郑惠芳“通因通用”治疗妇科血证和痛证经验发挥  

Experience of Professor ZHENG Huifang in Treating Gynecological Blood Syndrome and Pain Syndrome Based on“Treating Incontinent Syndrome with Dredging Method”

作　　者：崔凤鑫 师伟[2] 王新 张芳[1] CUI Fengxin;SHI Wei;WANG Xin;ZHANG Fang(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;The Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东中医药大学附属医院,山东济南250014

出　　处：《山东中医杂志》2022年第3期250-254,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(编号:81873330);山东省泰山学者工程(编号:TSQN201909185);全国中医临床特色技术传承骨干人才培训项目(批文号:国中医药办人教函〔2018〕224号)。

摘　　要：“通因通用”法属中医反治法范畴,源于《素问·至真要大论》,在历代妇科诊疗中皆应用广泛。郑惠芳教授认为妇科血证的病机关键在于虚、热、瘀,痛证病机关键在于气滞、寒凝、血瘀,血瘀为二者常见和基础病机,故以通因通用法治疗,取桂枝茯苓丸为基础方,随症加减。附郑老以通因通用法治疗痛证、血证的经典医案2则,及后学者发挥验案2则。The method of“treating incontinent syndrome with dredging method”pertaining to the contrary treatment of traditional Chinese medicine,stems from Treaties of Extreme Genuine and Essence from Plain Questions,and has been widely applied in gynecological department since ancient time.According to Professor ZHENG Huifang,in gynecological diseases,the disease mechanism of blood syndrome mainly involves deficiency,heat and stasis,and the disease mechanism of pain syndrome mainly involves qi stagnation,cold coagulation,and blood stasis.Blood stasis is involved in both syndromes,and therefore treating incontinent syndrome with dredging method is applied.She mainly used Guizhi Fuling Pill(桂枝茯苓丸)as the primary formula and usually applied it with modification in clinic.In this paper there are 2 classical cases of pain syndrome and blood syndrome by Professor ZHENG Huifang using treating incontinent syndrome with dredging methods,and 2 proved cases by other doctors based on her experience.

关 键 词：通因通用 血证 痛证 血瘀 桂枝茯苓丸 郑惠芳 妇科 

分 类 号：R271.1[医药卫生—中医妇科学]