软坚散结法在妇科临床应用概述  

Overview of Clinical Application of Softening Hardness and Dissipating Mass Method in Gynecology

作　　者：刘彩凤 赵汉青 王志国[1] LIU Caifeng;ZHAO Hanqing;WANG Zhiguo(Institute of Clinical Basic Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;College of Traditional Chinese Medicine,Hebei University,Baoding 071000,China)

机构地区：[1]中国中医科学院中医临床基础医学研究所,北京100700 [2]河北大学中医学院,河北保定071000

出　　处：《山东中医药大学学报》2020年第4期452-456,共5页Journal of Shandong University of Traditional Chinese Medicine

基　　金：国家科技部基础性工作专项资助项目(编号:2008FY230500)。

摘　　要：近年来以结节、硬化、斑块、息肉等为病变特点的包块类疾病发病率日益增高。通过临床观察和查阅文献发现包块类疾病在成年女性表现尤为突出,如乳腺增生、子宫肌瘤、宫颈息肉、卵巢癌、输卵管阻塞等。软坚散结法治疗这些疾病在改善患者症状、缩小包块大小、减轻西药副作用及预防复发等方面疗效显著。主要检索近5年应用软坚散结法治疗妇科包块类疾病的文献,发现治疗妇科包块类疾病常用的方法可分为祛邪软坚散结法和扶正软坚散结法两类,选药以祛痰软坚散结药、理气软坚散结药、活血软坚散结药、通络软坚散结药、解毒软坚散结药、益气软坚散结药为主。参考文献33篇。In recent years,the incidence of mass diseases characterized by nodules,sclerosis,plaques,polyps has been increasing.Through clinical observation and literature review,it is found that mass diseases are particularly prominent in adult women,such as breast hyperplasia,uterine fibroids,cervical polyps,ovarian cancer,and fallopian tube obstruction.The treatment of these diseases with softening hardness and dissipating mass method has obvious effects on improving patients’symptoms,reducing the size of the mass,reducing the side effects of Western medicine and preventing relapse.This article mainly retrieves the literatures on the treatment of gynecological mass diseases in the past five years,and finds that commonly used methods for the treatment of gynecological mass diseases can be divided into two types:eliminating pathogen to soften hardness and dissipate mass and reinforcing healthy qi to soften hardness and dissipate mass.The selected Chinese medicinals are mainly medicinals for dispelling phlegm,softening hardness and dissipating mass,medicinals for regulating qi,softening hardness and dissipating mass,medicinals for activating blood,softening hardness and dissipating mass,medicinals for dredging collaterals,softening hardness and dissipating mass,medicinals for removing toxins,softening hardness and dissipating mass,medicinals for replenishing qi,softening hardness and dissipating mass.

关 键 词：软坚散结法 乳腺增生 子宫肌瘤 宫颈息肉 卵巢癌 输卵管阻塞 包块类疾病 

分 类 号：R271.1[医药卫生—中医妇科学]