摘要
“血不利则为水”出自《金匮要略》,是张仲景提出的一种关于血水之间病理关系的论述。瘀血阻滞是子宫腺肌病的核心病机,湿瘀互结型是其较为多见的临床证型。本文通过探讨血水之间互化互病的关系,以“血不利则为水”为切入点论治湿瘀互结型子宫腺肌病,提出瘀血是子宫腺肌病发病之源,瘀血阻滞进而引发津液运行代谢失常产生病理水湿,水湿停滞又加重瘀血的阻滞,瘀血与水湿互为因果、相互胶结而发病,故治疗应调治津血,可选择祛瘀与除湿并行的血水同治法,为子宫腺肌病的临床治疗提供理论依据。
"Unsmooth Blood circulation results in Water retention"is a discussion on the pathological relationship between Blood and Water,which was put forward by Zhang Zhonging in the synopsis of the Golden Chamber.Blood stasis is the core pathogenesis of adenomyosis,and the type of Dampness-stasis interjunction is the most common clinical type.This article explores the relationship between the mutual transformation and disease of Blood and Water,and discusses the treatment of Dampness and Blood stasis in the type of adenomyosis,starting from the perspective of"Blood deficiency leads to Water deficiency".It proposes that Blood stasis is the source of the onset of adenomyosis,and the blockage of Blood stasis leads to abnormal metabolism of body fluid,resulting in pathological Water Dampness.The stagnation of Water Dampness also exacerbates the blockage of Blood stasis.Blood stasis and Water Dampness are mutually causal and cementitious,leading to the onset of disease.Therefore,treatment should regulate Blood stasis,The Blood and Water combination therapy of removing Blood stasis and dehumidification can be chosen,providing a theoretical basis for the clinical treatment of adenomyosis.
作者
李若楠
杨成成
黄利
李茂雅
李斌
文怡
季晓黎
Li Ruonan;Yang Chengcheng;Huang Li;Li Maoya;Li Bin;Wen Yi;Ji Xiaoli(Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu,610072,China)
出处
《成都中医药大学学报》
2024年第2期55-58,共4页
Journal of Chengdu University of Traditional Chinese Medicine
基金
四川省中医药管理局项目(2021MS060)
超声医学工程国家重点实验室开放课题面上项目(2020KFA3006)
成都中医药大学附属医院科技发展基金项目(22ZL12)。
关键词
血不利则为水
子宫腺肌病
瘀血
水湿
血水同治
当归芍药散
Unsmooth Blood circulation results in Water retention
Adenomyosis
Blood stasis
Water Dampness
Blood and Water treatment
Danggui-Shaoyao-San
