近5年中药治疗原发性痛经临床研究进展  

Study progression on treatment of primary dysmenorrhea by Chinese herbs in recent five years

作　　者：王秀霞[1] 梁玲[2] 薛会灵[2] 黄煜香[2] 宋玉林[1] 季春红[1] 

机构地区：[1]河北省保定市第一中医院妇科,071000 [2]河北大学附属医院妇产科

出　　处：《环球中医药》2012年第2期157-160,共4页Global Traditional Chinese Medicine

摘　　要：本文综述了近5年中药用于原发性痛经的临床状况。很多医家在辨证论治的思想指导下,将原发性痛经分为气滞血瘀、寒凝血瘀、气血亏虚、肝肾亏虚、气虚血瘀、湿热蕴结等证型对应处方治疗;在充分认识病机的基础上,亦有众多医家选用经典方加减和中成药进行治疗;在临床中也形成了很多独到的治疗方法及经验方;中药敷贴以及中药内服合针灸进行综合疗法等也很常见。对中药的运用十分多样化,疗效显著,但也因此导致规范化和标准化困难的难题。同时大多临床报道对治疗机理研究不够多,也需要以后进一步深入研究。This paper reviewed treatment of primary dysmenorrhea by Chinese herbs in recent five years.Under the guidance of treatment according to pattern differentiation,primary dysmenorrhea is divided into six patterns and treated by corresponding prescriptions respectively by many physicians： qi stagnation and blood stasis,cold congealing and blood stasis,deficiencies of qi and blood,deficiencies of liver and kidney,qi deficiency and blood stasis,damp-heat accumulation and binding;Based on thorough understandings of its disease mechanism,many physicians chose adjusted classical formulas or Chinese patent medicine;Many unique and empirical therapeutic methods and formulas came into being during clinical practices;Some integrated therapy of herbal application,oral administration as well as acupuncture and moxibustion is commonly seen clinically.Diversification of herbal application brings about excellent therapeutic effects,but it leads to standardization and normalization problems.In the meantime,most clinical reports did not reveal very clear therapeutic mechanism,which requires further researches.

关 键 词：中药 原发性痛经 治疗进展 

分 类 号：R271.113[医药卫生—中医妇科学]