妇科反治法验案探析  

Discussion on Gynecological Recipe Cases of Contrary Treatment

作　　者：马大正[1] 

机构地区：[1]温州市中医院,浙江温州325000

出　　处：《浙江中医药大学学报》2013年第11期1286-1288,共3页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]以六则临床验案为例,探讨《黄帝内经》反治法在妇科疾病中的运用,以期指导临床。[方法]通过温习《黄帝内经·至真要大论》中相关反治法条文,爰举临床实践验案,如通经利水法治疗经期过长、疏风解表药治疗经期盗汗、攻下法治疗带下、健脾法治疗妊娠消食、补气法治疗妊娠便秘、温热药治疗咽喉疼痛等。同时总结反治法在妇科疾病中的运用规律。[结果]妇科疾病在辨证论治基础上,可以使用反治法,如通因通用、塞因塞用、热因热用法等,经实践证明,临床疗效佳。[结论]以经文奥旨"反治法"治疗妇科疾病,是治病求本的体现,应当深入挖掘、继承、发扬,使之更好指导临床。[Objective] To dicuss the application of contraray treatment from ＂Yellow Emperor＇s Internal Classics＇in gynecological diseases, hoping to guide the clinic. [Method] By reviewing the articles concerning contrary treatment in ＂True Large Theory.Yellow Emperor＇s Internal Classics＂, take clinical recipe cases as examples, such as stimulating the menstrual flow and water circulation for long menstruation; dispelling wind to relieve exterior syndrome for night sweat in menstruation; dismounting for morbid leucorrhea; reinforcing spleen for pregnant digestion; tonffying Qi for pregnant constipation; warm drugs for sore throat, etc. Meanwhile, it sums up the application rules of the contrary treatment in gynecological diseases. [Result] The gynecological diseases can be cured by contrary therapy based on differentiation of signs, i.e.treating diarrhea with purgative,treating obstruction with tonics, treating heat with warm, all with good cure effect proved by practice. [Conclusion] To treat gynecological diseases with contrary therapy is the demonstration of searching for primary cause in treatment; we shall further dig out, inherit and develop it and make it better serve the clinic.

关 键 词：妇科疾病 反治法 中医药疗法 通因通用 塞因塞用 热因热用 

分 类 号：R221[医药卫生—中医基础理论]