运用经方辨治子宫内膜异位症型痛经临证撷要  

Analysis of classical prescriptions treatment for endometriosis dysmenorrhea

作　　者：董昕雯 王铁枫[1] DONG Xinwen;WANG Tiefeng(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院,北京100700

出　　处：《四川中医》2024年第7期48-51,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：北京市级中医药专家学术经验传承项目(京中医科字[2021]169号)。

摘　　要：子宫内膜异位症是妇科常见疾病,其造成的痛经严重影响广大女性患者生存质量。中医认为血瘀是其主要病机,后世医家运用仲景之代表性经方辨治本病,取其调和气血之意而获异病同治之功,现撷要成篇以飨同道。小腹胀痛,气滞血瘀者,宜用桂枝茯苓丸;小腹冷痛,寒凝血瘀者,宜用温经汤;腹痛拒按,瘀热互结者,宜用桃核承气汤;小腹隐痛,气虚血瘀者,宜用当归芍药散。临证之时应注意辨别虚实寒热,随证加减,灵活化裁,以期取得更为满意的疗效。Endometriosis is a prevalent gynecological disease,and its associated dysmenorrhea significantly impacts the living quality of female patients..Traditional Chinese medicine science believed that blood stasis was the main pathogenesis of endometriosis.Nowadays physicians used Zhongjing's classical prescriptions to treat endometriosis,taking its meaning of regulating qi and blood and treating different diseases with the same treatment.This article attached the key points to provide some guidelines for other physicians.For lower abdomen distension pain caused by qi stagnation blood stasis,it is suggested to use Guizhi Fuling Pill;For lower abdomen cold pain caused by cold coagulation blood stasis,it is suggested to use Wenjing Decoction;For lower abdomen pain refused to press caused by blood stasis heat mutual junction,it is suggested to use Taohe Chengqi decoction;For lower abdomen vague pain caused by qi deficiency and blood stasis,it is suggested to use Danggui Shaoyao powder.In clinical treatment,attention should be paid to distinguish the deficiency and excess,cold and heat,and adjust the treatment flexibly according to the different syndrome,in order to obtain more satisfactory therapeutic effects.

关 键 词：子宫内膜异位症 痛经 中医药 张仲景 经方 

分 类 号：R711.71[医药卫生—妇产科学]