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虫类药在妇科疾病中的应用经验

Experience of Medicinal Insects for Gynaecological Diseases
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摘要 认为各类妇科疾病多与气血的亏虚及瘀滞有关。虫类药性善走窜,具有活血祛瘀、行气止痛、搜剔通络、攻坚散结、下胎消癥等功效,适当配伍可增强方剂除瘀通滞的效用。临证以全蝎、蜈蚣、土鳖虫、九香虫、水蛭、虻虫、地龙等虫类药,治疗月经失调、慢性盆腔炎、宫腔疾病、不全流产、异位妊娠等妇科疾病,且自拟经验方三黄汤、红藤汤、盆宁方、杀胚方、宫外孕方等均应用有虫类药,临床疗效较好。 It is believed that all kinds of gynaecological diseases are mostly related to deficiency and stagnation of qi and blood.Medicinal insects are good at running and scurrying,with the effectiveness of activating blood circulation and dispelling blood stasis,moving qi and relieving pain,searching and dredging collaterals,attacking hardness and dissipating mass,and purging foetus and resolving mass,etc.Appropriate prescriptions can enhance the effectiveness of the formula in eliminating blood stasis and eliminating stagnation.In the treatment of menstrual disorders,chronic pelvic inflammatory disease,uterine cavity disease,incomplete miscarriage,ectopic pregnancy,and other gynaecological diseases,medicinal insects including Quanxie(Scorpio),Wugong(Scolopendra),Tubiechong(Eupolyphaga/Steleophaga),Jiuxiangchong(Coridius chinenses),Shuizhi(Hirudo),Mangchong(Tabanus),Dilong(Pheretima)and other insects for medicinal purposes could be used,and the self-prescribed empirical formulas such as Sanhuang Decoction(三黄汤),Hongteng Decoction(红藤汤),Penning Decoction(盆宁方),Shapei Decoction(杀胚方),and Gongwaiyun Decoction(宫外孕方)and so on,were all applied medicinal insects and showed effective in clinic.
作者 陈晨 史佳妮 苑玉琼 周倩茹 CHEN Chen;SHI Jiani;YUAN Yuqiong;ZHOU Qianru(Department of Traditional Chinese Medicine,Zhejiang Provincial People's Hospital(Affiliated People's Hospital),Hangzhou Medical College,Iangzhou,310014)
出处 《中医杂志》 CSCD 北大核心 2024年第2期224-228,共5页 Journal of Traditional Chinese Medicine
基金 国家中医药管理局科技司-浙江省中医药管理局共建科技计划项目(GZY-ZJ-KJ-23045)。
关键词 虫类药 月经失调 盆腔炎 宫腔疾病 不全流产 异位妊娠 medicinal insects menstrual disorders pelvic inflammatory disease uterine cavity disease incomplete miscarriage ectopic pregnancy
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