陈莹教授从肾虚血瘀论治崩漏经验总结

发布时间：2018-06-15 08:58

本文选题：崩漏 + 肾虚血瘀　；参考：《辽宁中医药大学》2017年硕士论文

【摘要】：崩漏是指女性经血非时暴下不止或淋漓不尽,是中医妇科常见病之一。祖国医学对崩漏的研究历史悠久,其萌芽于春秋战国时期,发展于宋金时期,至明清时期得以完善。历代医家对崩漏的论述颇多,认为崩漏的病因病机多端,致病因素复杂,病位较多,常多脏受累。但大体可总结为冲任虚损、固摄失常是崩漏的主要病机,而造成冲任不固的原因多为虚、热、瘀三者,肝、脾与肾脏常受累。导师陈莹教授从事中医妇科工作多年,在前人的理论基础上结合自己丰富的临床经验,认为崩漏多以肾虚为本、瘀血阻滞为标,虚实夹杂而致冲任不固,经血妄行。陈师根据出血期与止血后的不同,以血瘀、肾虚论治崩漏。陈师继承发扬前人观点,根据崩漏发病的缓急和病程的长短,结合患者舌脉与兼症,本着“急则治其标,缓则治其本”的原则,四诊合参、治病求因,在治疗上灵活运用治崩三法。在出血期,陈师善用通因通用反治法,先用活血化瘀药使瘀血去,待内膜脱落后再投固冲药以塞其流。血止期,陈师以补肾为主,同时注重调理患者肝、脾,使患者恢复正常的月经周期。
[Abstract]:Insipidus is one of the common diseases of gynecology in traditional Chinese medicine. Chinese medicine has a long history of research on leakage, which sprouted in the Spring and Autumn and warring States period, developed in the Song and Jin dynasties, and was perfected in the Ming and Qing dynasties. The physicians of all dynasties have discussed many cases of insipidus. They think that the etiology and pathogenesis of insipidus are many, the pathogenic factors are complex, the disease position is more, and the viscera is often involved. However, it can be concluded that the main pathogenesis of insipidus is immobilization, and the main causes are deficiency, heat, blood stasis, liver, spleen and kidney. Professor Chen Ying, a tutor, engaged in the gynecology of traditional Chinese medicine for many years. On the basis of the previous theories, he considered that the collapse and leakage were based on kidney deficiency, blood stasis block was the standard, and the mixture of deficiency and reality caused the failure to be solid and the action of blood was false. Chen Shi according to the bleeding period and hemostasis after the different, blood stasis, kidney deficiency treatment of leakage. Chen Shi inherited and carried forward his predecessor's view, according to the order of occurrence of the disease and the duration of the disease, combined with the patient's tongue pulse and disease, in line with the principle of "treating the patient urgently, treating it slowly," four consultations combined with reference, and seeking cause of the disease. In the treatment of flexible use of the treatment of avalanche. In the bleeding period, Chen Shi makes good use of Tongyin general anti-treatment method, first uses blood circulation to remove blood stasis, and after the intima falls off, injects solid and punching medicine to stop its flow. At the same time, Chen Shi focuses on regulating the liver and spleen to restore the normal menstrual cycle.
【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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