陈莹教授运用温阳化瘀法治疗子宫腺肌症所致痛经的经验总结

发布时间：2018-08-20 09:06

【摘要】：子宫腺肌症是子宫的内膜腺上皮及其间质部分异位于子宫的肌层内,但没有超过子宫范围的一种疾病,至今此病尚没有十分明确的发病机制,是一种常见的妇科病,临床表现以经行腹痛为主要症状之一,西医以止疼类药物、激素类药物和手术治疗为主。祖国医学文献中虽然没有子宫腺肌症这一病名的记载,但据其临床症状可见于“痛经”、“ve瘕”等文献论述中,其中临床上以痛经为最多见症状之一。治疗上中医则以辨证施治为主,随症加减,在中药内服的基础上同时加用针灸、灌肠、贴敷等特色外治疗法。陈莹教授从事临床工作30余年,有丰富的治疗经验,吾有幸跟随教授出诊,总结其应用中医药治疗因子宫腺肌症而致痛经的经验。教授讲求辨证论治,随症加减,认为子宫腺肌症所致的痛经以“瘀血”阻滞为病因病机的关键,而瘀血形成的根本原因与阳气不足,温通作用下降,冲任气血运行不畅有直接关系,而肾阳又为一身阳气之本,故临床上导师以温肾助阳、化瘀止痛消ve为基本治法,并结合临床经验,创立了经验用方经痛宁并随症加减,同时配合月经周期治疗本病,在疼痛的发作期同时配合针灸、膏药外贴法,并嘱患者勿贪食寒凉,加强锻炼,疗效确切。
[Abstract]:Adenomyosis is a disease in which the endometrial glandular epithelium and its stroma are located in the myometrium of the uterus, but they do not exceed the range of the uterus. So far, there is no clear mechanism of this disease and it is a common gynecological disease. The main symptoms were abdominal pain, pain medication, hormone medicine and surgical treatment in western medicine. Although the name of uterine adenomyosis is not recorded in the medical literature of the motherland, its clinical symptoms can be found in the literature of dysmenorrhea and ve mass, among which dysmenorrhea is one of the most common symptoms. On the treatment, traditional Chinese medicine is mainly based on syndrome differentiation, plus or minus with syndrome, on the basis of traditional Chinese medicine, acupuncture, enema, application and other characteristics of external treatment at the same time. Professor Chen Ying is engaged in clinical work for more than 30 years and has rich experience in treating dysmenorrhea caused by uterine adenomyosis. The professor emphasizes on syndrome differentiation and treatment, and adds and subtracts with the syndrome. He thinks that the key to cause and pathogenesis of dysmenorrhea caused by uterine adenomyosis is "blood stasis" block, while the root cause of blood stasis is insufficient yang qi, and the effect of warming is decreased. There is a direct relationship between the unsmooth operation of Chong Ren Qi and blood flow, and the kidney yang is the root of a body of yang qi. Therefore, the clinical tutor takes warming the kidney to assist yang, removing stasis and relieving pain as the basic treatment method, and combining with clinical experience, has created the experiential prescription Jingtong Ning and adds or subtracts it with the symptoms. At the same time with menstrual cycle treatment of this disease, in the period of pain with acupuncture, plaster paste, and told patients not to eat cold, strengthen exercise, the curative effect is accurate.
【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;R271.113

【参考文献】