白芥子“以消为补”治疗妇科疾病的古今应用探析  

An Analysis of the Ancient and Modern Application of Semen Sinapis Albae in the Treatment of Gynaecological Diseases by the Method of“Elimination as A Tonic”

作　　者：柯欢笑 赵小萱 杨汉铭 王涵芝 李燕[1] 金林熙 赵宏利[2] KE Huanxiao;ZHAO Xiaoxuan;YANG Hanming(The Hangzhou Clinical School of Zhejiang Chinese Medical University,Hangzhou,310053,China;Hangzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University)

机构地区：[1]浙江中医药大学杭州临床医学院,杭州310053 [2]浙江中医药大学附属杭州市中医院 [3]浙江中医药大学第三临床医学院

出　　处：《浙江中医药大学学报》2024年第8期1050-1054,共5页Journal of Zhejiang Chinese Medical University

基　　金：浙江省中医药管理局项目(2023ZL092)。

摘　　要：[目的]探析白芥子的药用功效及在妇科疾病中的应用价值,为现代妇科疾病的治疗提供参考借鉴。[方法]通过查阅古籍经典、文献资料及临床侍诊,总结白芥子的药用功效及在古今中医妇科临床治疗中的巧妙应用。[结果]白芥子化痰之功胜,能“安五脏”,入血分可痰瘀并治,辛温行散能助排卵,同时外用“引赤发泡”可促进透皮吸收。在妇科临床应用中,可妙治多囊卵巢综合征(polycystic ovary syndrome,PCOS)、豁痰通络治不孕、辛散开闭通闭经、内外同治调痛经、消肿散结除痞块。[结论]临床应用白芥子能以消为补、消补结合,通过灵活组方及加减配伍,在妇科疾病诊疗中可使功倍效增。[Objective]To explore the medicinal efficacy of Semen Sinapis Albae and its application value in gynecological diseases,hoping to provide reference for the treatment of modern gynecology diseases.[Methods]Through consulting ancient classics,literature and clinical consultation,it summarizes the medicinal efficacy of Semen Sinapis Albae and its wise application in the clinical treatment of gynecology in ancient and modern Chinese medicine.[Results]Semen Sinapis Albae can eliminate phlegm,“soothe five Zang-organs”,enter the blood flow to remove blood stasis.Semen Sinapis Albae,with the acridity character,also can help ovulation.Meanwhile,the external application can promote transdermal absorption.In the clinical application of gynecology,it can help treat polycystic ovary syndrome(PCOS),eliminate phlegm and unblock collaterals to treat infertility,treat amenorrhea with its pungent,warming and dispersing properties,regulate dysmenorrhea with internal and external treatments,reduce swelling and dissolve lumps.[Conclusion]Semen Sinapis Albae can serve the purpose of elimination as a tonic and combination of elimination and tonic in clinical applications.Through flexible combination of prescription and addition and reduction,it can play a multiplier effect on the treatment of gynecological diseases.

关 键 词：白芥子 以消为补 痰瘀并治 中医妇科 药用价值 多囊卵巢综合征 不孕 临床应用 

分 类 号：R271[医药卫生—中医妇科学]