王翠霞教授治疗崩漏的临床经验总结
发布时间：2019-02-13 03:43
【摘要】：崩漏,是一种月经周期、经期、经量严重紊乱的病证,表现为经血非时暴下不止或淋漓不尽,前者谓之崩中,后者称之漏下,为妇科常见病及疑难病之一。崩与漏虽临床表现不同,但病因病机基本相同,且常相互转化,故并称“崩漏”。二者常交替出现,致使患者病情缠绵难愈,严重影响了妇女的身心健康及生活质量。现代医学则称之为功能失调性子宫出血,高发于青春期和围绝经期女性,育龄期较为少见。目前西医多采用激素止血和调整周期的方法治疗该病,然其不能从根本上祛除病因,且因目前医疗状况,患者较难接受长期服用激素的治疗方法。而祖国医学对崩漏的治疗历史悠长,有其独特的理论体系,运用辨证论治,审证求因的方法,从根本上改善机体状态。导师王翠霞教授从事妇科临床一线工作近20年,博采众家之长,本寻辩证论治思想,结合多年临床实践经验,对崩漏有其独特的中西医认识。导师认为崩漏之本在肾,同时累及肝脾二脏,因虚、热、瘀,以致冲任损伤,不能制约经血,致使经血非时而下,发为崩漏;从西医学角度讲则是多由于无排卵引起。治疗上,导师将崩漏分为出血期和血止后期,分期论治,灵活运用治崩三法,出血期治以补肾健脾,固涩化瘀止血之法,塞流、澄源并举;血止后期以复旧为主,结合澄源治以补肝肾,健脾气,疏肝调经为主,辨证论治,灵活变化,临床疗效显著。
[Abstract]:Insipidus, is a menstrual cycle, the amount of serious disorder of the disease syndrome, the performance of the menstrual blood non-time storm or dripping, the former is called the collapse, the latter is called the leakage, for gynecological common diseases and one of the difficult diseases. Although the clinical manifestations of avalanche and leakage are different, the etiology and pathogenesis are basically the same, and they often transform each other, so they are also called "collapse and leakage". They often appear alternately, causing the patient to be ill, and seriously affecting women's physical and mental health and quality of life. Modern medicine is called dysfunctional uterine bleeding, high incidence of puberty and menopausal women, reproductive age is rare. At present western medicine mostly uses hormone to stop bleeding and adjust the period to treat the disease, but it can't eliminate the cause of disease fundamentally, and because of the current medical condition, patients are difficult to accept the treatment method of taking hormone for a long time. Chinese medicine has a long history of treating leakage, and has its unique theoretical system. The method of syndrome differentiation and cause seeking is used to fundamentally improve the state of organism. Professor Wang Cuixia is engaged in gynecological clinical front line work for nearly 20 years. The tutor thinks the root of the collapse is in the kidney, at the same time involving the liver and spleen two viscera, because of deficiency, heat, blood stasis, so that the damage, can not restrict the meridian blood, cause meridian blood to come down at no time, the hair is broken down; from the western medicine point of view, it is mostly caused by anovulation. In the treatment, the supervisor divided the bleeding period and the later stage of blood stasis, treated by stages, flexible use of the three methods of treatment of avalanche, bleeding period treatment to tonify the kidney and strengthen the spleen, strengthen the astringency and remove the blood stasis to stop the bleeding, stop the flow, and clear the source simultaneously; In the later period of blood stasis, the main way is to restore old age, combined with Chengyuan treatment to replenish liver and kidney, strengthen temper, soothe liver and regulate meridians, differentiation of symptoms and signs, flexible changes, and remarkable clinical effect.
【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;R271.12
，
本文编号：2421137
[Abstract]:Insipidus, is a menstrual cycle, the amount of serious disorder of the disease syndrome, the performance of the menstrual blood non-time storm or dripping, the former is called the collapse, the latter is called the leakage, for gynecological common diseases and one of the difficult diseases. Although the clinical manifestations of avalanche and leakage are different, the etiology and pathogenesis are basically the same, and they often transform each other, so they are also called "collapse and leakage". They often appear alternately, causing the patient to be ill, and seriously affecting women's physical and mental health and quality of life. Modern medicine is called dysfunctional uterine bleeding, high incidence of puberty and menopausal women, reproductive age is rare. At present western medicine mostly uses hormone to stop bleeding and adjust the period to treat the disease, but it can't eliminate the cause of disease fundamentally, and because of the current medical condition, patients are difficult to accept the treatment method of taking hormone for a long time. Chinese medicine has a long history of treating leakage, and has its unique theoretical system. The method of syndrome differentiation and cause seeking is used to fundamentally improve the state of organism. Professor Wang Cuixia is engaged in gynecological clinical front line work for nearly 20 years. The tutor thinks the root of the collapse is in the kidney, at the same time involving the liver and spleen two viscera, because of deficiency, heat, blood stasis, so that the damage, can not restrict the meridian blood, cause meridian blood to come down at no time, the hair is broken down; from the western medicine point of view, it is mostly caused by anovulation. In the treatment, the supervisor divided the bleeding period and the later stage of blood stasis, treated by stages, flexible use of the three methods of treatment of avalanche, bleeding period treatment to tonify the kidney and strengthen the spleen, strengthen the astringency and remove the blood stasis to stop the bleeding, stop the flow, and clear the source simultaneously; In the later period of blood stasis, the main way is to restore old age, combined with Chengyuan treatment to replenish liver and kidney, strengthen temper, soothe liver and regulate meridians, differentiation of symptoms and signs, flexible changes, and remarkable clinical effect.
【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;R271.12
，
本文编号：2421137
本文链接：https://www.wllwen.com/zhongyixuelunwen/2421137.html
最近更新
教材专著
