基于“阳化气,阴成形”理论探讨温阳化瘀法在子宫内膜异位症中的应用  

Application of the warming yang and dispersing blood stasis method for the treatment of endometriosis:based on the theory of“yang transforming into qi,while yin constituting form”

作　　者：张文娟[1] 林陶秀 孙新慧 何甜甜 霍超越 张悦健 郭亚楠 马小娜 ZHANG Wenjuan;LIN Taoxiu;SUN Xinhui;HE Tiantian;HUO Chaoyue;ZHANG Yuejian;GUO Yanan;MA Xiaona(Beijing University of Chinese Medicine,Beijing 100029;The Third Affiliated Hospital of Beijing University of Chinese Medicine)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学第三附属医院

出　　处：《现代中医临床》2022年第3期65-68,共4页Modern Chinese Clinical Medicine

基　　金：国家自然科学基金面上项目(No.81973895);北京中医药大学第三附属医院科研孵化项目(No.2019kyfh-04)。

摘　　要：子宫内膜异位症属妇科疑难杂症,严重影响女性的生活质量。中医将其归属于“癥瘕”“积聚”等范畴。“阳化气,阴成形”理论在本病发生、发展过程中起着关键作用。“阳化气”功能不足,无法温化气血津液,使“阴成形”功能太过,最终导致瘀血等有形之物蓄积体内,形成癥瘕、积聚。基于“阳化气,阴成形”理论,我们认为内异症根本病机为阳虚瘀结,阳虚无力温煦气化,导致瘀血等病理产物蓄积体内。治疗应以温阳化瘀为指导原则,来调整机体之阴阳,并结合临床病例对具体用药进行介绍。Endometriosis is a common yet complex gynecological condition,which can take a serious toll on the life quality of the patients.In the Traditional Chinese Medicine(TCM)framework,it falls into the category of“abdominal mass(zhēng jiǎ)”and“accumulation-gathering(jījù)”.The theory of“yang transforms into qi,while yin constitutes form(yáng huàqì,yīn chéng xíng)”has significant implications for the occurrence and progression of this disease.An interpretation of endometriosis based on this theory reveals that the dysfunction of yang to transform qi,which leads to the inability to warm and dissolve qi,blood,essence,and body fluids,induces excessive constituting of form by yin,resulting in the gathering and accumulation of tangible things in the body,i.e.abdominal masses.Guided by the theory,we conclude that the fundamental pathogenesis of endometriosis is yang deficiency and blood stasis,which lead to insufficient warming and transformation of qi and subsequent accumulation of pathological products such as blood stasis.The treatment should follow the principle of warming yang and removing blood stasis to restore the balance of yin and yang of the body.Clinical cases together with details about the prescriptions are also presented in this study.

关 键 词：子宫内膜异位症 阳化气 阴成形 温阳化瘀 

分 类 号：R271.9[医药卫生—中西医结合]