摘要
邓高丕教授认为,慢性盆腔痛病因病机以正气不足为本,湿热、瘀血内结为标,属本虚标实之证,正气不足为本病反复发作、迁延不愈、疗效不佳的关键。受地理环境及饮食习惯的影响,岭南妇人慢性盆腔痛具有明显的地域特征。邓教授提出,治疗慢性盆腔痛应扶正祛邪兼顾,扶正采用补益脾肺之法,常用药物有黄芪、人参(或党参)、五指毛桃等,祛邪多采用清热利湿、化瘀止痛之法,常用药物有重楼、土茯苓、血竭等。邓教授重视"情志致复""食复""劳复",注意药后反应和调护,提倡中病即止,常运用膏方巩固疗效。
Professor Deng Gao-pi thinks that the etiology and pathogenesis of chronic pelvic pain(CPP)is based on deficiency of healthy qi as primary,with accumulation of dampness-heat and blood stasis as secondary,which belongs to the syndrome of deficiency as primary and excess as secondary.Deficiency of healthy qi is the key to the repeated attack,delayed healing and poor curative effect of the disease.Affected by the geographical environment and eating habits,women′s abdominal pain in regions south of the Five Ridges has obvious regional characteristics.According to Professor Deng,the treatment of CPP should focus on strengthening healthy qi and removing pathogens together.For strengthening healthy qi,nourishing spleen and lung is often used,and the commonly-used medicinals include Huangqi(Radix Astragali),Renshen(Radix Ginseng)or Dangshen(Radix Codonopsis),Wuzhimaotao(Ficus simplicissima Lour.),etc.For removing pathogens,methods of clearing away heat and dampness,removing blood stasis and relieving pain are often used,and the commonly-used medicinals include Chonglou(Rhizoma Paridis),Tufuling(Rhizoma Smilacis Glabrae),Xuejie(Sanguis Draconis),etc.Professor Deng attaches great importance to"emotional recurrence","food recurrence"and"labor recurrence",the reaction and nursing after medication,advocates that the medicinals should be stopped as long as they are effective on the disease,and he often uses pastes to consolidate the curative effect.
作者
刘晓荣
陈思
李净
郜洁
邓高丕
LIU Xiao-rong;CHEN Si;LI Jing;GAO Jie;DENG Gao-pi(Guangzhou University of Chinese Medicine,Guangzhou,Guangdong,China,510045;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou,Guangdong,China,510045)
出处
《河南中医》
2021年第3期365-368,共4页
Henan Traditional Chinese Medicine
基金
国家自然科学基金项目(81774358)
邓高丕广东省名中医传承工作室项目{粤中医办函[2019]5号}
广东省中医药强省建设专项资金广东省名优中成药二次开发项目(20174009)
广东省珠江学者岗位项目{粤教师函[2017]79号}。
关键词
慢性盆腔痛
岭南
气虚
阳虚
膏方
邓高丕
chronic pelvic pain(CPP)
regions south of the Five Ridges
qi deficiency
yang deficiency
paste
Deng Gao-pi
