摘要
临床上,月经后期之病多见从肾气虚、气滞、虚寒论治,少有从痰郁论治者。冯明教授依据多年临床经验,认为不可忽视痰郁证型,此证乃“痰”和“郁”两相结合致病,且多伴有结节病,治疗采用解郁化痰法,以疏肝解郁、健脾化痰、升清降浊、调畅气机为主,方用逍遥散合温胆汤,可有效针对病机,直取病灶且不伤正,从而令冲任自畅。该文对这一经验进行初探,并用验案加以印证,以冀有益于临床。
The clinical treatment of late menstruation mostly focuses on kidney qi deficiency,qi stagnation,and deficiency-cold,and rarely considers phlegm depression.According to years of clinical experience,Professor FENG Ming believes that the syndrome of phlegm depression cannot be ignored in the treatment of late menstruation.This syndrome is caused by the combination of phlegm and depression and mostly accompanied by sarcoidosis.The treatment should consider relieving depression and resolving phlegm,which aims to sooth liver and relieve depression,invigorate spleen and resolve phlegm,ascend lucidity and descend turbidity,and regulate qi activity.Xiaoyao Powder combined with Wendan Decoction,which effectively targets the pathogenesis,can be administrated to treat the focus without compromising healthy qi and further smooth thoroughfare and conception vessels.This paper discusses FENG Ming's experience and verifies it with cases,aiming to provide reference for clinical practice.
作者
谢永贵
罗雯文
冯明
XIE Yonggui;LUO Wenwen;FENG Ming(Department of Medicine,Medical College,Jiaying University,Meizhou 514031,China;Department of Internal Medicine,Shanxi Traditional Chinese Medical Hospital,Taiyuan 030012,China)
出处
《基层中医药》
2022年第4期57-60,共4页
Basic Traditional Chinese Medicine
基金
梅州市哲学社会科学2021年规划立项课题(mzsklx2021072)。
关键词
月经后期
解郁化痰法
逍遥散
温胆汤
冯明
late menstruation
relieving depression and resolving phlegm
Xiaoyao Powder
Wendan Decoction
FENG Ming
