向东方基于类厥阴病辨治子宫内膜异位症痛经经验介绍  

Experience of XIANG Dongfang in Treating Dysmenorrhea in Endometriosis Based on Syndrome Differentiation and Treatment of Diseases Similar to Reverting Yin Syndrome

作　　者：梁晓茹 梁元琪 向东方 LIANG Xiaoru;LIANG Yuanqi;XIANG Dongfang(The Second Clinical Medical School,Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510405,China;The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510115,China)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510405 [2]广州中医药大学第二附属医院,广东广州510115

出　　处：《新中医》2025年第8期173-178,共6页New Chinese Medicine

基　　金：广州市科技计划项目——市校(院)企联合资助专题(登峰医院)基础研究项目(2023A03J0241);广州市荔湾区科技计划项目(20230716);广东省中医院院内专项(面上项目-中西结合优势病种临床研究)(YN2023MS19)。

摘　　要：子宫内膜异位症为妇科疑难病,痛经是子宫内膜异位症最典型的症状。向东方教授临证应用知名经方家许家栋倡立的经典经方理论,以类厥阴之病机认识子宫内膜异位症痛经进行辨证论治,认为该病病在三阴(太阴、少阴、厥阴),着于厥阴,治疗上应兼顾表里寒热虚实,注重温补温化,热忌苦寒清下,血药常用而忌攻伐,施予柴胡类方、前胡类方、泻心类方等,收效甚佳。Endometriosis is a challenging gynecological condition,with dysmenorrhea being its most typical symptom.Professor XIANG Dongfang,in clinical practice,applies the classic theory of Chinese medicine formulas advocated by the renowned expert XU Jiadong.This theory is used to understand dysmenorrhea in endometriosis from the perspective of the pathogenesis of diseases similar to reverting yin syndrome and to guide syndrome differentiation and treatment.It is believed that the disease primarily affects the three yin meridians(greater yin,lesser yin,and reverting yin),with a focus on the reverting yin meridian.In treatment,both exterior and interior pathogenic factors,cold and heat,and deficiency and excess should be considered.Emphasis is placed on warming and supplementing,and the use of bitter and cold purgatives should be avoided when there is heat.Medications that activate blood circulation are commonly used,but aggressive purgation is prohibited.Prescriptions such as Bupleurum-based formulas,Peucedanum-based formulas,and heart-draining based formulas are frequently applied,achieving satisfactory therapeutic effects.

关 键 词：子宫内膜异位症 痛经 类厥阴病 辨证论治 向东方 

分 类 号：R249[医药卫生—中医临床基础] R271.113[医药卫生—中医学]