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基于“痞坚之处,必有伏阳”浅议温脾肾化痰瘀法治疗子宫肌瘤

Treatment of uterine fibroids with the methods of warming spleen and kidney,and resolving phlegm and blood stasis,based on the theory of"where there are hard masses,there must be latent yang"
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摘要 子宫肌瘤是女性常见良性肿瘤,现代医学治疗存在复发率高、不良反应大等问题。“痞坚之处,必有伏阳”理论源于经典,现代中医将其应用于肿瘤领域,为子宫肌瘤治疗提供新思路。本文基于该理论,阐明子宫肌瘤的形成与脾肾阳虚、痰瘀互结密切相关,阳虚导致气机不畅,痰瘀交阻形成“痞坚”,郁久化热形成“伏阳”。在治疗上,提出以温脾肾化痰瘀为核心、兼顾清“伏阳”的综合治疗方法,打破“痞坚-伏阳”的恶性循环,为子宫肌瘤的中医治疗提供参考。 Uterine fibroids are common benign tumors in women,and modern medical treatment has problems such as high recurrence rate and significant side effects.The theory of"where there are hard masses,there must be latent yang"originates from a classical work,and modern Chinese medicine has applied it to the field of tumors,providing new ideas for the treatment of uterine fibroids.Based on this theory,this article elucidates that the formation of uterine fibroids is closely related to spleen kidney yang deficiency and intermingled phlegm and blood stasis.Accordingly,yang deficiency leads to poor qi flow,while the blockade of phlegm and blood stasis forms hard masses,and stagnated yang qi turns into heat over time,leading to latent yang ultimately.In terms of treatment,the paper proposes a comprehensive treatment method,with warming the spleen and kidney,resolving phlegm and blood stasis as the core,combined with clearing latent yang,to break the vicious cycle of"hard masses-latent yang".The study is aimed at providing reference for the traditional Chinese medicine treatment of uterine fibroids.
作者 盖美辰 张明 张红 GAI Meichen;ZHANG Ming;ZHANG Hong(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)
出处 《吉林中医药》 2025年第12期1379-1383,共5页 Jilin Journal of Chinese Medicine
基金 吉林省自然科学基金面上项目(YDZJ202501ZYTS154) 中国中医科学院广安门医院护航工程项目(9323020)。
关键词 子宫肌瘤 痞坚 伏阳 温脾肾 化痰瘀 uterine fibroids hard masses latent yang warming spleen and kidney resolving phlegm and blood stasis
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