许润三古方新用治疗慢性盆腔疼痛经验  

Professor XU Runsan′s Experience in the Treatment of Chronic Pelvic Pain by Innovative use of Ancient Prescriptions

作　　者：许琳[1] 孟丹 刘弘[1] 许润三(指导)[1] XU Lin;MENG Dan;LIU Hong(China-Japan Friendship Hospital,Beijing,100029;Shenmu Hospital,Shananxi Province)

机构地区：[1]中日友好医院,北京市100029 [2]西北大学附属神木市医院

出　　处：《中医杂志》2021年第9期748-751,共4页Journal of Traditional Chinese Medicine

基　　金：第二届国医大师传承工作室建设项目。

摘　　要：介绍许润三教授古方新用治疗慢性盆腔疼痛的临床经验。认为该病主要病机为瘀血阻滞冲任胞脉,并提出异病同治的诊疗思路。治疗以温经活血化瘀为基本原则,强调"攻中有守",随症加减,将古方桂枝茯苓丸、四逆散、薏苡附子败酱散、黄芪建中汤、理中汤、补阳还五汤、七厘散灵活运用于慢性盆腔疼痛的治疗中,同时临证擅用活血药、补虚药、虫类药以养血活血,通络散结。This paper introduces the experience of professor XU Runsan in treating chronic pelvic pain by innovative use of ancient prescriptions. It is believed that the main pathogenesis of chronic pelvic pain is blood stasis obstructing the Chong Vessel and Conception Vessel. He puts forward that the diagnosis and treatment of this disease should follow the theory of "treating different diseases in the same way", as well as the basic principle of "warming channels, invigorating blood and dissolving stasis";moreover, treatment with both attack and supplementation is emphasized, and prescriptions are modified based on syndrome differentiation. In clinical practice, he innovatively uses ancient prescriptions including Guizhi Fuling Pills(桂枝茯苓丸), Si Ni Powder(四逆散), Yiyi Fuzi Baijiang Powder(薏苡附子败酱散), Huangqi Jianzhong Decoction(黄芪建中汤), Li Zhong Decoction(理中汤), Buyang Huanwu Decoction(补阳还五汤), and Qi Li Powder(七厘散) to treat chronic pelvic pain, and is experienced in using blood-invigorating herbs, deficiency-supplementing herbs and insects medicine to nourish and activate the blood, unblock the collaterals, and dissipate masses.

关 键 词：慢性盆腔疼痛 古方新用 温经活血 化瘀通络 名医经验 许润三 

分 类 号：R249[医药卫生—中医临床基础] R271.9[医药卫生—中医学]