摘要
梁志齐老师以脏腑、奇经的联系为切入点辨治月经先期,将其分为实证和虚证。实证多因感受外界热邪,热扰冲任,迫血下溢。虚证又分为阴虚内热、热扰血络证,脾肾不足、带脉失约证。针对月经先期的不同病因病机,梁志齐老师主张标本兼治,提出了以清热安冲、滋阴养血、补益脾肾、固护奇经为主要治疗原则,对于月经先期日久,或伴出血量多的症状,则针对性地选择不同的炭类药,以期达到止血和推迟经期的效果。梁志齐老师治疗月经先期以“养血”贯穿于所有证型治疗中,方剂首选四物汤。对于不同炭类药物的选择,则体现了标本兼治的特点。
Professor LIANG Zhiqi differentiates and treats advanced menstruation by focusing on the connections between the Zangfu organs and the extraordinary meridians,classifying the condition into excess and deficiency syndromes.The excess syndromes are mostly caused by the invasion of external heat pathogens,which disturb the thoroughfare vessels and conception vessels and force the blood to flow downward prematurely.The deficiency syndromes are further divided into yin deficiency with internal heat disturbing the blood collaterals,and spleen-kidney deficiency with instability of the belt vessels.In response to the different etiologies and pathogeneses of advanced menstruation,Professor LIANG advocates treating both the root and the symptoms,proposing clearing heat to calm thoroughfare vessels,nourishing yin and blood,tonifying the spleen and kidney,and strengthening the extraordinary meridians as the main therapeutic principles.For cases of long-standing advanced menstruation or those accompanied by heavy bleeding,different charcoal-processed drugs are selected as needed to achieve hemostasis and delay the menstrual period.In Professor LIANG's approach,"nourishing blood"runs through the treatment of all syndromes,with Siwu Decoction as the primary formula.The selective use of various charcoal-processed drugs reflects the principle of treating both the root cause and the symptoms.
作者
李静
梁志齐
LI Jing;LIANG Zhiqi(Department of Traditional Chinese Medicine,Xinjiekou Community Health Service Center in Xicheng District,Beijing 100035,China;Department of Traditional Chinese Medicine,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035)
出处
《北京中医药》
2025年第10期1319-1322,共4页
Beijing Journal of Traditional Chinese Medicine
关键词
月经先期
脏腑辨证
奇经辨证
标本兼治
梁志齐
名医经验
advanced menstruation
syndrome differentiation based on Zangfu organs
syndrome differentiation of extraordinary meridians
treating both root cause and symptoms
LIANG Zhiqi
experience of famous doctors
