邓高丕教授运用药对茺蔚子-鸭脚艾治疗妇科痛证的经验  

Professor Deng Gaopi’s experience in the treatment of gynecological pain syndrome by using couplet medicines Leonuri Fructus and Herba Artemisiae Lactiflorae

作　　者：黄艳茜 袁烁[1] 王乃平[2] 邓高丕[1] HUANG Yanxi;YUAN Shuo;WANG Naiping;DENG Gaopi(Department of Gynaecology,the First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangdong Province,Guangzhou510405,China;Department of Gynaecology,Dongguan Hospital of Guangzhou University of Chinese Medicine,Guangdong Province,Dongguan511700,China)

机构地区：[1]广州中医药大学第一附属医院妇科,广东广州510405 [2]广州中医药大学东莞医院妇科,广东东莞511700

出　　处：《中国医药导报》2022年第28期115-119,共5页China Medical Herald

基　　金：国家自然科学基金资助项目(81804134);广东省中医药局中医药科研项目面上项目(20211124);邓高丕广东省名中医传承工作室(粤中医办函〔2019〕5号);中国妇幼保健协会-华润三九中医中西医结合妇幼健康专项研究基金立项项目(ZXY2020B03)。

摘　　要：邓高丕教授临证发现妇科痛证最常见证型为血瘀证,该病致病因素中,血瘀尤为重要,或夹湿、夹热、夹虚。而受当地地域、气候影响,岭南地区的人群易感受湿热之邪,故岭南地区妇科痛证中,血瘀证兼夹湿热更为多见,常见经行下腹痛、带下量多等症状。针对病因及辨证临床常用茺蔚子-鸭脚艾这一药对,用量为10~15 g。其中茺蔚子活血调经、行气散瘀,鸭脚艾活血通经、理气化湿,两者合用,使湿化而瘀自散,邪去而正不衰,共奏行气利湿、活血化瘀止痛之功,使用该药对治疗妇科痛证契合岭南之地妇科痛证的病因病机特点,临床颇有效果,值得借鉴推广。Professor Deng Gaopi finds that the most common syndrome type of gynecological pain syndrome is blood stasis syndrome.Among the pathogenic factors of the disease,blood stasis is particularly important,or combined withdamp,heat and deficiency.Due to the influence of local region and climate,people in Lingnan area are prone to feel the evil of damp and heat.Therefore,blood stasis syndrome combined with damp and heat is more common in gynecological pain syndrome in Lingnan area,and the symptoms of abdominal pain during menstruation and leukorrhea heavy are common.The couplet medicines of Leonuri Fructus and Herba Artemisiae Lactiflorae are commonly used for etiology and syndrome differentiation.The dosage is 10-15 g.Among them,Leonuri Fructus can promote blood circulation for regulating menstruation,activate qi flowing for dissipating blood stasis.Herba Artemisiae Lactiflorae can promote blood circulation for promoting menstruation,regulating qi-flowing for eliminating damp.The combination of the two can make the dampness and the blood stasis dissipate,the evil goes away and the evil remains,and play the functions of activating qi flowing,promoting diuresis,promoting blood circulation for removing blood stasis and relieving pain.The use of the couplet medicines is clinically effective in the treatment of gynecological pain syndrome,which is consistent with the etiology and pathogenesis characteristics of gynecological pain syndrome in Lingnan.It is worthy of reference and promotion.

关 键 词：茺蔚子 鸭脚艾 妇科痛证 邓高丕 名医经验 

分 类 号：R271.11[医药卫生—中医妇科学]