从肝阳虚辨治崩漏理论探讨  

Treatment of Metrorrhagia and Metrostaxis from Liver Yang Deficiency

作　　者：高海艳[1] 王海军[1] 

机构地区：[1]山东中医药大学,山东济南250355

出　　处：《山东中医药大学学报》2017年第1期32-33,36,共3页Journal of Shandong University of Traditional Chinese Medicine

基　　金：国家自然科学基金课题(编号:81173151)

摘　　要：以肝阳虚为切入点论述崩漏的病因病机及治法,认为肝阳虚是产生崩漏的原因之一。肝阳气的相对亏虚,不仅使经血不能温升导致肝气郁滞下陷,同时肝藏血功能失常,使血不归经致崩漏发生。肝阳虚崩漏临床表现为懈怠、忧郁、胆怯、头痛麻木、四肢不温,月经色暗淡清冷或紫黑有块,胁肋虚闷或坠胀,少腹坠胀且畏寒,漏血无臭气,舌淡,脉沉弱而弦。治疗宜温补肝阳,兼顾肝体,更于阴中求阳,舒达肝木,可选用五福饮、吴茱萸汤、芎汤等方药辨证治疗。The etiology and pathogenesis of metrorrhagia and metroataxis were analyzed by taking liver yang deficiency as the breakthrough point and considered liver yang deficiency as one of the etiology. The relative liver yang deficiency failed to warm and lift the menstruation causing the stagnation of liver- qi,the dysfunction of liver storing blood causing failure of blood circulating in vessels resulting in metrorrhagia and metroataxis. The clinical manifestations of metrorrhagia and metrostaxis included slack,melancholy,timidity,headache,numbness,coldness in the four extremities,the menstrual manifestation including blood stasis and dark clot,distention and oppressed feeling in the hypochondrium and abdomen,aversion to cold,pale tongue,deep,weak and string- like pulse. The syndrome differentiation and treatment methods included：warming liver yang and paying attention to the liver body,reinforcing yang from yin,smoothing the liver qi. Wufu decoction,Wuzhuyu decoction and Xiongqiong decoction were selected to treat the disease.

关 键 词：崩漏 肝阳虚 肝郁 肝藏血 温补肝阳 

分 类 号：R271.12[医药卫生—中医妇科学]