导师王昕教授治疗痛经的经验初探

发布时间：2018-11-27 11:35

【摘要】：痛经是一种临床多发妇科病,指行经前后或月经期出现下腹部坠痛,或痛引腰骶,甚而剧痛晕厥,在不同程度上影响工作及生活,痛甚者影响生活质量。西医将痛经划分为两类:原发性痛经通常无生殖器官器质性病变,继发性痛经者通常有盆腔的器质性病变。现代医学采用药物、激素及手术治疗,虽见效快,但有副作用大,停药后易复发的弊端。中国古代历代医家对于痛经病因病机的认识各有千秋,并且不断完善,取各代医家之长将痛经的病因病机大致概括为四种证型:风寒湿乘型、气滞血瘀型、气血虚弱型、肝肾亏虚型。现代中医学家认为主要由七情所伤、起居不慎或外感六淫等所引起,还与个人体质及经前、经后特殊体内环境有一定关系。导师认为以阳虚之证导致痛经最为常见,以肾阳虚衰为主、为本,寒凝血瘀为发病机制、为标。导师遵循内经急则治其标,缓则治其本及治病必求于本的理论原则,提出温肾助阳治其本,散寒化瘀止痛治其标的治法,以达标本同治之功。
[Abstract]:Dysmenorrhea is a kind of clinical multiple gynecological disease, which refers to lower abdomen falling pain before and after menstruation or menstrual period, or pain inducing lumbosacral, even severe syncope, which affects work and life in different degree, and affects quality of life. Western medicine divides dysmenorrhea into two categories: primary dysmenorrhea is usually without organic lesions of reproductive organs, secondary dysmenorrhea usually has pelvic organic lesions. Modern medicine uses medicine, hormone and surgical treatment, although the effect is quick, but has the side effect big, after stopping the medicine easy to recur the malpractice. In ancient China, physicians had their own understanding of the etiology and pathogenesis of dysmenorrhea, and were constantly improving. The pathogeny and pathogenesis of dysmenorrhea were summed up as four types of syndromes: wind, cold and dampness, qi stagnation and blood stasis, and deficiency of qi and blood. Deficiency of liver and kidney. Modern Chinese medicine scholars believe that the injuries caused by seven emotions, careless living or external factors, and so on, also have certain relationship with personal physique and special internal environment before and after menstruation. The teacher believed that the syndrome of yang deficiency leads to dysmenorrhea is the most common, kidney yang deficiency failure is the main, this, cold coagulation and blood stasis as the pathogenesis, as the standard. According to the theory principle that the internal classics is urgent, the slow treatment is necessary and the disease must be treated with this principle, the teacher puts forward the principle of warming the kidney and helping the yang to treat the root, dispersing the cold and removing the stasis and relieving the pain, so as to achieve the goal of treating the specimen with the same treatment.
【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;R271.113

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