摘要
带下病为常见的中医四大妇科疾病之一,临床发病率与复发率有升高的趋势,严重影响女性的身心健康。根据带下量之多少,本病可分为带下过多与带下过少。文章主要探讨最常见的带下过多。带下过多的病因复杂、病机多样,众多医者从不同角度论治该病。开阖枢理论较完整地论述了人体阴阳二气升降出入的过程,开、阖、枢功能正常则带下正常,若其中任意一个环节失常,则会导致体内阴阳失衡,进而引发疾病。此理论能较好地阐释带下过多的发生和指导其治疗。本研究将带下过多分为3个主要证型,即寒湿型、湿热型和脾肾阳虚型,基于开阖枢理论分析其病因病机,并结合女性月经节律周期的特点论治此病,为临床治疗带下过多提供参考。
Leukorrhea is one of the four common gynecological diseases in traditional Chinese medicine,its clinical morbidity and recurrence rates have a tendency to increase,seriously affecting physical and mental health of patients.According to the secretion volume of leucorrhea,the disease can be divided into excessive leukorrhea and inadequate leukorrhea.In this paper,the most common excessive leukorrhea is discussed mainly.The etiology of excessive leukorrhea is complex,and the pathogenesis is diverse,so many doctors treat this disease from different angles.The opening-closing-pivoting theory comprehensively discusses the process of the ascending,descending,exiting and entering of Yin(阴)and Yang(阳)in the human body.When the functions of opening,closing and pivoting are normal,the secretion of leukorrhea is normal.Disorders in any of these links can lead to an imbalance state of Yin and Yang in the body,and then cause the attack of the disease.This theory can better explain the attack and guide the treatment of excessive leukorrhea.In this paper,excessive leukorrhea is divided into three main syndrome types,namely,cold-damp type leukorrhagia,damp-heat type leukorrhagia,and spleen-kidney Yang deficiency type leukorrhagia;based on the opening-closing-pivoting theory,the etiology and pathogenesis of the disease are analyzed to treat the disease combined with the characteristics of female menstrual cycle,in order to provide more references for the clinical treatment of excessive leukorrhea.
出处
《中医临床研究》
2024年第26期65-68,共4页
Clinical Journal Of Chinese Medicine
基金
甘肃省高等学校创新基金项目(2021B-171)。
关键词
带下过多
开阖枢理论
中医药
Excessive leukorrhea
The opening-closing-pivoting theory
Traditional Chinese medicine
