中医药研究论丛

252.8 非哺乳期乳腺炎之中医病例报告

 TJ TCM.25(2) :101-110, 2022

非哺乳期乳腺炎之中医病例报告
Non-Lactational Mastitis Treated with
Traditional Chinese Medicine-A Case Report
锺静君1 陈婉伶1*
1 台中荣民总医院,台中,台湾
【摘要】
乳腺炎和乳房脓疡都是良性乳房疾病,而其中大部分乳腺炎常见於哺乳期妇女,非哺乳期乳线炎较少见,容易被忽略,也可能发生在男性身上,若延迟治疗或处置不当会造成严重化脓感染。此疾病不易愈合,愈後易复发,且面对乳房外观的改变,常带给患者心理的冲击。本病例报告以中药治疗一名34 岁妇女,左乳房多处红肿胀痛或脓肿,经乳房外科药物治疗与抽吸脓液,仍反覆乳腺炎发作。采用中药治疗以清热解毒、消肿散结,服用7 周後,患处周围红肿改善,乳房伤口渐渐愈合,无新发病灶。且持续追踪7 个月复原良好无复发,提供非哺乳期乳腺炎的治疗选择。
【关键词】非哺乳期乳腺炎、肝郁胃热、中医、病例报告
Ching-Chun Chung1Wan-Ling Chen1*
1Taichung Veterans General Hospital, Taichung, Taiwan
【Summary】
Both mastitis and breast abscess are benign breast diseases, and most of them are common in breastfeeding women. Non-lactating mastitis is rare and easily ignored. It may also be occured in men. If treatment is delayed or improperly controlled, it could cause severe infection. Non-lactating mastitis is not easy to heal, and it is easy to recur. Patients suffering from this disease usually feel depresion. In this case, a 34-year-old woman with multiple left breast mastitis with abscess formation was treated with traditional chinese medicine. She came to the Breast Tumor Surgery department for treatment with drugs and abscess suction. But the patient had not been cured and was recurrent. She was treated with traditional medicine for seven weeks. Under this treatment of clearing heat and resolving toxins and eliminating the mass and relieving swelling, the wounds around the breast heal gradually. And the patient has not been recurrent for at least seven months. The author hopes that this treatment experience could serve as a reference for taking care of similar cases.
【Keywords】non-lactational mastitis; liver stagnation and stomach heat; traditional
medicine; case report