基于《血证论》对妇科血证诊治思路的初步探析  

Preliminary Analysis of Diagnosis and Treatment of Gynecological Blood Syndrome from the Classic Xue Zheng Lun

作　　者：谢婷婷 陶颖莉 缪颖琦 赵淑航 吕品秋 XIE Tingting;TAO Yingli;MIAO Yingqi;ZHAO Shuhang;LYU Pinqiu

机构地区：[1]浙江中医药大学第二临床医学院,浙江杭州310053 [2]浙江省立同德医院,浙江杭州310012

出　　处：《新中医》2023年第9期213-216,共4页New Chinese Medicine

基　　金：浙江省医药卫生科技计划项目(2019RC134)。

摘　　要：《血证论》以阴阳气血水火论、男女异同论为理论基础,提出调经当气血同治,治崩总以治脾为主,经闭分为寒热虚实,治带宜和脾以利水,胎漏亦分水血二证,抱儿痨从肺肾论治,产后病机多虚多瘀等诊治思路,以期有利于妇科血证临证思维的建立,以求更好地指导诊治妇科血证类疾病。The classic Xue Zheng Lun(Treatise on Blood Syndromes),based on the theory of yinyang,qi-blood and water-fire and the theory of difference between men and women,proposes the following diagnosis and treatment ideas:qi and blood should be treated simultaneously when regulating menstruation;the main treatment of flooding is to treat the spleen;the syndrome of menstrual block can be divided into cold,heat,deficiency and excess;the suitable treatment of leukorrhea is to harmonize the spleen to promote urination;the syndrome of vaginal bleeding can be divided into water and blood;the treatment of cough during pregnancy is to treat from the lung and the kidney;and puerperal pathogenesis is mostly of deficiency and stasis.These ideas are hoped to be conducive to the establishment of clinical thinking of gynecological blood syndrome,so as to better guide the diagnosis and treatment of this kind of diseases.

关 键 词：血证论 妇科血证 诊治思路 

分 类 号：R249[医药卫生—中医临床基础]