从“火郁发之”论治急乳蛾

Treatment of Acute Nipple Most from “Dispersing Fire Stagnation”

摘要: 急乳蛾是临床常见的咽喉疾病之一，“火郁”是导致急乳蛾的重要病因，火热之邪郁于喉核，不得外出发为乳蛾。“火郁发之”理论首见于《黄帝内经》，是热性病证的重要治疗原则之一，后世医家对其多有阐发。“火郁发之”理论强调治疗火郁之证时，因势利导，审因辨治，泄热透邪，利咽消肿。本文以“火郁发之”为切入点，采用内服汤剂与外治结合的疗法，探讨急乳蛾的有效治则治法，为急乳蛾的临床诊疗思路提供新的可能。

Abstract: Acute breast moth is one of the common throat diseases in clinical practice, and “fire depression” is an important cause of acute breast moth. The evil of fire and heat is depressed in the throat nucleus, and it is not allowed to go out and become a breast moth. The theory of “stagnation of fire” first appeared in the Yellow Emperor’s Inner Canon and is one of the important treatment principles for heat related diseases. Later medical scholars have elaborated on it. The theory of “the onset of fire depression” emphasizes that when treating the syndrome of fire depression, it should be guided according to the situation, diagnosed and treated according to the cause, relieve heat and evil, promote swallowing and reduce swelling. This article takes “the onset of fire depression” as the starting point, adopts a combination of oral decoction and external treatment to explore the effective treatment principles and methods of acute breast moth, and provides new possibilities for the clinical diagnosis and treatment of acute breast moth.