摘要
痛经以周期性腹痛为特征,近年来发病率呈上升趋势,严重影响女性生活质量。痛经常见病机为气滞瘀热,尤以气郁为先,兼夹血瘀、郁热及痰湿、脾虚、阳虚等病理因素。笔者基于《傅青主女科》宣郁通经汤,针对气滞瘀热型痛经采用辨证加减治疗,通过调气解郁、清热化瘀、兼调他证,取得稳定疗效。本文通过方剂探析、典型验案及总结分析,探讨其作用机制及临床应用规律,为中医治疗该病提供一定思路和方法。
Dysmenorrhea is characterized by periodic abdominal pain,with an increasing incidence in recent years that severely affects women’s quality of life.Its common pathogenesis involves qi stagnation and blood stasis with heat syndrome,with qi depression as the primary factor,combined with pathological factors such as blood stasis,stagnant heat,phlegm-dampness,spleen deficiency,and yang deficiecy.Based on Xuanyu Tongjing Decoction from Fu Qingzhu’s Gynecology,the author uses syndrome differentiation and modification to treat dysmenorrhea of the qi stagnation with blood stasis and heat type.By regulating qi,resolving depression,clearing heat,resolving blood stasis,and addressing concurrent syndromes,stable curative effects have been achieved.This paper explores the mechanism of action and clinical application rules through analysis of the formula,typical verified cases,and summary analysis,providing certain ideas and methods for the treatment of this disease in traditional Chinese medicine.
作者
赵望森
于冰冰
吴子晴
ZHAO Wangsen;YU Bingbing;WU Ziqing(Department of Acupuncture and Tuina,Heze Medical College,Heze,Shandong 274009,China;Department of Traditional Chinese Medicine Rehabilitation,Heze Medical College,Heze,Shandong 274009,China;Department of Critical Care Medicine,Shandong Provincial Hospital Group Heze Hospital,Heze,Shandong 274009,China)
出处
《中国医药指南》
2025年第23期156-158,共3页
Guide of China Medicine
关键词
痛经
气滞瘀热
宣郁通经汤
验案体会
Dysmenorrhea
Qi stagnation with blood stasis and heat
Xuanyu tongjing decoction
Case reports
