对绝经前后诸证辨证论治的再认识

发布时间：2018-03-27 18:26

本文选题：绝经前后诸证　切入点：阳虚　出处：《世界科学技术-中医药现代化》2017年02期

【摘要】：目前,针对绝经前后诸证的认识主要集中于阴虚,多数医家也采用滋阴清热法治疗绝经前后出现的烘热汗出,忽略了阳虚在绝经前后诸证的病理作用。本文整理了历版《中医妇科学》教材关于绝经前后诸证相关病机和辨证分型,及以往绝经前后诸证的流行病学调查结果,突出显示了烘热汗出、健忘和性欲减退等症状发生的普遍性,纠正了绝经前后诸证中潮热汗出描述的不准确性,分析滋阴法治疗绝经前后血管舒缩症状的疗效;结合古医集对绝经前后诸证的病因、病机及治法的认识,从现代药理学角度分析温肾阳中药的植物雌激素样作用,探究阳虚在绝经前后诸证病机中的重要性,从阳虚论治绝经前后诸证,为临床治疗绝经前后诸证提供新思路。
[Abstract]:At present, understanding for menopause syndrome mainly in Yin deficiency, most doctors also adopts the method of nourishing yin and clearing heat treatment before and after menopause appear Hongrehanchu, ignoring the pathological effects of Yang deficiency in menopause syndrome. This article summarizes the calendar version of < > textbook on gynecology of TCM syndromes before and after menopause related disease and syndrome differentiation type, epidemiological survey results and other syndromes before and after menopause, highlighting Hongrehanchu, forgetfulness and loss of libido and common symptoms, correct description of hot flashes sweating menopause syndrome in the inaccuracy of the analysis of curative effect of Nourishing Yin before and after the treatment of menopausal vasomotor symptoms of menopause in etiology; the combination of ancient medical certificate, understanding of the pathogenesis and treatment, analysis of plant estrogen like effects of Warming Kidney Yang of Chinese medicine from the perspective of modern pharmacology, explore the importance of Yang in the pathogenesis of syndromes before and after menopause, from Yang It provides new ideas for the clinical treatment of menopause before and after the clinical treatment of menopause.

【作者单位】：天津中医药大学中医药研究院;
【基金】：科学技术部国家科技支撑计划课题(2014BAI05B00):更年期综合症的综合治疗,负责人:宋殿荣国家自然科学基金委杰出青年科学基金(81125024):中医方剂,负责人:高秀梅
【分类号】：R271.116

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