Differentiation and treatment of granulomatous mastitis from the perspective of "<italic style="font-style: italic">qi</italic> pulse"

ZHANG Ke; ZHANG Xiaojun

doi:10.16025/j.1674-1307.2026.03.023

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Differentiation and treatment of granulomatous mastitis from the perspective of "qi pulse"

更新时间：2026-06-02

- Differentiation and treatment of granulomatous mastitis from the perspective of "qi pulse"
- Beijing Journal of Traditional Chinese Medicine Vol. 45, Issue 3, Pages: 410-415(2026)
- 作者机构：
  
  中国中医科学院西苑医院乳腺病科，北京100091
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2026.03.023
  CLC：
- Received：29 December 2025，
  
  Published：25 March 2026
- 稿件说明：
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张可，张晓军.从“气脉”视角探讨肉芽肿性乳腺炎的辨治［J］.北京中医药，2026，45（3）：410-415.

ZHANG Ke,ZHANG Xiaojun.Differentiation and treatment of granulomatous mastitis from the perspective of "qi pulse"[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(03):410-415.
张可，张晓军.从“气脉”视角探讨肉芽肿性乳腺炎的辨治［J］.北京中医药，2026，45（3）：410-415. DOI： 10.16025/j.1674-1307.2026.03.023.

ZHANG Ke,ZHANG Xiaojun.Differentiation and treatment of granulomatous mastitis from the perspective of "qi pulse"[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(03):410-415. DOI： 10.16025/j.1674-1307.2026.03.023.

摘要

肉芽肿性乳腺炎是一种发生在非哺乳期或非妊娠期的乳腺慢性炎症疾病，其发病率逐年上升。“气脉常通”即人体阴阳调和、气血津液运行通畅的健康状态，是养生防病的根本原则。本文从“气脉”角度探讨本病防治，认为气脉失畅、滞塞不通为本病核心病机，其中脾肾两虚、气脉虚滞为本；气滞郁火、气脉闭阻为标；痰瘀胶结、正虚络损为变。根据GM临床表现及气脉不通的病机特点，治疗当以“通”为要，补脾益肾充气脉，调气通络清气脉，化痰祛瘀通气脉，并依据患者病情临证加减，使气脉常通、阴平阳秘。

Abstract

Granulomatous mastitis （GM） is a chronic inflammatory disease of the breast that occurs during non-lactation or non-pregnancy periods， and its incidence is increasing year by year. The concept of "

-pulse continuity" refers to a healthy state in which

yin

and

yang

are harmonized and

， blood， and body fluids circulate smoothly， representing a fundamental principle for health preservation and disease prevention. This paper explores the prevention and treatment of this disease from the perspective of the "

-pulse" theory. It is proposed that impaired

-pulse circulation and obstruction constitute the core pathogenesis： spleen and kidney deficiency with

-pulse insufficiency and stagnation form the root；

stagnation with constrained heat and obstruction of the

-pulse represent the manifestation； and phlegm-stasis congealment with deficiency of healthy

and collateral damage represents disease transformation. Based on the clinical manifestations of GM and the characteristics of

-pulse obstruction， treatment should prioritize "dredging". Therapeutic principles include tonifying the spleen and kidney to replenish the

-pulse， regulating

and dredging the collaterals to clear the

-pulse， and resolving phlegm and removing blood stasis to restore

-pulse circulation. Treatment is modified according to individual conditions， with the aim of maintaining

-pulse continuity and achieving

yin

yang

balance.

关键词

Keywords

references

刘晓雁 , 陈前军 . 肉芽肿性小叶性乳腺炎中医诊疗专家共识（2021版） [J ] . 中国中西医结合外科杂志 , 2022 , 28 ( 5 ): 597 - 602 .

郭鱼波 , 张董晓 , 赵文洁 , 等 . 肉芽肿性乳腺炎中医药治疗的研究进展 [J ] . 中华中医药杂志 , 2024 , 39 ( 6 ): 3018 - 3022 .

张董晓 , 王君月 , 曾奕斐 , 等 . 中西医结合诊疗肉芽肿性乳腺炎北京专家共识（2025版） [J ] . 北京中医药 , 2025 , 44 ( 8 ): 1013 - 1018 .

王宗攀 , 周少芳 , 徐振楠 , 等 . 肉芽肿性小叶乳腺炎的临床研究进展 [J ] . 浙江医学 , 2024 , 46 ( 11 ): 1215 - 1219, 1227 .

李银鑫 , 李智宇 , 陈创 , 等 . 肉芽肿性小叶性乳腺炎的诊断与治疗进展 [J ] . 中国普外基础与临床杂志 , 2023 , 30 ( 12 ): 1514 - 1521 .

王朝义 , 宋强 , 熊鑫 , 等 . 肉芽肿性小叶性乳腺炎诊疗进展 [J ] . 中国临床药理学与治疗学 , 2023 , 28 ( 8 ): 910 - 917 .

