《妇科采珍》产后大便难误下变证的病机与治法探析  

Analysis on the Pathogenesis and Treatment of Postpartum Dysentery Syndrome in Fuke Caizhen

作　　者：原煜 闫怡洁 李慧芳 张文红 YUAN Yu;YAN Yijie;LI Huifang;ZHANG Wenhong(The Second Clinical College,Shanxi University of Chinese Medicine,Shanxi Province,Taiyuan 030024,China)

机构地区：[1]山西中医药大学第二临床学院,山西太原030024

出　　处：《中国中医药现代远程教育》2022年第2期71-73,共3页Chinese Medicine Modern Distance Education of China

基　　金：山西省重点研发计划【No.201803D31200】。

摘　　要：大便难在产后发病率较高,严重影响着新产妇人的生活质量。运用中医辨证治疗效果颇好,但辨证不当会导致误下,误认为实热、伤食、气郁等证,而误用攻下、消导、耗气等药物,造成胃气的损伤,增加了胃部的满闷,病久形成膨胀。冯■所著《妇科采珍》从病机角度分析产后大便难误下之各种变证,指出相应的治法方药,用以指导临床产后大便难的辨证与治疗。The incidence rate of defecation is high after childbirth,which seriously affects the quality of life of new born women.The effect of traditional Chinese medicine syndrome differentiation is quite good,but improper syndrome differentiation will lead to mistaking of excess heat,food injury,qi depression and other diseases,and the misuse of drugs such as attack,elimination and consumption of qi,resulting in the damage of stomach qi,increasing the fullness of the stomach and the formation of bloating after a long period of illness.Feng Huang’s Fuke Caizhen analyzes the various changes of postpartum defecation from the perspective of pathogenesis,and points out the corresponding therapeutic methods and prescriptions to guide the clinical differentiation and treatment of postpartum dysentery.

关 键 词：产后大便难 误下 《妇科采珍》 变证 

分 类 号：R256.35[医药卫生—中医内科学]