《陈素庵妇科补解》调经思想对子宫腺肌病临证思路的启发  

Inspiration of the Thoughts of Regulating Menstruation in“CHEN Su’an Fuke Bujie”to the Clinical Thought of Adenomyosis

作　　者：王晨[1] 王飞[3] 李长忠 WANG Chen;WANG Fei;LI Changzhong(Shandong University of Traditional Chinese Medicine,Shandong Ji’nan 250000,China;Shenzhen Hospital Affiliated of Peking University,Guangdong Shenzhen 518036,China;Shandong Provincial Hospital,Shandong Ji’nan 250021,China)

机构地区：[1]山东中医药大学,山东济南250000 [2]北京大学深圳医院,广东深圳518036 [3]山东省立医院,山东济南250021

出　　处：《中医药临床杂志》2023年第9期1684-1687,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：中国博士后科学基金面上项目(2020M682219);山东省自然科学基金面上项(ZR2020MH066);山东省医学会临床科研专项基金;(YXH2019ZX006);国家自然科学基金面上项目(81671434)。

摘　　要：子宫腺肌病(adenomyosis,AM)是一种子宫肌层弥漫或局限性病变,患者临床多表现为与月经异常相关疾病,严重影响患者的生活质量。参照中医文献和现代医学研究,AM可归属于中医学“痛经”“月经过多”“癥瘕”“不孕病”等范畴,其病因病机多与“瘀血留滞”相关。《陈素庵妇科补解》系统阐述了经水不调所致妇科诸疾之病因病机,并针对其提出调经诸法,辨证严谨,用药精当,颇具特色,对后世AM的中医辨证论治颇有启发。该文试就其调经思想进行探讨。Adenomyosis(AM)is a diffuse or localized lesion of the myometrium of the uterus,which is often clinically associated with abnormal menstruation and seriously affects the quality of life of patients.With reference to traditional Chinese medicine literature and modern medical research,AM could be classified as dysmenorrhea,menorrhagia,lump and infertility in Chinese medicine.Its etiology and pathogenesis could be related to blood stasis.In“CHEN Su’an Fuke Bujie”,the etiology and pathogenesis of various gynecological diseases caused by unregulated menstruation are systematically expounded,which is characterized by rigorous dialectic and precise use of medicine.Therefore,it has inspired the clinical thought of TCM in AM in later generations.This paper tries to discuss its thoughts on regulating menstruation.

关 键 词：子宫腺肌病 癥瘕 陈素庵妇科补解 调经思想 理论探讨 

分 类 号：R271.1[医药卫生—中医妇科学]