方朝晖基于滋阴降火法治疗围绝经期多汗经验  

Fang Zhaohui's Experience in Treating Perimenopausal Hyperhidrosis Based on Nourishing Yin and Lowering Fire

作　　者：朱梦燕 汪四海[2] 方朝晖[2] ZHU Meng-yan;WANG Si-hai;FANG Zhao-hui(The First Clinical School of Medicine,Anhui University of Chinese Medicine,Hefei Anhui,230038,China;Department of Endocrinology,The First Affi liated Hospital of Anhui University of Chinese Medicine,Hefei Anhui,230031,China)

机构地区：[1]安徽中医药大学第一临床医学院,安徽合肥230038 [2]安徽中医药大学第一附属医院内分泌科,安徽合肥230031

出　　处：《中华养生保健》2023年第19期170-173,共4页CHINESE HEALTH CARE

基　　金：国家自然科学基金项目(82174153)。

摘　　要：围绝经期综合征(PMS)是指更年期妇女在绝经前后,因体内雌激素水平波动或者降低而引起的一系列身体、精神以及心理症状的一组综合征。中医学认为,肾虚是本病的基本病机,并可累及心、肝、脾。方朝晖教授临证多年,认为肾阴不足是围绝经期多汗的主要病机,肾阴不足使血虚生热,虚热内扰而致病。因此,临床治疗应以滋阴降火、养心安神为治疗原则。临证时辨证重在辨明阴阳虚实:虚者当根据证候的不同而治以益气、养阴、补血、调和营卫;实者当清肝泻热,化湿和营;虚实夹杂者分清主次,适当兼顾。遣方用药,随证化裁,酌情加收敛固涩之品,增强止汗效力,取得良好疗效。Perimenopausal syndrome(PMS)is refered to a clinical syndrome in women with a lot of speculations that appear before,during and after the onset of menopause,caused by estrogen level fl uctuations or lower a series of physical.Theory in traditional Chinese medicine for PMS believes that kidney deficiency is the basic pathogenesis of this disease,and can accumulate the heart,liver and spleen.Professor Fang Zhaohui,who has dealed with PMS for many years,believes that the defi ciency of kidney Yin is the main pathogenesis of perimenopausal hyperhidrosis.The defi ciency of kidney Yin causes blood defi ciency to generate heat,which causes disease through internal disturbance.Therefore,clinical treatment should be based on nourishing Yin and lowering fi re,taking nourishing the heart and calming the mind as therapeutic principles.The dialectical emphasis is on distinguishing Yin and Yang as well as defi ciency and excess.The defi ciency patients should be treated by invigorating Qi,nourishing Yin,replenishing blood and harmonizing Yingwei according to the diff erent syndroms.Those who are real should clear the liver,diarrhoea and heat,dehumidify and camp;those who are mixed with virtual and real should distinguish the primary and secondary,and take appropriate attention to it.Use the medicine with the certifi cate,add astringent and astringent products as appropriate,enhance the antiperspirant eff ect,and achieve a good curative eff ect.

关 键 词：围绝经期综合征 多汗 滋阴降火 临床经验 

分 类 号：R271.11[医药卫生—中医妇科学]