基于“寒冷地域”特点论治痛经的临床经验  

Clinical experience in the treatment of dysmenorrhea based on the characteristics of“cold areas”

作　　者：丛慧芳[1] 颜金枝 聂霜 谷栩萌 CONG Huifang;YAN Jinzhi;NIE Shuang;GU Xumeng(The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040;Heilongjiang University of Chinese Medicine)

机构地区：[1]黑龙江中医药大学附属第二医院,哈尔滨150040 [2]黑龙江中医药大学

出　　处：《现代中医临床》2024年第4期64-69,共6页Modern Chinese Clinical Medicine

基　　金：黑龙江省自然科学基金面上项目(No.H2015025);省级名中医专家传承工作室建设项目(No.G20191503)。

摘　　要：现代中医临床对于痛经的研究进展多局限于脏腑学说,认为痛经的形成与五脏相关,尤以心、肝、肾三脏关系密切,而对地域特点导致的痛经研究甚少,基于黑龙江地域特点,并结合当地女子素禀体质、饮食偏嗜等方面,探讨龙江寒地痛经的感寒途径、病机衍化及其发病特点,重视寒地妇科痛经的调护与治疗,选择避风寒、节饮食、畅情志、适导引达到“未病先防”的目的;结合寒地气候文化、与体质从化,治疗上注重整体论治,活血化瘀时阴阳气血同治,以期达到已病防传、已病防渐的效果。将“因地制宜”的思想贯穿于痛经的诊治过程中,以提高临床治疗痛经的有效率。Modern TCM research on dysmenorrhea primarily focuses on the theory of viscera,which associates dysmenorrhea with the five internal organs,particularly the heart,liver,and kidney.However,there is limited research on dysmenorrhea influenced by geographical characteristics.This study explores the unique aspects of dysmenorrhea in the cold region of Heilongjiang,considering the inherent constitution and dietary habits of local women.It examines the cold-sensitive pathways,pathogenesis,and characteristics of dysmenorrhea in this part of the country,emphasizing the importance of care and treatment tailored to gynecological conditions in cold areas.Preventive measures include avoiding wind and cold,regulating diet,maintaining emotional balance,and suitable exercise to achieve prevention before disease onset.Integrating regional climate and cultural influences with individual constitution,the treatment approach emphasizes holistic management.When promoting blood circulation and removing blood stasis,simultaneous treatment of yin,yang,qi,and blood is crucial to prevent disease progression and recurrence.The principle of“adapting measures to local conditions”is essential for enhancing the clinical effectiveness of dysmenorrhea treatment.

关 键 词：寒地 痛经 体质 致病特点 

分 类 号：R271.11[医药卫生—中医妇科学]