郭志强教授基于“虚毒络瘀”理论治疗外阴上皮内非瘤样病变的经验  

Guo Zhiqiang's Experience in the Treatment of Non-neoplastic Epithelial Disorders of the Vulva Based on the Theory of Deficiency,Toxin,Collateral and Stasis

作　　者：杨绚如 薛晓鸥[1] 王必勤[1] 包晓霞[1] 杨亚莉 丁霞[3] YANG Xuan-ru;XUE Xiao′o;WANG Bi-qin;BAO Xiao-xia;YANG Ya-li;DING Xia(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100010;Tongzhou Maternal and Child Health Hospital of Beijing,Beijing 101100;Beijing University of Chinese Medicine,Beijing 100020)

机构地区：[1]北京中医药大学东直门医院,北京100010 [2]北京市通州区妇幼保健院,北京101100 [3]北京中医药大学,北京100020

出　　处：《世界中西医结合杂志》2024年第2期270-273,306,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：国家重点研发计划(2018YFC1704106);北京市中医管理局北京中医药薪火传承“3+3”工程项目。

摘　　要：文章总结了郭志强教授基于“虚毒络瘀”理论治疗外阴上皮内非瘤样病变(Non-neoplastic epithelial disorders of the vulva, NNEDV)的经验。郭志强教授认为NNEDV是由于阴阳两虚,湿热毒蕴,且久病夹瘀,客于络脉而发病。治疗应从“补虚、解毒、化瘀通络”辨证论治,谨察疾病病机,分清标本虚实。邪实为标,重在清热化湿解毒;内虚为本,重在滋补肝肾之阴,兼顾温补肾中之阳;久病成瘀,客于络脉,佐以活血化瘀通络之品。根据疾病正虚邪实之变化,灵活化裁,外治为主,辅以内调,同时重视生活余心理调护等因素。This paper summarized Professor Guo Zhiqiang′s experience in treating non-neoplastic epithelial disorders of the vulva(NNEDV)based on the theory of deficiency,toxin,collateral and stasis.Professor Guo posits that NNEDV arises from a combination of yin and yang deficiency,dampness-heat-toxin accumulation,and chronic conditions leading to blood stasis,which subsequently affects the collaterals.The treatment should follow the principle of tonifying deficiency,removing toxin,and resolving stasis to clear collaterals,with precise consideration of the disease′s pathogenesis and clear differentiation of superficial and root aspects of deficiency and excess.Excess is considered as the superficiality,with a focus on clearing heat,resolving dampness,and removing toxin.The root lies in internal deficiency,emphasizing the nourishment of the yin of the liver and kidneys,while also warming and tonifying the yang of the kidneys.For conditions where long-term illness results in stasis within the collaterals,adjunctive treatment with blood-activating,stasis-resolving collaterals-clearing medicines is advisable.Treatment strategies should be flexibly tailored according to the dynamic balance of deficiency and excess in the disease,with a primary focus on external therapy complemented by internal regulation,while also paying attention to factors such as lifestyle management and psychological well-being.

关 键 词：外阴上皮内非瘤样病 阴痒 络病学说 中医外治法 名医经验 郭志强 

分 类 号：R711.72[医药卫生—妇产科学]