以湿论治《傅青主女科》带下篇及用药特色分析  

Analysis on the characteristics of treatment Leukorrhagia with dampness and the use of medicines in Fu Qing Zhu Nv Ke

作　　者：刘家鑫 方向明[1] LIU Jiaxin;FANG Xiangming(Anhui University of Chinese Medicine,Hefei Anhui 230012,China)

机构地区：[1]安徽中医药大学中医学院,安徽合肥230012

出　　处：《四川中医》2024年第12期30-32,共3页Journal of Sichuan of Traditional Chinese Medicine

基　　金：安徽省高校学科(专业)优秀拔尖人才学术资助项目(编号:gxyq2021186)。

摘　　要：带下是一种常见的妇科疾病,《傅青主女科》首篇便是论治带下篇,其作者傅山认为带下病是因不受带脉约束而致,在治疗中,傅山尤其重视湿证,其认为带下均与湿相关。傅山常将任督二脉与带脉相联系,其认为“任、督病而带脉始病”。在论治中,傅山虽将带下分为五色,但在治疗中并不拘泥于五色,而是将任、督、带脉与脏腑相结合论治。其次傅山重视肝脾肾的辨证,善于调补气血,寓祛邪于扶正之中。最后傅山在用药方面也是独具匠心,善使用引经药,如黑芥穗可引药入肝脾血分,白果可引药入任脉。Leukorrhagia diseases is a common gynecological diseases,“Fu Qing Zhu Nv Ke”is the first chapter on the treatment of Leukorrhagia diseases chapter,Fu Shan that below the Leukorrhagia is not subject to the constraints of the Beltchannel,in the treatment,Fu Shan especially focus on the wet evidence,which believes that Leukorrhagia are related to wet.Fu Shan often will be the Conception and Governor vessels and the Beltchannel associated,it believes that“Conception and Governor vessels of the disease and the Beltchannel began to disease”.In the treatment,Fu Shan will be divided into five colors,but in the treatment is not confined to the five colors,but will be Conception and Governor vessels and internal organs combined treatment.Secondly,Fu Shan attaches importance to the identification of liver,spleen and kidney,good at regulating qi and blood,in order to eliminate the diseases in the correct.Finally,Fu Shan is also unique in the use of medicines,good use of the introduction of medicines,such as black mustard can be introduced into the liver,spleen and blood,white fruit can be introduced into the Conception vessels.

关 键 词：《傅青主女科》 带下 湿 肝脾肾 任督二脉 引经药 

分 类 号：R249[医药卫生—中医临床基础]