王娟 , 刘丽芳 . 基于“一气周流”理论探析肉芽肿性乳腺炎的病机与辨治 [J ] . 云南中医中药杂志 , 2024 , 45 ( 12 ): 15 - 18 .

赵丹 , 周瑶 , 龚婕 , 等 . 从“木郁达之”论治肉芽肿性乳腺炎 [J ] . 江苏中医药 , 2023 , 55 ( 4 ): 32 - 35 .

周君 , 卞卫和 , 姚昶 . 许芝银教授从中焦气机论治非哺乳期乳腺炎经验 [J ] . 南京中医药大学学报 , 2024 , 40 ( 6 ): 640 - 644 .

李小发 , 汪唐顺 , 高翔 , 等 . 基于“玄府-乳络”理论论治肉芽肿性小叶性乳腺炎 [J ] . 吉林中医药 , 2025 , 45 ( 10 ): 1130 - 1133 .

王进 . “脉”之多重结构及其意义 [J ] . 中华中医药杂志 , 2021 , 36 ( 2 ): 768 - 771 .

史鑫鑫 , 符德玉 , 周训杰 , 等 . 内经“气脉常通”理论内涵探讨 [J ] . 时珍国医国药 , 2023 , 34 ( 10 ): 2464 - 2466 .

吕玉欣 , 严京 , 刘思言 , 等 . 基于“气脉常通”理论从调气活血和营法论治pdr玻璃体切割术后 [J ] . 中国中医眼科杂志 , 2025 , 35 ( 8 ): 761 - 766 .

彭彬 , 王猛 , 马思佳 , 等 . 基于“气脉常通”论治慢性疲劳综合征 [J ] . 中国中医药信息杂志 , 2024 , 31 ( 10 ): 176 - 180 .

裴晓华 , 李建蓉 . 中医药诊治乳腺炎的现状与展望 [J ] . 北京中医药 , 2025 , 44 ( 6 ): 676 - 680 .

吴丰雪 , 易维真 . 从“肝-脾-肺-肾”探讨肉芽肿性乳腺炎的中医辨治 [J ] . 中医药临床杂志 , 2021 , 33 ( 3 ): 402 - 405 .

仪荣荣 , 牛金宁 , 徐斗富 , 等 . 张永康教授从热毒论治口腔颌面间隙感染临证经验 [J ] . 中国中医急症 , 2022 , 31 ( 5 ): 907 - 910 .

舒国发 , 祝东升 , 钟馨 , 等 . 基于伏邪理论治疗肉芽肿性乳腺炎临证探讨 [J ] . 现代中医临床 , 2022 , 29 ( 1 ): 39 - 43 .

刘茹楠 , 魏盛豪 , 陶晓华 . 基于“气脉常通”探讨结节性痒疹的病机与治法 [J ] . 北京中医药 , 2025 , 44 ( 4 ): 504 - 507 .

李积锋 , 张董晓 . 古代非哺乳期乳腺炎外治法撷英集萃 [J ] . 河北中医 , 2024 , 46 ( 2 ): 322 - 325, 330 .

柳佳璐 , 周笛 , 罗君 , 等 . 陈实功“消、托、补”法治疗肉芽肿性乳腺炎 [J ] . 河南中医 , 2021 , 41 ( 7 ): 1012 - 1014 .

王琦 , 蔡将军 , 赵虹 . 非哺乳期乳腺炎发病影响因素的Meta分析 [J ] . 浙江中西医结合杂志 , 2024 , 34 ( 7 ): 662 - 667 .

刘炜 , 裘佳颖 , 郑丽 , 等 . 张晓军分期内外合治治疗非哺乳期乳腺炎经验 [J ] . 世界中西医结合杂志 , 2022 , 17 ( 9 ): 1733 - 1736 .

周瑶 , 刘丽芳 . 刘丽芳从“火郁发之”论治肉芽肿性小叶性乳腺炎经验 [J ] . 中医药导报 , 2025 , 31 ( 4 ): 195 - 198 .

楚爱景 , 王悦竹 , 郑洁莹 , 等 . 从“虚、毒、瘀”论治复发性肉芽肿性乳腺炎 [J ] . 中医杂志 , 2024 , 65 ( 12 ): 1287 - 1291 .

曾迪 , 胡金辉 . 胡金辉教授三步法辨治肉芽肿性乳腺炎 [J ] . 光明中医 , 2025 , 40 ( 7 ): 1293 - 1296 .

郑路 , 陈震霖 . 从“痰”论治粉刺性乳痈 [J ] . 中国中医基础医学杂志 , 2019 , 25 ( 11 ): 1616 - 1618 .

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⁰

Differentiation and treatment of granulomatous mastitis from the perspective of "qi pulse"

DOI：10.16025/j.1674-1307.2026.03.023

摘要

Abstract

关键词

Keywords

references