陈淑涛“衷中参西”诊治慢性妇科痛症经验探析及举隅  

Chen Shutao'sapproach to chronic gynecological pain:integrating traditional and western medicine

作　　者：谭兴民[1] 王元硕 林青[1] 杨君君[1] 赵晓贞 周科宇 陈淑涛[1] TAN Xingmin;WANG Yuanshuo;LIN Qing(Department of Gynecology,Sichuan Hospital of Integrated Traditional Chinese and Western Medicine,Chengdu 610000,China)

机构地区：[1]四川省中西医结合医院妇科,四川成都610000

出　　处：《四川中医》2025年第4期28-30,共3页Journal of Sichuan of Traditional Chinese Medicine

基　　金：四川省科技厅重点研发项目(编号:2022YFS0394)。

摘　　要：妇科痛症是指女性经、带、胎、产过程中的各种疼痛症状,包括痛经、慢性盆腔痛、子宫内膜异位症、产后疼痛等。川蜀“衷中参西”妇科流派创始人王成荣认为“火热瘀结冲任”是妇科痛症的基本病机,流派传承人陈淑涛在其基础上针对慢性妇科痛症提出“瘀久必虚、虚瘀互结”的病机,以“益气清热,活血化瘀”为治疗法则,发展流派经验方“白莲散结汤加减”治疗慢性妇科痛症,应用广泛,疗效显著。本文将浅述川蜀“衷中参西”妇科流派传承人陈淑涛临证辨治慢性妇科痛症的经验。Gynecological pain refers to various pain symptoms during the processes of menstruation,discharge,pregnancy,and childbirth in women,including dysmenorrhea,chronic pelvic pain,endometriosis,postpartum pain,etc.Wang Chengrong,the founder of the“Zhong Zhong Can Xi”gynecological school in Sichuan,believes that“fire-heat and blood stasis obstructing Chong and Ren”is the fundamental pathological mechanism for gynecological pain.Chen Shutao,the successor of this school,further proposes the pathological mechanism of“prolonged stasis leads to deficiency,and deficiency and stasis mutually inter-twine”for chronic gynecological pain.He advocates the treatment principle of“tonifying Qi,clearing heat,promoting blood circu-lation,and resolving stasis,”and has developed the school's empirical formula“Bai Lian San Jie Tang with modifications”for treating deficiency-stasis type gynecological pain.This approach has been widely applied with significant therapeutic effects.This review provides a brief overview of Chen Shutao's clinical experience in diagnosing and treating chronic gynecological pain within the"Zhong Zhong Can Xi"gynecological school in Sichuan.

关 键 词：妇科慢性痛症 名医经验 川蜀“衷中参西”妇科流派 

分 类 号：R271[医药卫生—中医妇科学]