厉健教授论治痛经临证经验  

Professor LI Jian’s experience in treating dysmenorrhea

作　　者：吴丽梅 白志慧 厉健 WU Limei

机构地区：[1]山西中医药大学,山西太原030024 [2]山西中医药大学附属医院,山西太原030024

出　　处：《中医临床研究》2023年第19期115-117,共3页Clinical Journal Of Chinese Medicine

摘　　要：痛经为中医病名,是指妇女经期或经行前后出现周期性小腹疼痛,或腰骶酸痛,甚至剧痛晕厥的一种妇科疾病。此病是临床常见病,严重影响妇女正常工作及生活。痛经的发生多与瘀血致病有关,寒邪、气滞皆可成瘀;瘀阻胞络,客于胞宫,损伤冲任,致气血运行不畅,故而不通则痛,发为痛经。山西中医药大学附属医院厉健教授从事临床诊疗工作近30年,他认为现代女性工作生活压力俱增,加之平素喜食冷饮,忽视古人“顺应四时而适寒暑”的养生大法,使机体阴阳失调故而行经腹痛,经净则止。虽然痛经的发病机制复杂,临床证型多变,但大都不离瘀血。故厉健教授在临床诊疗工作中总结出痛经的根本病机责之于瘀。痛经患者多以实证为主,以血瘀证多见,常表现为经前小腹疼痛拒按,月经量少,经行不畅,色暗有块,块下痛减,舌暗,或有瘀点,脉沉或涩,厉健教授学习王清任血瘀致病理论,在总结不同病因病机特点的基础上创造性地提出分部逐瘀法。此法以分部逐瘀止痛为主,临床上取得了良好疗效。文章通过案例介绍历健教授分部逐瘀法治疗痛经经验,以期为临床提供参考。Dysmenorrhea refers to a gynecological disease in which women have periodic abdominal pain,lumbosacral pain,or even severe pain and syncope during menstruation or before and after menstruation.This disease is a common clinical disease,which seriously affects women’s normal work and life.The occurrence of dysmenorrhea is mostly related to the pathogenesis of blood stasis.Both cold evil and Qi(气)stagnation can form blood stasis.Blood stasis obstructs the collaterals on the uterus and stays in the uterus,damaging Chong(冲)and Ren(任)meridians,causing poor circulation of Qi and blood.Therefore,blockage causes pain,leading to dysmenorrhea.Professor LI Jian from the Affiliated Hospital of Shanxi University of Traditional Chinese Medicine,has been engaged in clinical diagnosis and treatment for nearly 30 years.He believes that the pressure of modern women's work and life is increasing,coupled with the fact that they prefer to eat cold and drink,and ignore the ancients'health preservation method of adapting to the four seasons and adapting to winter and summer,so that the body’s Yin(阴)and Yang(阳)imbalance leads to menstrual abdominal pain,and menstrual purification stops.Although the pathogenesis of dysmenorrhea is complex and the clinical symptoms are variable,most of them are not separated from blood stasis.Therefore,Professor LI Jian summarized in the clinical diagnosis and treatment work that the root cause of dysmenorrhea is responsible for stasis.Patients with dysmenorrhea are mainly empirical,with blood stasis evidence is more common,often manifested as premenstrual lower abdomen pain refusal to press,low menstrual flow,poor menstruation,dark color,pain reduction under the block,dark tongue,or petechiae,pulse or astringency,Professor LI Jian learned WANG Qingren's theory of blood stasis.On the basis of summarizing the characteristics of different causes and pathogenesis,the professor creatively proposed the Fenbu Zhuyu method(分部逐瘀法).This method is mainly used to remove blood stasis and reliev

关 键 词：痛经 分部逐瘀法 经验 胞宫 瘀血 

分 类 号：R271.11[医药卫生—中医妇科学]