骆常义治疗肝郁肾虚型月经过少临证经验  

Luo Changyi’s Clinical Experience in Treating Hypomenorrhea of Liver Depression and Kidney Deficiency

作　　者：熊燕 魏大荣 骆常义 XIONG Yan;WEI Darong;LUO Changyi(Chongqing University Three Gorges Hospital,Chongqing 404000,China)

机构地区：[1]重庆大学附属三峡医院,重庆404000

出　　处：《中国中医药图书情报杂志》2024年第5期177-179,共3页Chinese Journal of Library and Information Science for Traditional Chinese Medicine

基　　金：重庆市科卫联合中医药技术创新与应用发展项目(2020ZY3851)。

摘　　要：月经过少是临床常见妇科疾病。中医认为,月经过少病机有虚有实,证型以肾虚为主,与气虚、血虚、血瘀、肝郁、痰湿皆相关,其中肝郁肾虚型月经过少临床中越来越多见。骆常义认为,女子以水为养,以肾为根,以血为本,月经过少主要病机亦虚亦实,虚为肾精不足、气虚、血虚,实为肝郁、血瘀,最终导致因虚致实,或虚实夹杂,以“通补法”治疗月经过少。本文对骆常义治疗肝郁肾虚型月经不调的辨证思路及用药经验进行总结,并附验案1则,以飨同道。Hypomenorrhea is a common gynecological disease in clinic.TCM believes that the pathogenesis of hypomenorrhea is characterized by both deficiency and excess,with kidney deficiency being the main syndrome type,which related to qi deficiency,blood deficiency,blood stasis,liver depression,and phlegm dampness.Among them,liver depression and kidney deficiency are increasingly common in clinical practice.Luo Changyi believes that women rely on water as their nourishment,kidneys as their roots,and blood as their foundation.The main pathogenesis of hypomenorrhea is both deficiency and excess.Deficiency is caused by insufficient kidney essence,qi deficiency,and blood deficiency,but in reality,it is caused by liver depression and blood stasis.Ultimately,it can lead to excess due to deficiency,or a combination of deficiency and excess.Therefore,the“tonifying method”is used to treat hypomenorrhea.This article summarized the thinking of syndrome differentiation and medication experience of Luo Changyi in treating menstrual disorders of liver depression and kidney deficiency.One medical case was attached in this article for sharing with fellows.

关 键 词：月经过少 骆常义 肝郁肾虚 通补法 

分 类 号：R271.11[医药卫生—中医妇科学]