从瘀论治盆腔炎性疾病后遗症  

Treating Sequelae of Pelvic Inflammatory Disease from Perspective of Blood Stasis

作　　者：王草 胡小芳[2] WANG Cao;HU Xiaofang(The First Clinical Medical College of Henan University of Chinese Medicine,Zhengzhou Henan China 450000;The First Affiliated Hospital to Henan University of Chinese Medicine,Zhengzhou Henan China 450000)

机构地区：[1]河南中医药大学第一临床医学院,河南郑州450000 [2]河南中医药大学第一附属医院,河南郑州450000

出　　处：《中医学报》2024年第7期1437-1441,共5页Acta Chinese Medicine

摘　　要：盆腔炎性疾病后遗症是妇科常见疾病,是由盆腔炎性疾病反复发作进展而来。虽然盆腔炎性疾病后遗症的中医病因病机较为复杂,但总以“瘀”为疾病之根本,瘀血既是盆腔炎性疾病的病理产物,亦是致病因素,贯穿疾病发展的始终。在临床诊疗盆腔炎性疾病后遗症的过程中,应辨证论治,重视活血化瘀之法的应用,并将其贯穿于疾病防治的始终,以活血化瘀为主,配合清热利湿、疏肝行气、温经散寒、益气健脾、补肾活血等方法治疗,不仅能有效缓解患者临床症状,同时能提高患者免疫力,降低盆腔炎性疾病的复发率。Sequelae of pelvic inflammatory disease(PID)is a common gynecological disease,which is caused by repeated episodes of pelvic inflammatory disease.Although the TCM etiology and pathogenesis of sequelae of PID are complex,Blood stasis is always the root of the disease,which is not only the pathological product,but also the pathogenic factor throughout the development of the disease.In clinical diagnosis and treatment of sequelae of PID,the method of activating blood circulation and resolving blood stasis is supposed to be focused on throughout the whole process of disease prevention and treatment.In addition,combine with clearing Heat and draining Dampness or promoting urination,soothing Liver Qi stagnation,warming meridians and dispelling Cold,benefiting Qi and invigorating Spleen,tonifying Kidney and activating blood circulation,etc.,which can not only effectively relieve the clinical symptoms of patients,but also improve the immunity of patients to reduce the recurrence rate of PID.

关 键 词：盆腔炎性疾病后遗症 从瘀论治 清热利湿化瘀 疏肝行气化瘀 温经化瘀 益气化瘀 补肾化瘀 

分 类 号：R271.19[医药卫生—中医妇科学]