牛建昭教授治疗青春期子宫内膜异位症经验  

Professor Niu Jianzhao’s experience in treatment of adolescent endometriosis

作　　者：杨蕾[1] 孙丽萍[2] 赵丕文[2] 王燕霞[3] 牛建昭 饶晨晨 陶仕英 杨阳 YANG Lei;SUN Li-ping;ZHAO Pi-wen;WANG Yan-xia;NIU Jian-zhao;YAO Chen-chen;TAO Shi-ying;YANG Yang(Dongfang Hospital,Beijing University of Traditional Chinese Medicine,Beijing 100078;Academy of Life Sciences,Beijing University of Traditional Chinese Medicine,Beijing 100029;Dongzhimen Hospital,Beijing University of Traditional Chinese Medicine,Beijing 100007;School of Chinese Medicine,Beijing University of Traditional Chinese Medicine,Beijing 100029)

机构地区：[1]北京中医药大学东方医院,北京100078 [2]北京中医药大学生命科学院,北京100029 [3]北京中医药大学东直门医院,北京100007 [4]北京中医药大学中医学院,北京100029

出　　处：《世界中西医结合杂志》2019年第5期621-625,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：国家自然科学基金资助项目(81273887);国家中医药管理局全国名老中医传承工作室建设项目

摘　　要：牛建昭教授从事妇科临床、教学、科研近50年,擅长治疗各种妇科疑难杂症,其经验丰富且独到,尤其在治疗子宫内膜异位症方面亦颇有建树。子宫内膜异位症是由于各种病理因素导致有活性的内膜组织(包括腺体和间质),不仅生长在宫腔而且还附着在子宫内膜以外的其他部位,这些异常生长的内膜组织会引起女性经期痛经,严重者可引发不孕。中医学认为子宫内膜异位症的基本病机是“瘀阻胞宫冲任”,牛建昭教授在辨证论治、四诊合参的基础上,结合患者临床症状,认为青春期子宫内膜异位症的核心病机为“肾虚瘀结”,在治疗时注重“西医辨病,中医分型,中西结合,个性化治疗”的诊治思路,根据月经周期遣方用药,强调审因论治,注重情志调节。此外,对青春期女性确立了调经促卵、理气止痛、温补肾阳的治疗原则。根据患者个体差异随症加减,临床疗效显著。Professor Niu Jianzhao has been engaged in clinical practice,education and research of gynecology for nearly 50 years and is good at the treatment of various intractable gynecological diseases and has accumulated rich and unique experiences,especially for adolescent endometriosis.Adolescent endometriosis is caused by various pathological factors leading to activated endometrial tissues(including lands and stroma),which not only grows in the uterine cavity,but also to the other parts outside the endometrium.The abnormal growth of endometrial tissues induces dysmenorrheal and even infertility in severe case.Traditional Chinese medicine believes that the basic pathogenesis of endometriosis is the stagnation in the uterus,the Thoroughfare Vessel and the Conception Vessel.On the base of pattern identification,consideration of four diagnostic methods and clinical symptoms,Prof.Niu Jianzhao believes that the core pathogenesis of adolescent endometriosis is kidney deficiency and stagnation.Hence,the diagnosis with Western medicine,pattern identification in TCM and integration of Chinese and Western medicine are the diagnostic and treatment approach.The medication is prescribed according to menstrual cycle.The treatment should be given on the base of etiology and emotional regulation.Additionally,regulating menstruation,promoting ovulation,regulating qi,stopping pain and tonifying kidney yang are the treating principle.The therapeutic methods are adjusted according to individual symptoms to ensure the significant therapeutic effects.

关 键 词：牛建昭教授 子宫内膜异位症 中西结合 情志调节 

分 类 号：R711.71[医药卫生—妇产科学]