痛经辨证论治源流考  

Study on the syndrome differentiation of dysmenorrhea

作　　者：张良 朱晋伟 薄思睿 陈建桦 朱凌凌[1] ZHANG Liang;ZHU Jinwei;BO Sirui;CHEN Jianhua;ZHU Lingling(School of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学中医学院,上海201203

出　　处：《上海中医药杂志》2023年第12期75-79,共5页Shanghai Journal of Traditional Chinese Medicine

基　　金：教育部人文社会科学研究青年基金项目(18YJC850025);上海中医药大学科技发展项目(23LMJX01);上海中医药大学大学生创新创业项目(202210268292)。

摘　　要：探究痛经辨证论治的源流。痛经始载于《金匮要略》,汉时治以破血逐瘀之品;隋始强调“风冷”为主要致病因素,“血虚”为病理基础;唐代首倡内外同调;宋代以“气血失和”为病机要点,结合痛经发作时间辨证论治;明代辨证系统化;清代统一病名,重视从“肝郁”“肾虚”等脏腑辨证角度分析病因病机;近代中医学家在继承经典的同时,结合时代特点,除活血化瘀外,主张从“郁”切入,加强疏肝解郁类药物的运用。This paper explored the syndrome differentiation of dysmenorrhea.Dysmenorrhea was first recorded in the Synopsis of the Golden Chamber.In the Han Dynasty,breaking blood and removing stasis medicine was applied;In the Sui Dynasty,doctors emphasized that"wind cold"was the main pathogenic factor and"blood deficiency"was the pathological basis;In the Tang Dynasty,internal and external harmony treatment was first advocated;In the Song Dynasty,"disharmony of qi and blood"was taken as the key pathogenesis,and the diagnosis and treatment were based on the timing of dysmenorrhea onset;In the Ming Dynasty,syndrome differentiation was systematization;In the Qing Dynasty,the name of the disease was unified,and emphasizing the analysis of the etiology and pathogenesis of dysmenorrhea from the perspective of differentiation of zang-fu such as"liver depression"and"kidney deficiency".Inheriting the classics and combining them with the characteristics of the times,modern Chinese medical scientists advocated treating dysmenorrhea from depression,besides activating blood circulation and removing blood stasis,and strengthening the use of drugs for soothing the liver and resolving depression.

关 键 词：痛经 经行腹痛 源流 病因病机 辨证论治 文献研究 

分 类 号：R271.113[医药卫生—中医妇科学]