以“女子以肝为先天”为理论基础探究肝气失常在乳癖发病中的机制

Exploring the Mechanism of Liver Qi Dysfunction in the Pathogenesis of Mammary Hyperplasia Based on the Theory That “The Liver Is the Congenital Foundation for Women”

摘要: 本研究以“女子以肝为先天”为理论基础，通过阅读诸多中医经典和讨论各类研究，发现乳癖的发生发展过程中，肝气失常起着重要作用，主要是以肝郁为本，病位在肝、脾、胃、肾，其发生多与肝、脾、肾及冲任等功能失调有关。同时，乳癖与患者的情志有着很强的相关性，情志失和，气机不畅，肝脏必深受其害，继而引发乳腺疾病。运用中医中药治疗乳癖古往今来都有着丰富的经验和独特的优势，即从脏腑、情志及经络这三个角度论治。首先，肝肾为本源，脾胃为枢纽，冲任为关键；其次，七情调和，气机通达，精神舒畅；第三，开达厥阴，调适中焦，以通为用。乳癖与现代人们的饮食起居、生活方式和精神状态有着密切的关系，它已经成为当代很多女性不容忽视的一种疾病，因此我们要重视乳癖的防治。

Abstract: Based on the theory that “the liver is the foundation of women’s health”, this study, through reading numerous traditional Chinese medical classics and discussing various researches, found that in the occurrence and development of mammary gland hyperplasia, the abnormality of liver qi plays a significant role, mainly characterized by liver depression, with the liver, spleen, stomach and kidney as the affected organs. Its occurrence is often related to the dysfunction of the liver, spleen, kidney and Chong and Ren meridians. At the same time, mammary gland hyperplasia has a strong correlation with the patient’s emotions. Emotional disharmony, blocked qi movement, and the liver will be severely affected, subsequently leading to breast diseases. The treatment of mammary gland hyperplasia with traditional Chinese medicine has rich experience and unique advantages throughout history, which is mainly based on the three aspects of zang-fu organs, emotions and meridians. Firstly, the liver and kidney are the source, the spleen and stomach are the pivot, and the Chong and Ren meridians are the key. Secondly, harmonize the seven emotions, ensure smooth qi movement, and maintain a pleasant mood. Thirdly, open up the Jueyin meridian, regulate the middle jiao, and use the principle of unobstructed flow. Mammary gland hyperplasia is closely related to modern people’s diet, lifestyle and mental state, and has become a disease that many contemporary women cannot ignore. Therefore, we should attach great importance to the prevention and treatment of mammary gland hyperplasia.