摘要
中医经典中关于更年期综合征(经断前后诸证)的专门论述并不多,然而,潮热汗出及情绪障碍是更年期患者的典型症状,可见本病的证候与火热证及郁证密不可分。有关火热论述,李杲重视脾胃居中、调和升降的功能,认为脾胃湿气下流才引发下焦阴火上冲;朱丹溪则认为,气有余便是火,其病理特性是阳有余而阴不足;孙一奎则细究相火的功能及途径,将其由蛰伏肾中命门,到运行腠理分肉的过程,归于三焦;张介宾重视阴阳互根的本质,从命门水火论治。关于郁证,丹溪学派的六郁说及经后人提炼的气血痰郁辨证,对杂病提供了标本分治的思维。而现代流行病学调查显示本病以潮热汗出为最常见的症状,支持将本病与火热证联系。综观各研究及专家经验,分型的病性以阴虚、气滞为要素,病位以肝、肾为主,脾心为辅。因此,更年期综合征可定位为本虚标实,其治则首当明辨缓急;急则侧重治标,以解郁、降火为要;缓则着重治本,以滋肾清火徐图之。
Hot flashes and mood disorder are both typical symptoms during climacterium,showing that heat-syndrome and depression-syndrome are the main factors while analyzing menopausal syndrome.About the fiery hot,LI Gao emphasizes digestive function.He thought the downflow dampness from spleen and stomach could trigger Yin fire to push up;while ZHU Dan-xi have argued that fire is turned from the excess YANG Qi;and SUN Yi-kui indicates that Sanjiao is the route of pathologic hot from Mingmen to derma;and ZHANG Jie-bin pays attention to the interdependence of Yin and Yang.About depression-syndrome,ZHU Dan-xi put forward the theory of six-depression,and his inheritors try to type syndromes by Qi,blood,phlegm and depression,which has become a very useful method in TCM.Therefore,climacteric syndrome can be treated by prescriptions generated from the above mentioned methodologies.
出处
《辽宁中医药大学学报》
CAS
2012年第9期121-124,共4页
Journal of Liaoning University of Traditional Chinese Medicine
关键词
相火论
郁证
朱丹溪
更年期综合征
Syndrome of Fiery Hot
syndrome of maladjusted Qi-ji
ZHU Dan-xi
menopausal syndrome
