导师王翠霞教授治疗崩漏经验总结

发布时间：2018-02-01 18:10

本文关键词： 崩漏瘀血内阻胞宫活血化瘀法经验总结　出处：《辽宁中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：崩漏是指非行经期间,经血暴下不止或淋漓不净者,前者称之“崩中”,后者谓之“漏下”。本病相当于现代医学中的功能失调性子宫出血(简称功血),其主要临床特点为月经的周期、经期、经量都发生了严重的紊乱,重者可引发贫血或不孕。祖国医学认为崩漏的主要病机是冲任损伤,不能制约经血,子宫藏泻功能失常,致经血非时而下;而导致冲任损伤的常见原因主要有脾虚、肾虚、血热、血瘀四个方面。导师王翠霞教授经过20多年的临床实践,将崩漏的病因概括为虚、热、瘀三个方面,并认为随着病程的发展,虚和热又均可致血瘀。导师指出瘀血阻于冲任胞宫,使得旧血不去,新血不归,致使离经之血非时而下,是为崩漏发生的主要病机,正如唐代孙思邈在其著作《备急千金要方》中所述:“瘀结占据血室,使离经之血不得归经”。在崩漏的治疗上,导师通因通用,采取活血化瘀以止血之法,寓止于行,同时重视滋肾养阴以摄血。选方用药时,多选用具有活血养血,化瘀止血功效的药物为主,寓止血于活血中,瘀血得除,冲任通畅,胞宫藏泻功能恢复,则疾病得愈。此外,对于本病的治疗,导师亦强调遵循“急则治其标,缓则治其本”的原则,适时运用中西医结合疗法治疗本病,并且注重预防调护,临床上取得了不俗疗效。
[Abstract]:Collapse and leakage refers to those who are not under menstrual violence or who are not clean during menstrual bleeding. The former is called "collapse", while the latter is called "leakage". This disease is equivalent to dysfunctional uterine bleeding (referred to as dysfunctional uterine bleeding) in modern medicine. Its main clinical characteristics are menstrual cycle, menstrual period, menstrual volume has serious disorder, serious cases can lead to anemia or infertility. Motherland medicine believes that the main pathogenesis of insipidus is damage, can not restrict meridian blood. Uterine storage and diarrhea dysfunction, resulting in irregular blood flow; The common causes of the damage are spleen deficiency, kidney deficiency, blood heat and blood stasis. Professor Wang Cuixia, after more than 20 years of clinical practice, summed up the causes of collapse for deficiency, heat, blood stasis three aspects. With the development of the course of the disease, deficiency and heat can cause blood stasis. The tutor pointed out that blood stasis is the main pathogenesis of the occurrence of insipidus, which prevents the old blood from going away, the new blood does not return, and causes the blood from the meridian to come down at different times. As the Tang Dynasty Sun Simiao in his work "prepare urgent Qianjin important prescription" stated: "Blood stasis to occupy the blood room, so that the blood from the meridian can not return to the scriptures." in the treatment of leakage, the teacher Tongying general purpose, to take the method of promoting blood circulation and removing stasis in order to stop bleeding. At the same time, pay attention to nourishing kidney and nourishing yin in order to absorb blood. When choosing prescriptions, we should choose drugs that have the effect of activating blood circulation and nourishing blood, removing blood stasis and stopping bleeding. In addition, for the treatment of this disease, the tutor also emphasized the principle of "urgent treatment, slow treatment," timely use of integrated Chinese and western medicine to treat this disease. And pay attention to prevention and nursing, clinical has achieved good results.
【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】：2017
【分类号】：R249;R271.12

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