摘要
笔者通过查阅相关文献及临床资料,从实验研究、临床观察及名医经验等方面着手,总结出崩漏病机发展变化规律。最初阶段为阴虚火旺,久而阴损及阳,痰瘀互结,化热化火,表现出虚实夹杂、寒热错杂;第二阶段为五脏气虚;终末阶段为气不摄血。阴虚、虚火、痰瘀、实火、阳虚、气虚为其病机的六大端,其中阴虚、虚火为起始病机,气虚为终末病机。出血期治宜益气摄血以塞流,并辅以澄源以增强止血。非出血期以澄源、复旧为主,辅以塞流以防反复。澄源以病机定治则,或温补脾阳,或逐瘀活血,或祛痰除湿,或清热泻火。复旧以滋补阴精、滋阴清热为主,在此基础上经前期宜温补、经期宜疏肝、经后期宜滋肾、围排卵期宜温通。
Find out the rule of the development of pathogenesis and clinical thinking about metrorrhagia and metrostaxis from experimental study,clinical observation and clinical experience by famous doctors by reviewing the related literature and analyzing the clinical data. The pathogenesis consists with fire excess from Yin deficiency on initial stage,Yin deficiency affecting Yang on early progression,visceral Qi deficiency on late progression and Qi failing to take blood on terminal stage. The six causes are Yin deficiency and deficiency fire the common on initial stage,phlegm and blood stasis,excess fire,Yang deficiency and Qi deficiency the common on terminal stage. Tonify Qi to control blood along with astringents with large dose combine with specific therapy to enhance hemostasis in bleeding period. Then apply specific therapy combine with hemostasis to prevent relapse. Specific therapy is based on pathogenesis,which consists with warming up the spleen Yang,removing stasis and invigorating the circulation of blood,expelling phlegm and removing dampness and clearing away heat and fire. At last,nourish liver and kidney and nourish Yin and clear heat along with warming up,soothing the liver,nourishing the kidney and renoving the stasis in different stages of menstruation combine with hemostasis and specific therapy in recovery period.
作者
李正欢
张晓云
LI Zheng-huan;ZHANG Xiao-yun(Clinical Medicine College of Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China;Emergency Department of the affiliated hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China)
出处
《中国中医基础医学杂志》
CAS
CSCD
北大核心
2018年第8期1174-1176,共3页
JOURNAL OF BASIC CHINESE MEDICINE
关键词
崩漏
病机
临证思路
综述
Metrorrhagia and metrostaxis
Pathogenesis
Clinical thinking
Review
