冀来喜从“郁”立论针刺治疗慢性乳腺炎肿块期经验撷要

王子扬; 樊钦华; 武桂琴; 王建朝; 冀来喜

doi:10.13703/j.0255-2930.20250211-k0004

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冀来喜从“郁”立论针刺治疗慢性乳腺炎肿块期经验撷要

针家精要 | 更新时间：2026-02-26

- 冀来喜从“郁”立论针刺治疗慢性乳腺炎肿块期经验撷要
- JI Laixi's experience in acupuncture treatment of chronic mastitis at lump stage based on "stagnation"
- 中国针灸 2026年46卷第2期页码：275-280
- 作者机构：
  
  山西省针灸医院，太原　030006
  山西中医药大学，晋中　030619
  北京中医药大学东直门医院
  太原糖尿病专科医院
- 作者简介：
  
  ✉冀来喜，教授。E-mail：tyjilaixi@126.com
- 基金信息：
  
  冀来喜全国名中医传承工作室;山西中医药管理局课题项目(2020YYC041)
- DOI：10.13703/j.0255-2930.20250211-k0004
  中图分类号：
- 收稿：2025-02-11，
  
  网络首发：2025-12-01，
  
  纸质出版：2026-02-12
- 稿件说明：
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王子扬, 樊钦华, 武桂琴, 等. 冀来喜从“郁”立论针刺治疗慢性乳腺炎肿块期经验撷要[J]. 中国针灸, 2026,46(2):275-280.

WANG Ziyang, FAN Qinhua, WU Guiqin, et al. JI Laixi's experience in acupuncture treatment of chronic mastitis at lump stage based on "stagnation"[J]. Chinese Acupuncture & Moxibustion, 2026, 46(2): 275-280. DOI: 10.13703/j.0255-2930.20250211-k0004.
王子扬, 樊钦华, 武桂琴, 等. 冀来喜从“郁”立论针刺治疗慢性乳腺炎肿块期经验撷要[J]. 中国针灸, 2026,46(2):275-280. DOI： 10.13703/j.0255-2930.20250211-k0004.

WANG Ziyang, FAN Qinhua, WU Guiqin, et al. JI Laixi's experience in acupuncture treatment of chronic mastitis at lump stage based on "stagnation"[J]. Chinese Acupuncture & Moxibustion, 2026, 46(2): 275-280. DOI: 10.13703/j.0255-2930.20250211-k0004. DOI：

摘要

总结冀来喜教授针刺治疗慢性乳腺炎肿块期的临床经验。冀来喜教授认为，该病病机核心为“郁”，多因气滞、气虚、痰凝或火结等导致乳络壅滞不通，发为乳痈。基于此，提出“从郁论治”的针灸思路，并确立调气、补气、通阳、泄热4项治则。临床上，对应采用4种针法：一为调气畅乳法，针刺合谷、太冲，可开结散郁以调畅气机，通利乳络；二为益气调乳法，针刺足三里、气海和内关，可补益脾胃以充养后天之气，使乳络气机充盈调达；三为通阳散乳法，针刺厥阴俞穴区、心俞穴区对应压痛点，嘱患者脊柱屈或伸至极限体位并配合呼吸吐纳，可疏通心脉以助阳气运行，温煦推动气血津液，解除乳络壅滞；四为泄热通乳法，针刺内庭、上巨虚、丰隆、内关、肩井，配合三棱针点刺中冲、厉兑及锋勾针挑刺背部足太阳膀胱经胸段阳性点，可通泄郁热以清利湿热壅滞，恢复乳络通畅。

Abstract

The paper summarizes the clinical experience of Professor

JI Laixi

in acupuncture treatment for chronic mastitis at lump stage. Professor

JI Laixi

believes that the essential pathogenesis of this disease is "stagnation". The obstruction in the affected meridians and collaterals due to

stagnation

deficiency

phlegm retention or fire accumulation leads to mastitis. Hence

the treating appr

oach of acupuncture and moxibustion focuses on "relieving stagnation"

and 4 principles of treatments are determined

namely regulating

tonifying

promoting

yang

circulation and reducing accumulated heat. Clinically

4 acupuncture techniques are adopted accordingly. Regulating

and unblocking the circulation in the breast: Hegu (LI4) and Taichong (LR3) are used to relieve masses and stagnation

promote

movement and improve meridian circulation of the breast. Benefiting

and regulating

movement in the breast: Zusanli (ST36)

Qihai (CV6) and Neiguan (PC6) are selected to replenish the spleen and stomach

nourish the acquired

and maintain the free flow of

in the breast. Promoting

yang

circulation and resolving masses: the tender points corresponding to Jueyinshu (BL14) and Xinshu (BL15) are stimulated

besides

the patient is required to flex or extend the spine to its maximum position while coordinate with inhalation and exhalation

so as to promote the circulation of heart meridian

propel

yang qi

movement

warm up and enhance the movements of

blood and body fluids to remove stagnation in the breast. Reducing accumulated heat and promoting circulation in the breast: acupuncture is applied to Neiting (ST44)

Shangjuxu (ST37)

Fenglong (ST40)

Neiguan (PC6) and Jianjing (GB21)

combined with pricking technique with three-edge needle at Zhongchong (PC9) and Lidui (ST45)

and the hooking technique with hook needle at the positive points in the thoracic section of the bladder meridian of foot-

taiyang

on the back

so as to release the damp-heat stagnation and restore the circulation in the breast.

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