浅议妇人热入血室证  

A Brief Discussion About the Syndrome of Heat Invading Blood Chamber in Women

作　　者：钱雪佳 吴林玲[1] QIAN Xue-jia;WU Lin-ling(First Affiliated Hospital of Tianjin University of TCM,Tianjin,China,300382)

机构地区：[1]天津中医药大学第一附属医院

出　　处：《河南中医》2019年第9期1301-1304,共4页Henan Traditional Chinese Medicine

摘　　要：从现代医学角度来看,热入血室证指经期、产后或施行人工流产、引产术后,在血室(子宫)空虚之际,病原微生物感染所致,临床表现为发热恶寒,胸胁下胀满疼痛,重者白天清醒,入暮则神志异常,谵语妄言。常见疾病有盆腔炎性疾病、产褥期发热和部分经行发热疾病。《伤寒论》有关热入血室证的治疗仅有针刺期门穴和小柴胡汤,后世医家多有发挥,治疗方法有疏畅气机,调和气血,透邪泻热等。《金匮要略》提出"热入血室证"的治疗禁忌为"勿犯胃气及上二焦",故治疗时慎用汗、吐、下三法,当用和解表里之法。另外,热与血结易致瘀血,用药时应酌加活血化瘀药物。Most modern physicians think that the blood chamber is the uterus. Syndrome of heat invading blood chamber usually occurs during menstruation, postpartum or after induced abortion, etc. The related common diseases include pelvic inflammatory disease, postpartum fever, exogenous fever, and fever after hysteromyoma surgery.In Treatise on Cold Damage Diseases, the treatment of syndrome of heat invading blood chamber includes only acupuncture at Qimen(LV 14) and Minor Bupleurum Decoction. The physicians of later generations have exerted a lot and regarded smoothing qi movement, harmonizing qi and blood, permeating pathogens and purging heat as the treatment principle. Essentials from the Golden Cabinet puts forward that the treatment taboo of syndrome of heat invading blood chamber is not to invade stomach qi and two energizers. Therefore, the three methods of sweating and vomiting and purging should be carefully used in the treatment, and the method of reconciling the exterior and interior should be used. In addition, heat and blood stagnation are easy to cause blood stasis, and the drugs of activating blood circulation and removing blood stasis should be properly added.

关 键 词：热入血室证 期门穴 小柴胡汤 《伤寒论》 《金匮要略》 张仲景 

分 类 号：R222.2[医药卫生—中医基础理论]