陆启滨教授诊治妇科癥瘕临床经验探析  

The Exploration and Analysis to the Clinical Experience of Professor LU Qibin in Diagnosing and Treating Gynecological Tumor

作　　者：温娅 陆启滨[2] 

机构地区：[1]南京中医药大学,南京210029 [2]南京中医药大学附属江苏省中医院

出　　处：《浙江中医药大学学报》2017年第12期978-980,共3页Journal of Zhejiang Chinese Medical University

基　　金：江苏省中医药局江苏省中医药领军人才研修项目(LJ200910)~~

摘　　要：[目的]介绍陆启滨教授诊治妇科癥瘕的学术思想及临床经验。[方法]从妇科癥瘕的病因病机、辨证分型、选方用药等方面阐述陆教授诊治妇科癥瘕的临证经验,辅以临床治疗个案及分析加以佐证。[结果]陆教授认为妇科癥瘕基本病机"正虚邪实,瘀结为癥",病理因素不外瘀血、痰湿、气滞,积聚下焦,阻滞冲任胞宫,日久结成癥瘕,并采用扶正化瘀消癥为治疗大法,以自拟消癥汤治疗包括子宫肌瘤在内的妇科癥瘕。案例中患者经消癥汤治疗后子宫肌瘤缩小。[结论]陆教授以"扶正化瘀消癥"为治疗大法,以自拟消癥汤为基本组方治疗妇科癥瘕,取得满意临床疗效。[Objective]This paper mainly introduces the academic thoughts and clinical experience of professor LU Qibin in diagnosing and treating gynecological tumor. [Methods]To elaborate Professor LU ＇s experience in the diagnosis and treatment of gynecological tumor, the author analyses the etiology, pathogenesis, syndrome differentiation as well as the rule of choosing the medical herbs and formulas.A clinical case was reported for better demonstration. [Results]In the perspective of Professor LU, the basic pathogenesis of gynecological tumor is ＂vital Qi deficiency while pathogenic Qi prevailing,blood stasis induce tumor＂ and the pathological factors include blood stasis, phlegm wet, and Qi stagnation that deposit in the lower abdomen,stay in Chong Meridian, Ren Meridian and uterus, result in gynecological tumor gradually. The therapeutic princ for a period of timele is＂strengthening health, dispersing blood stasis and eliminating lump＂.Professor LU uses ＂Xiaozheng Tang＂ to treat gynecological tumor such as uterine leiomyomas. As the case reported,the uterine leiomyomas decreased when patient was treated by ＂Xiaozheng Tang＂.[Conclusion]It has obtained satisfactory therapeatic result in the treatment of gynecological tumor with ＂Xiaozheng Tang＂ according to the rule of ＂strengthening the body resistance, dispersing blood stasis and eliminating lump＂.

关 键 词：癥瘕 子宫肌瘤 正虚瘀结 自拟方 消癥汤 陆启滨 医案 临床经验 

分 类 号：R271[医药卫生—中医妇科学]