桂枝汤在女性经带胎产病症的应用探讨  

Discussion on the Application of Guizhi Tang in the Treatment of Menstrual Disorders,Leukorrheal Disease,Gravid Trouble,and Parturition Problems of the Female

作　　者：黄艳辉[1] 刘佳[1] 吴绘春 吴习武 HUANG Yanhui;LIU Jia;WU Huichun;WU Xiwu(Wuhan Hospital of Traditional Chinese Medicine,Wuhan 430061 Hubei,China;College of Traditional Chinese Medicine,Hubei University of Chinese Medicine,Wuhan 430061 Hubei,China)

机构地区：[1]武汉市中医医院,湖北武汉430061 [2]湖北中医药大学中医学院,湖北武汉430061

出　　处：《广州中医药大学学报》2025年第1期249-253,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家中医药管理局第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号);武汉市卫生健康委医学科研项目(编号:WZ20M02);武汉市卫生健康委科研项目(WZZ1C03)。

摘　　要：女性在青春期、月经期、妊娠期、产后、围绝经期等生命各个特殊时期,体内气血变动剧烈,气血阴阳重新分布,容易导致营卫、气血不和、阴阳失衡而出现各种不和谐的病理状态。该文通过分析女性青春期、月经期、妊娠期、产后、围绝经期等出现营卫不和的机制,提出采用调和营卫法治疗经带胎产病症的思路,并认为桂枝汤为仲景群方之魁,具有解肌和营卫、化气和阴阳的功效,其加减方可用于妇科病症。在女性不同时期应用调和营卫之桂枝汤以治疗妇科病症,可拓展经方在妇科病症中的应用。In the special periods of puberty,menstruation,pregnancy,postpartum,and perimenopause of the female life,the drastic changes in qi and blood of the women cause the redistribution of qi,blood,yin and yang in those periods,which easily leads to various disordered states of disharmony between nutrient qi and defensive qi,disharmony between qi and blood,and imbalance of yin and yang.By analyzing the mechanism of the disharmony between nutrient qi and defensive qi in the special periods of puberty,menstruation,pregnancy,postpartum,and perimenopause of the female life,this paper proposes the approach of harmonizing nutrient qi and defensive qi to treat menstrual disorders,leukorrheal disease,gravid trouble,and parturition problems.Moreover,It is recommended that Guizhi Tang(Cinnamomi Ramulus Decoction),the chief of ZHANG Zhong-Jing's prescriptions and having the actions of releasing muscles and harmonizing nutrient qi and defensive qi,and activiting qi and harmonizing yin and yang,can be used to treat gynecological diseases through the modification.The utilization of Guizhi Tang for the treatment of gynecological diseases at various periods of women's lives will expand the application of classical prescriptions in treating gynecological diseases.

关 键 词：桂枝汤 经方 营卫不和 调和营卫 妇科病症 

分 类 号：R271[医药卫生—中医妇科学]