基于《女科要旨》探析陈修园对妇科病的诊疗特色和用药经验  

Exploration of CHEN Xiuyuan’s Academic Thoughts on Diagnosis and Treatment of Gynecological Diseases Based on Gynaecological Essentials

作　　者：王意萱 柳亚平 WANG Yixuan;LIU Yaping(Basic Medical College,Yunnan University of Chinese Medicine,Kunming,650500,China)

机构地区：[1]云南中医药大学基础医学院,昆明650500

出　　处：《浙江中医药大学学报》2025年第2期223-226,共4页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]探究陈修园对妇科疾病的诊疗特色和用药经验。[方法]研读陈修园《女科要旨》一书,梳理其在女性调经、备孕、胎前、产后等方面的理论特色、辨治思路及药用特点。[结果]诊疗特色上,《女科要旨》指出妇科疾患总属带下病,强调了脉诊的重要性,主张调经先安脾胃,求嗣须得四要,保胎首重脾肾,产后病处方不得拘于病程时日。用药特点上,多以川芎、当归平补气血为先,以白术为安胎圣药,擅用血肉有情之品,对于妊娠慎用药主张在合理范围内采用。[结论]陈修园辨治妇科疾病师古而不泥古,强调脉诊,重视脾胃,用药多补气血,理法方药独具特色,对后世妇科病的辨证治疗具有重要指导意义。[Objective]To explore the medicinal qualities and background of CHEN Xiuyuan in treating gynecological disorders.[Methods]By reading CHEN Xiuyuan’s book Gynaecological Essentials and analyzing its theoretical aspects,treatment concepts and medicinal aspects in relation to regulating women’s menstruation,preparing for pregnancy,the perinatal and postnatal periods,etc.[Results]Gynaecological Essentials points out,in terms of diagnostic and therapeutic features,the gynecological disorders are always leukorrheal diseases;it emphasizes the importance of pulse diagnosis,advocates that regulating menstruation should be preceded by stabilizing the spleen and stomach,highlights that four essentials should support preparing for pregnancy,emphasizes spleen and kidney preservation for the fetus and that postpartum illnesses should not be limited in course of disease.In the drug characteristics,Ligusticum chuanxiong Hort(Chuan xiong)and Angelica sinensis(Danggui)are the first choice to replenish Qi and blood,Atractylodes macrocephalae(Baizhu)is an essential part of a prescription for calming the fetus,and the use of blood,flesh and sentimental products is preferred,while the use of medicines during pregnancy is advised to be within a reasonable range.[Conclusion]CHEN Xiuyuan learned the ancients but didn’t stick stubbornly in treating gynecological diseases,emphasized the importance of pulse diagnosis,paid attention to the spleen and stomach,used medication to replenish Qi and blood,and the principle-method-recipe-medicines was very distinctive,which was of great significance to the differentiation and treatment of gynecological diseases in later generations.

关 键 词：《女科要旨》 陈修园 妇人病 脉诊 脾胃 带下病 诊疗特色 用药经验 

分 类 号：R271[医药卫生—中医妇科学]