基于络病理论论治盆腔炎性疾病后遗症  

Discussion About Treating Sequelae of Pelvic Inflammatory Disease Based on Collateral Disease Theory

作　　者：湛洁 刘卉[2] 郭星瑶 冯智敏 ZHAN Jie;LIU Hui;GUO Xing-yao;FENG Zhi-min(Shandong University of TCM,Jinan,Shandong,China,250014;Affiliated Hospital of Shandong University of TCM,Jinan,Shandong,China,250014)

机构地区：[1]山东中医药大学,山东济南250014 [2]山东中医药大学附属医院,山东济南250014

出　　处：《河南中医》2019年第6期867-870,共4页Henan Traditional Chinese Medicine

基　　金：山东省中医药科技发展计划项目(2017-071)

摘　　要：盆腔炎性疾病后遗症是由于妇女经行、产后调护不当,宫腔操作消毒不严等,风寒湿热,或虫毒之邪乘虚而入,蕴结胞中,反复进退,耗伤冲任气血,正气虚弱,湿热、血瘀、寒湿之邪遏伏入络而致。其发病机理可从“络病”角度分析,其治疗方法亦可从“络病”角度入手,依据不同证型分别采用清热利湿,祛瘀通络法,行(益)气祛瘀,通络止痛法,祛寒除湿,温经止痛法论治。除内服药物外,中药外敷、保留灌肠、针刺治疗、灸法等多种方法的联合使用能提高治愈率。The sequelae of pelvic inflammatory disease is due to improper menstruation and postpartum care,or inadequate uterine sterilization,then wind,cold,damp and heat,or insect poisoning go into the deficient body,and accumulate in the uterus which repeats again and again and hurts qi and blood in conception vessel ( CV) and thoroughfare vessel ( TV). Deficient healthy qi, damp-heat,blood stasis,and cold-damp attack into the collaterals,lead to deficiency-excess in complexity and cause the disease. Its pathogenesis can be analyzed from the angle of " collateral disease",and its treatment method can also start from the angle of " collateral disease". According to different syndromes,we may adopt the methods of clearing away heat and dampness,removing blood stasis and dredging collaterals,benefiting qi and removing blood stasis,dredging collaterals and relieving pain,removing cold and dampness,warming meridians and relieving pain. In addition to oral medicines,the combination of external application of TCM,retention enema,acupuncture treatment,moxibustion and other methods can also be used to improve the cure rate.

关 键 词：盆腔炎性疾病后遗症 慢性盆腔痛 络病理论 

分 类 号：R271.19[医药卫生—中医妇科学]