基于SrTO探析当代中医妇科领域名家、学派论治子宫内膜异位性疾病的学术特点  

Exploring Academic Characteristics of Contemporary Experts and Schools in Traditional Chinese Medicine Gynecology in Treating Endometriosis Diseases Based on SrTO

作　　者：李知然 卜小钧 王小丹 张乐 刘瑞雪 任菁钰 廖星[4] 孙伟伟[1] LI Zhiran;BU Xiaojun;WANG Xiaodan;ZHANG Le;LIU Ruixue;REN Jingyu;LIAO Xing;SUN Weiwei(Guang'anmen Hospital,Chinese Academy of Traditional Chinese Medicine,Beijing 100053,China;Beijing University of Chinese Medicine,Beijing 100105,China;Changchun University of Chinese Medicine,Changchun 130117,China;Center for Evidence-based Chinese Medicine,Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;Community Health Service Center of Qingta Street,Fengtai District,Beijing 100141,China)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]北京中医药大学,北京100105 [3]长春中医药大学,长春130117 [4]中国中医科学院中医临床基础医学研究所循证医学基础研究室,北京100700 [5]北京市丰台区青塔街道社区卫生服务中心,北京100141

出　　处：《中国实验方剂学杂志》2025年第6期249-259,共11页Chinese Journal of Experimental Traditional Medical Formulae

基　　金：国家重点研发计划项目(2021YFE0202900);中国中医科学院科技创新工程项目(CI2021A02401,CI2021A05503,CI2021A00701-3);中国中医科学院科技创新工程重点协同攻关项目(C12022C003)。

摘　　要：目的:从子宫内膜异位症及子宫腺肌病的病因病机及论治思路出发,整合梳理当代中医妇科领域名家、学派的学术特点。方法:按照澳大利亚循证卫生保健中心(JBI)研制的文本及专家意见系统综述(SrTO)流程,检索中国知网、维普、万方及中国生物医学文献数据库,确定文献筛选标准,进行文献筛选后提取信息,应用“JBI叙事、文本和意见的系统综述严格评价清单”进行质量评价,应用“JBI叙事、意见、文本评估和综述工具总结表”进行信息综合,以文字及图表形式进行数据分析及展示。结果:共纳入39位名家相关文献146篇、10个学派相关文献19篇。研究发现,当代中医妇科领域名家、学派在两病及相关不孕的病因病机认识方面,以瘀血内阻为核心病机,从临床症状特征、经络循行部位、病理产物演变、病程长短、情志心理、生活习惯、饮食偏嗜、先天禀赋、后天损伤等多个角度出发,观点各异;在论治方面,主张分期,分型论治,因时制宜,天人合一,必要时多法联合,综合施治,巧用虫类,善用经方及小方药对,注重固护脾胃,调摄情志,善用自拟经验方内服或外用,并提倡对患者进行分层个体化长期管理。结论:应用SrTO流程,系统标准地梳理总结了当代中医妇科领域名家、学派在子宫内膜异位性疾病因、机、证、治方面的学术思想,为今后相关理论探讨提供了科学、规范的参考依据。Objective:Starting from the etiology,pathogenesis,and treatment strategies of endometriosis and adenomyosis,to integrate and sort out the academic characteristics of contemporary renowned experts and schools in the field of traditional Chinese medicine gynecology.Methods:According to the systematic review of text and opinion(SrTO)process developed by the Joanna Briggs Institute(JBI)in Australia,this paper determined literature screening criteria by searching China National Knowledge Infrastructure(CNKI),VIP,Wanfang,and China Biomedical Literature Database.Information was extracted after literature screening,and quality evaluation was conducted using the JBI Narrative,Text,and Opinion Systematic Review Strict Evaluation Checklist.The JBI Narrative,Opinion,Text Evaluation,and Review Tool Summary Table was used for information synthesis,and data analysis and display were conducted in the form of text and charts.Results:The 146 articles related to 39 renowned experts and 19 articles related to 10 schools of thought were included.Research has found that contemporary experts and schools in traditional Chinese medicine gynecology consider blood stasis as the core pathogenesis in understanding the etiology and pathogenesis of two diseases and related infertility.Their viewpoints varied from multiple aspects such as clinical symptom characteristics,meridian circulation location,pathological product evolution,disease duration,emotional psychology,lifestyle habits,preference for food and drink,innate endowment,and acquired injury.In terms of treatment,it was advocated to divide the stage,treat according to different types,adapt to the times,integrate nature and humans,and combine multiple methods to treat comprehensively when necessary.It was also recommended to skillfully use insects,make good use of classic formulas and small prescriptions,pay attention to protecting the spleen and stomach and regulating emotions,and make good use of selfformulated empirical formulas for internal or external use.Besides,individualized lon

关 键 词：中医名家 中医学派 子宫内膜异位症 子宫腺肌病 子宫内膜异位性疾病 学术特点 

分 类 号：R256[医药卫生—中医内科学] R287[医药卫生—中医学] R711.71