产后风湿“血郁同病”的病因病机探索  

Exploration on etiology and pathogenesis of postpartum rheumatism from coexistence of blood and depression

作　　者：羊维 刘芬芬[1] 包洁[1] 孙静[2] 曹灵勇[1] 温成平[1] 于淑娟 

机构地区：[1]浙江中医药大学,杭州310053 [2]浙江省新华医院,杭州310005 [3]杭州市清波望江街道社区卫生服务中心,杭州310002

出　　处：《中华中医药杂志》2015年第1期20-22,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：2013年浙江省中医药科学研究基金计划(A类)(No.2013ZA063);国家自然科学基金资助项目(No.81173249)~~

摘　　要：产后风湿是一种常见的妇人产后病,临床上以关节周围软组织疼痛为主要表现,血虚、血瘀及情志郁结等为其主要病因病机。文章从"血郁同病"角度对产后风湿进行分析,重点探讨情志因素对本病病因病机的影响,认为产后风湿的发生以血虚血瘀为本,但在现代社会及家庭环境等因素的干扰下,情志因素对其病情及病程的发展影响作用尤为重要,同时指出"血""郁"同治,即中药治疗联合心理疗法对本病治疗的重大意义,为临床治疗提供理论基础。Postpartum rheumatism was a common disease which often appeared in woman postpartum. The major clinical manifestation of this disease was the pain of the soft tissues surrounding joints. The main etiology and pathogenesis of this disease were blood deficiency, blood stasis and depression. This paper analyzed the postpartum rheumatism from coexistence of blood and depression, and mainly discussed the influence of emotional factors on pathogenesis of this disease. The occurrence of postpartum rheumatism based on blood deficiency and blood stasis, but with the interference factors of social and family environment in modem life, emotional factors made an important effect in the development course of this disease. Dual treatment of blood and depression that was combined Chinese medicine treatment and psychotherapy had a great significance in the treatment of this disease, and provided theoretical basis for clinical treatment of this disease.

关 键 词：产后风湿 血 郁 血虚 血瘀 情志 病因 病机 

分 类 号：R271.9[医药卫生—中西医结合]