王昕教授从肝郁论治盆腔炎性疾病后遗症的经验总结

发布时间：2018-03-01 21:03

本文关键词： 盆腔炎性疾病后遗症肝郁中药治疗经验总结　出处：《辽宁中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：盆腔炎性疾病后遗症是妇科常见疾病与多发疾病,多由于急性盆腔炎性疾病未能彻底治疗,或患者体质较差,病情迁延,反复发作所致,但也可无急性炎症病史。其病程较长,迁延难愈,当机体抵抗力较差时,可有急性发作。临床表现主要为小腹疼痛、腰骶部酸痛、带下异常,部分患者有月经不调、不孕以及精神不振、周身不适、失眠等全身症状。现代医学的治疗主要有药物治疗、物理治疗以及手术治疗,但治疗效果欠佳。中医治疗独具特色,不仅有中药口服,随着现代技术的发展,亦出现了中药灌肠、中药外敷、中药离子导入等方法,并结合超声波、微波等物理治疗,改善局部血液循环,增加组织的通透性,利于炎症吸收及消散。导师王昕教授根据多年临床经验分析、总结,认为肝郁是盆腔炎性疾病后遗症的主要发病因素,肝郁兼湿热、肝郁兼肾阳虚是常见发病类型,疏肝解郁的治疗原则贯穿始终,并根据患者的临床表现辨证论治。此外,导师更注重中医的治未病思想,以“未病先防”、“既病防变”为理念,强调盆腔炎性疾病后遗症患者不仅要及时治疗,更要注重情志、饮食、生活方面的调摄,临床效果甚好。
[Abstract]:The sequelae of pelvic inflammatory disease are common diseases and multiple diseases of gynecology. Most of them are caused by the failure of thorough treatment of acute pelvic inflammatory diseases, or the poor constitution of the patients, the prolonged state of the disease, repeated attacks, but also the absence of a history of acute inflammation. The main clinical manifestations are abdominal pain, lumbosacral soreness, abnormal subtraction, and some patients have irregular menstruation, infertility, mental retardation, and physical discomfort. Insomnia and other systemic symptoms. Modern medical treatment mainly includes drug treatment, physical therapy and surgical treatment, but the therapeutic effect is not good. Traditional Chinese medicine treatment has its own characteristics, not only oral Chinese medicine, but also with the development of modern technology. Chinese medicine enema, external application of traditional Chinese medicine, iontophoresis of traditional Chinese medicine, and physical therapy such as ultrasound and microwave have also been used to improve local blood circulation and increase tissue permeability. Professor Wang Xin concluded that liver depression is the main cause of the sequelae of pelvic inflammatory disease, liver depression and damp-heat, liver depression and deficiency of kidney yang are the common types of disease. The treatment principle of soothing liver and relieving depression runs through all the time, and according to the clinical manifestation of the patient, the teacher pays more attention to the thought of treating the disease before the illness, taking the idea of "preventing the disease before the illness" and "preventing the disease from changing" as the idea. It is emphasized that the sequelae of pelvic inflammatory disease should not only be treated in time, but also pay attention to mood, diet and daily life, and the clinical effect is very good.
【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;R271.9

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