张晓丹治疗更年期综合征经验  

Zhang Xiao-dan′s Experience of Treating Climacteric Syndrome

作　　者：张娥[1] 李久现[1] 张晓丹[1] ZHANG E;LI Jiu-xian;ZHANG Xiao-dan(The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou,Henan,China,450001)

机构地区：[1]河南中医药大学第一附属医院,河南郑州450001

出　　处：《河南中医》2023年第3期370-373,共4页Henan Traditional Chinese Medicine

基　　金：第七批全国老中医药专家学术经验继承项目{国中医药人教函[2022]76号};河南省卫生健康委国家中医临床研究基地科研专项项目(2022JDZX054);河南省第二批中医药青苗人才培养项目{豫卫中医函[2021]16号}。

摘　　要：张晓丹教授认为,更年期综合征的基本病机是脏腑功能紊乱,肾气虚衰,肾精亏乏,心肾不交,肝失疏泄,使得机体血行不畅,气机阻滞,气血失衡,阴阳不调。张教授认为,该病的治疗重在补肾滋阴,补肾不忘交通心肾,调补肝脾以资化源,多用补肾滋阴、调补肝脾法、激素替代疗法治疗更年期综合征,常用药物有熟地黄、山茱萸、牡丹皮、枸杞子、山药、茯苓、泽泻、菟丝子、仙茅、淫羊藿、杜仲、巴戟天。伴有烘热汗出者加五味子、生龙骨、生牡蛎、浮小麦收敛止汗;伴有五心烦热者加地骨皮、青蒿、鳖甲清虚热;伴有口燥咽干、皮肤瘙痒者加沙参、石斛、麦冬、玉竹滋阴润燥;心烦易怒者用百合、郁金、墨旱莲等;心悸者加茯神、远志等;失眠多梦者加夜交藤、合欢皮、酸枣仁等。Professor Zhang Xiao-dan believes that the basic pathogenesis of climacteric syndrome is dysfunction of viscera,deficiency of kidney qi,insufficiency of kidney essence,disharmony of the heart and kidney,and the liver failing to disperse,which makes the blood flow of the body unsmooth,blocks the qi mechanism,and causes the body′s qi and blood imbalance,yin and yang imbalance.The pathogenesis of climacteric syndrome is based on the physiological deficiency of kidney-qi.Professor Zhang believes that the treatment of climacteric syndrome should focuse on tonifying the kidney and nourishing yin,reinforcing the kidney combining with harmonizing the heart and kidney,regulating the liver and spleen to enrich the essence source,and using the methods of tonifying the kidney and nourishing yin,regulating the liver and spleen,hormone replacement therapy to treat menopausal syndrome.The commonly used medicines include Shudihuang(Radix Rehmanniae Praeparata),Shanzhuyu(Fructus Corni),Mudanpi(Cortex Moutan),Gouqizi(Fructus Lycii),Shanyao(Rhizoma Dioscoreae),Fuling(Poria),Zexie(Rhizoma Alismatis),Tusizi(Semen Cuscutae),Xianmao(Rhizoma Curculiginis),Yinyanghuo(Herba Epimedii),Duzhong(Cortex Eucommiae) and Bajitian(Radix Morindae Officinalis).For those combined with hot-flush sweating,Wuweizi(Fructus Schisandrae Chinensis),Shenglonggu(Os Draconis),Shengmuli(Concha Ostreae) and Fuxiaomai(Fructus Tritici Levis) can be added to astringe and stop sweating.For those with vexing heat in chest,palms and soles,Digupi(Cortex Lycii),Qinghao(Herba Artemisiae Annuae) and Biejia(Carapax Trionycis) can be added to clear away deficiency heat.For those with dry mouth,dry throat and itchy skin,Shashen(Radix Adenophorae seu Glehniae),Shihu(Caulis Dendrobii),Maidong(Radix Ophiopogonis) and Yuzhu(Rhizoma Polygonati Odorati) can be added to nourish yin and moisten dryness.For those who are easily upset and irritable,Baihe(Bulbus Lilii),Yujin(Radix Curcumae),Mohanlian(Herba Ecliptae) can be added.For those with palpitations,Fushen(Sclerotium Poriae Pa

关 键 词：更年期综合征 补肾滋阴 调补肝脾 张晓丹 

分 类 号：R246.2[医药卫生—针灸推拿学]