit breast tissue hyperplasia; Surgical treatment is generally aimed at patients with severe symptoms and suspected malignant tendencies. Traditional Chinese medicine classifies breast hyperplasia as a “breast fetish”, which is often caused by liver qi stagnation, phlegm blood stasis, or imbalance of the Chong and Ren meridians. In clinical practice, oral Chinese medicine is often used for treatment. Chaihu Shugan Powder is used for the type of liver stagnation and qi stagnation, Erchen Decoction and Taohong Siwu Decoction are selected for the type of phlegm and blood stasis, Erxian Decoction and Siwu Decoction are selected for the type of Chongren imbalance, and external treatment methods such as external application of Chinese medicine and acupuncture and moxibustion are used. At present, research on the combination of traditional Chinese and Western medicine for the treatment of breast hyperplasia is constantly deepening, with significant treatment advantages that can improve efficacy and reduce recurrence rates. This article discusses the research progress of integrated traditional Chinese and Western medicine in the treatment of breast hyperplasia, providing reference for the prevention and treatment of this disease.