刘丽芳教授运用温阳活血法治疗乳头雷诺病经验

〔摘要〕 阐述刘丽芳教授在临床上运用温阳活血法治疗哺乳期乳头雷诺病的经验。刘丽芳教授认为乳头雷诺病可归属为中医学的“乳头痹证”等范畴，阳虚寒凝、气滞血瘀为其基本病机。以温阳益气、活血通络为主要治法，用药上予以黄芪桂枝五物汤合当归四逆汤进行临证加减，临床疗效颇佳。

〔关键词〕 乳头雷诺病；温阳益气；活血通络；刘丽芳

〔中图分类号〕R271.44          〔文献标志码〕A          〔文章编号〕doi：10.3969/j.issn.1674－070X.２０24.02.012

Professor LIU Lifang's experience in treating Raynaud's disease of

nipple by warming yang and circulating blood

LIU Qing， LING Jie， WANG Juan， SU Jingqun， DING Xiao， CAO Hailin， LIU Lifang*

The First Hospital of Hunan University of Chinese Medicine， Changsha， Hunan 410007， China

〔Ａｂｓｔｒａｃｔ〕 This article focuses on Professor LIU Lifang's clinical experience in treating Raynaud's disease of nipple during lactation by warming yang and circulating blood. Professor LIU believes that Raynaud's disease of nipple belongs to the category of "nipple impediment disorders" in TCM， with yang deficiency， cold retention， qi stagnation， and blood stasis as its basic pathogenesis， and can be treated mainly by warming yang， supplementing qi， circulating blood， and unblocking collaterals. In terms of medication， modified combination of Huangqi Guizhi Wuwu Deoction and Danggui Sini Decoction based on pattern identification can be applied with excellent clinical efficacy.

〔Ｋｅｙｗｏｒｄｓ〕 Raynaud's disease of nipple; warming yang and supplementing qi; circulating blood and unblocking collaterals; LIU Lifang

乳头雷诺病是雷诺症状发生于乳头处的一类疾病，常发生于哺乳期，近年来发病率呈上升趋势，其发病主要是由于乳头小血管挛缩所致[1]。（剩余6788字）