摘要
产后身痛是妇人常见产后病之一,以产褥期内出现肢体或周身关节疼痛酸楚、重着麻木为主要特征,多因素体亏虚或产后气血不足,外邪乘虚入里,气血不通瘀阻脉络,总属本虚标实证。临证审查当以'痛'证为切入点,围绕病因病机全面辨证。依据产褥期妇女产后身痛的病因病机及临床特征表现,可辨证分为风寒、血虚、血瘀、肾虚4个证型。临床常以虚证为多见,治疗时应扶正固本为主,兼以祛邪。用药当以养血滋阴为主,佐以散寒祛风,除湿通络之品,切不可重伤其阴。
Postpartum bodily pain is one of the common postpartum diseases of women.It is characterized by painful limbs or joints and heavy numbness during the puerperium.It is characterized by multiple factors of body deficiency or postpartum insufficiency of qi and blood.External pathogens take advantage of deficiency to enter,and qi and blood do not circulate,so the blood stasis obstruct the channel,which belongs to the syndrome of Benxu Biaoshi.Clinical examination should be based on'pain'syndrome as the entry point,and comprehensive differentiate the symptoms and signs around the etiology and pathogenesis.According to the etiology,pathogenesis and clinical manifestations of postpartum bodily pain in puerperal women,it can be divided into four syndrome types:wind-cold,blood deficiency,blood stasis and kidney deficiency.Deficiency syndrome is the most common clinical manifestation,and the treatment should be based on strengthening the body and strengthening the root,as well as eliminating pathogens.Drugs should be mainly nourishing blood and nourishing yin,supplemented by products of dispelling cold and dispelling wind,removing dampness and dredging collaterals,and must not seriously damage yin.
作者
李梦华
周小琳
LI Menghua;ZHOU Xiaolin;Nanyang Medical College(Nanyang Medical College,Nanyang Henan China 473061)
出处
《中医学报》
CAS
2019年第9期1855-1858,共4页
Acta Chinese Medicine
关键词
产后身痛
本虚标实
风寒证
血虚证
血瘀证
肾虚证
postpartum bodily pain
Benxu Biaoshi
wind-cold syndrome
blood deficiency syndrome
blood stasis syndrome
kidney deficiency syndrome
