陈慧珍谈中医妇科临床“六戒”  

Chen Hui-zhen′s Opinions on"Six Taboos"of TCM Gynecology

作　　者：邓金莺 陈慧珍 DENG Jin-ying;CHEN Hui-zhen(Renai Branch of the First Affiliated Hospital of Guangxi University of CM,Nanning,Guangxi,China,530001;Guangxi University of CM,Nanning,Guangxi,China,530001)

机构地区：[1]广西中医药大学第一附属医院仁爱分院,广西南宁530001 [2]广西中医药大学,广西南宁530001

出　　处：《河南中医》2020年第6期862-865,共4页Henan Traditional Chinese Medicine

摘　　要：陈慧珍教授总结中医妇科临床六戒:戒医病不医人、戒重症不重病、戒呆补滞补、戒纯中弃西、戒有药无方、戒忽视饮食宜忌。戒医病不医人:提示患者纠正不良生活习惯,对消极悲观患者,酌予耐心疏导;戒重症不重病:症指症状,病指病名,"治病必求于本",临证需重视导致疾病发生的基本病理;戒呆补滞补:补法在妇科应用广泛,若施治不当,易造成新的瘀滞,需通补并用、升降并用、寒温并用,使补中有散;戒纯中弃西:陈老临证多采用中药治疗相关疾病,但亦坚持"衷中参西,为我所用"的原则,认为中西医结合,可以更好地治疗疾病;戒有药无方:陈老强调,中药处方需有主方,临证常以中医妇科教材中方剂为基础,衍生治疗方;戒忽视饮食宜忌:药物具有四气五味,食物也具有不同性味,陈老常嘱咐患者"辨证施食",以调整阴阳,恢复健康。Professor Chen Hui-zhen has summarized the following six taboos of TCM gynecology:the taboo of only treating diseases rather than people;the taboo of paying attention to only symptoms rather than disease itself;the taboo of blind and continuous tonifying;the taboo of adopting only TCM and giving up Western medicine;the taboo of having medicines without following a formula;the taboo of neglecting diet.The taboo of only treating diseases rather than people means that the doctor should tell the patients to correct their bad habits and give guidance to the ones who are pessimistic about curing diseases.The taboo of paying attention to only symptoms rather than disease itself means that"Treatment must be based on disease root",while in clinical practice,we should pay attention to the basic pathology that leads to the occurrence of diseases.The taboo of blind and continuous tonifying means that tonic method is widely used in gynecology.However,if it is not properly used,it is easy to cause new stasis.It is necessary to combine purging with tonifying,ascending with descending,cold medicinals with warm ones in order to tonify and disperse together.The taboo of adopting only TCM and giving up Western medicine means that Professor Chen not only uses Chinese medicinals to treat related diseases,but also adheres to the principle of"wholehearted love for TCM and referring to West medicine for my own use."She believes that the combination of Chinese and Western medicine can better treat diseases.The taboo of having medicines without following a formula means that there should have the main prescription in terms of prescription,but clinical practice should be based on the prescription in the textbook of Gynecology of TCM,and derive the proper one.The taboo of neglecting diet means that drugs have four natures and five flavors,and food also has different taste,so it is necessary to eat properly based on syndrome differentiation in order to adjust yin and yang and restore health.

关 键 词：中医妇科 临床“六戒” 戒医病不医人 戒重症不重病 戒呆补滞补 戒纯中弃西 戒有药无方 戒忽视饮食宜忌 陈慧珍 

分 类 号：R271.9[医药卫生—中西医结合]