王昕教授治疗气虚血瘀型崩漏的临床经验

发布时间：2017-12-28 00:13

  本文关键词：王昕教授治疗气虚血瘀型崩漏的临床经验　出处：《辽宁中医药大学》2016年硕士论文　论文类型：学位论文

  更多相关文章： 崩漏 气虚血瘀 临床经验 退膜汤

【摘要】：崩漏是妇科临床常见疑难疾病之一。其临床表现主要是女子在非经期时阴道突然大量出血,或量时多时少,淋漓不尽,可造成一系列并发症,如贫血、不孕、生殖器官继发感染等,甚至危及患者生命。本文综述部分对中医医家及现代医学对崩漏临床治疗加以整理分析。崩漏的病因病机复杂多样,但其发生主要与肾-天癸-冲任-胞宫生殖轴的严重失调有关。中医各家在治疗崩漏时,根据其病机的侧重点不同,遣方用药各有特点,但均取得了较好的临床疗效。现代医学的激素或诊刮术治疗,止血效果显著,但复发率高,并具有一定的副作用及禁忌症。正文部分回顾并整理了导师对本病的认识及学术思想,并对导师治疗本病的临床经验加以总结。导师在临床工作三十余年,对崩漏的认识有自己独到的见解,认为本病的发生多与脾气亏虚,瘀血内阻有关。脾气亏虚,不能摄血,致经血非时而下;崩漏失血日久,耗气伤血,气虚则运血无力,瘀滞由生,形成血瘀;瘀血不去,离经之血非时而下,又加重了气血的损伤,气虚与瘀血两者互为因果,形成本虚标实之证。导师在临床辨证治疗时,在出血期不拘泥单用收敛止血药,而是塞流与澄源并顾,常用“退膜汤”加减治以益气固冲,化瘀止血。待血止之后,再用调补脾肾二脏之法以复其旧。
[Abstract]:Is one of the most common gynecological diseases of uterine bleeding clinical. The clinical manifestations are mainly women's massive vaginal bleeding during the non menstrual period, or too much time and less dripping. It can cause a series of complications, such as anemia, infertility, secondary infection of reproductive organs, and even endanger the lives of patients. This paper reviews some of the Chinese medicine physicians and modern medicine for clinical treatment of uterine bleeding were analyzed. The etiology and pathogenesis of uterine bleeding is complicated, but the main and kidney Tiangui Chongren uterus reproductive axis serious disorder. The traditional Chinese medicine in the treatment of uterine bleeding, according to the pathogenesis of different prescriptions have different characteristics, but have achieved good clinical efficacy. The effect of hemostasis in modern medicine is remarkable, but the recurrence rate is high, and it has certain side effects and contraindications. The text reviews and collate the tutor's understanding of the disease and its academic thoughts, and summarizes the clinical experience of the tutor in the treatment of the disease. Tutor in more than thirty years of clinical understanding of metrorrhagia have their own unique insights, the incidence of this disease with spleen qi deficiency and blood stasis on. Spleen deficiency, failure of blood, blood and non induced bleeding; uterine bleeding time, the gas consumption of the injured blood, Qi blood stasis by weakness, the formation of blood stasis, blood stasis; do not go, blood and non, aggravated the damage of qi deficiency and blood stasis of blood, the two cost reciprocal causation, false superficiality. During clinical diagnosis and treatment, during the period of bleeding, the tutor does not stick to the single use of astringent hemostatic drugs, but rather rushing and clarifying the source. After the stop of blood, reuse the method of Tonifying the spleen and kidney of the two dirty methods to restore the old.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R271.12
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本文编号：1343783