摘要
绝经综合征(Perimenopausal Syndrome,PMS)是女性在绝经前后出现的以自主神经系统功能紊乱为主,伴有神经心理症状的综合征,常见症状包括潮热、出汗、烦躁、失眠、乏力、心血管症状等。PMS为多系统发病,症状多样化,发病率高。现代社会女性分工较从前发生巨大变化,尤其中年女性扮演着多样而又重要的社会角色,PMS对其身心健康产生重要影响。故PMS的治疗目前已成为社会及临床关注的热点问题。PMS归属于中医学“绝经前后诸病”“脏噪”等病。肾中阴阳失衡为发病之本,常累及心、肝、脾三脏。处于围绝经期的妇女处于“气偏有余”之状态。导师武权生教授临证遵循“辨病、辨证、辨体质、辨主症”及“治病求本”的原则,基于“证体合辨”思想,在PMS的诊疗中发现部分女性虽有烘热汗出但热势不甚、汗出不显,并伴有畏寒、汗出身凉、极易外感等症,且这类妇女多绝经日久,吾师将其辨证为阳虚质——气阴两虚证,并创立“益气安坤饮”以治疗此病,临床上常获佳效。
Perimenopausal syndrome(PMS)is a disorder of the autonomic nervous system with neuropsychological symptoms that occur in women before and after menopause.Common symptoms include hot flashes,sweating,irritability,insomnia,fatigue,and cardiovascular symptoms.PMS is a multi-system disease with diverse symptoms and high incidence.The division of labor of women in modern society has changed greatly compared with the past,especially middle-aged women play an important and diverse social role,and PMS has an important impact on their physical and mental health.Therefore,the treatment of PMS has become a hot issue of social and clinical concern.PMS belongs to‘Various diseases before and after menopause’,and‘visceral agitation’in traditional Chinese medicine.It is believed that the imbalance of Yin(阴)and Yang(阳)in kidney is the root of the disease,which often involves the three viscera of heart,liver and spleen.Women in this period are in the state of Qi excess.Professor WU Quansheng follows the principles of‘differentiation of disease,differentiation of syndrome,differentiation of constitution,differentiation of main symptoms’and‘targeting the root causes in the treatment’,and based on the idea of‘differentiation and treatment based on syndrome and constitution’in the diagnosis and treatment of perimenopausal syndrome.It is found that although some women have hot sweating,the heat is not significant,the sweating is not obvious,and the symptoms such as being fear of cold,cold sweating and being prone to exogenous disease are accompanied,and most of those women are in menopause for a long time.Professor WU identifies the syndrome as Yang deficiency constitution of both Qi and Yin deficiency syndrome,and establishes Yiqi Ankun Yin(益气安坤饮)to treat the disease,which often obtains good clinical effects.
作者
王玉梅
武权生
张志刚
WANG Yumei;WU Quansheng;ZHANG Zhigang
出处
《中医临床研究》
2024年第33期83-86,共4页
Clinical Journal Of Chinese Medicine
基金
2022年青年岐黄学者培养项目(国中医药人教函[2022]256号)。
关键词
名医经验
证体合辨
绝经综合征
益气安坤饮
Experience of famous doctor
Differentiation and treatment based on syndrome and constitution
Perimenopausal syndrome
Yiqi Ankun Yin
