时毓民教授辨治青春期原发性痛经经验  

Professor SHI Yumin’s experience in differential treatment of primary dysmenorrhea in adolescents

作　　者：孙雯 汪永红 俞建 时毓民(指导) SUN Wen;WANG Yonghong;YU Jian;SHI Yumin(Department of TCM,Children’s Hospital Affiliated to Fudan University,Shanghai,201102,China;不详)

机构地区：[1]复旦大学附属儿科医院中医科,上海201102 [2]不详

出　　处：《中医儿科杂志》2020年第6期10-12,共3页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：全国名老中医专家传承工作室建设项目(国中医药人教发[2016]42号);上海市名老中医学术经验研究工作室建设项目(SHGZS-2017009);上海市科委引导项目(16401932600);全国中医药创新骨干人才项目(国中医药人教函[2019]128号)。

摘　　要：时毓民教授认为青春期女童仍具有肾常虚的生理特点,因此易被气滞、寒凝、湿热蕴阻等多种病理因素所扰,导致痛经的发生,其病机或以实证为主,或以虚证为主,瘀血为其主要病理产物,本虚标实为其病机特点,故治疗上应有所侧重,实证者多以活血化瘀、疏肝解郁、温经散寒或清热利湿为主要治则,虚证又分脾虚和肾虚,但总以益气养血、补肾健脾为主要治则,活血化瘀贯穿于治疗的始终。附案例1则,以资验证。Professor SHI Yumin holds that adolescent girls still have the physiological characteristics of susceptibility of kidney to asthenia,thereby they are prone to be disturbed by various pathological factors, namely stagnation of qi,cold coagulation and dampness heat accumulating and obstructing etc.,which can lead to the occurrence of dysmenorrhea.Its pathogenesis is either mainly excess syndrome,or mainly deficiency syndrome,its main pathological product is blood stasis,and its pathogenesis characteristics is deficiency in the root and excess in the branch,therefore the priority should be given during the treatment.Those with excess syndrome mostly take activating blood to resolve stagnation,soothing liver to relieve depression,warming meridians to disperse cold or clearing away heat to drain dampness as therapeutic principles.Deficiency syndrome consists of spleen deficiency and kidney deficiency,but it generally takes replenishing qi and blood as well as reinforcing kidney and strengthening spleen as therapeutic principles.Activating blood to resolve stagnation spans the whole course of the treatment.One case is attached for verification.

关 键 词：青春期 原发性痛经 本虚标实 临床经验 时毓民 

分 类 号：R711.51[医药卫生—妇产科学]