经方治疗妇科病医案4 则
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R249

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浙江省中医药科技计划项目(2022ZB087);全国名老中医药专家传承工作室建设项目(国中医药人教函〔2022〕75号);浙江省中 医药重点学科建设项目(2024-XK-07)


Four Medical Cases of Gynecological Diseases Treated with Classical Formulas
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    摘要:

    介绍当归芍药散、温经汤、胶艾汤、葛根芩连汤4首经方在妇科临床应用的医案。当归芍药散功 效有三:一是通畅血脉,二是养血疏肝、健脾利湿,三是和血利水。主要针对“肝脾失调、气血为病”之病 机,运用于妊娠腹痛的治疗。温经汤主要功效为温经散寒、养血祛瘀。主要针对“寒、瘀、虚、热”之病机, 即冲任虚寒、瘀血阻滞、阴血不足、瘀热虚热,运用于经间期出血之治疗。胶艾汤主要功效为补血止血、调经 安胎。主要针对“冲任脉虚、阴气不能内守、不能制约经血”之病机,可运用于胎动不安的治疗。葛根黄芩黄 连汤是治疗身热下利的经典方剂,主要功效为清里热、透表邪。主要针对“中满内热”之核心病机,运用于月 经后期的治疗。

    Abstract:

    Abstract:This article introduces four medical cases of the clinical application of classical formulas in gynecology, namely Danggui Shaoyao Powder, Wenjing Decoction, Jiao'ai Decoction, and Gegen Qinlian Decoction. Danggui Shaoyao Powder has three main effects:first,it promotes blood circulation;second,it nourishes blood,soothes the liver,fortifies the spleen,and drains dampness;third,it harmonizes blood and promotes diuresis. It is mainly used for the treatment of abdominal pain during pregnancy, targeting the pathogenesis of "the liver-spleen disharmony leading to the disease of qi and blood". Wenjing Decoction primarily warms the meridians and dissipates cold,nourishes blood, and dispels blood stasis. It targets the pathogenesis of "cold, stasis, deficiency, and heat", that is, deficiency-cold of the thoroughfare vessel and conception vessel,static blood obstruction,insufficiency of yin blood, and heat due to stasis and deficiency, and is used for the treatment of irregular intermenstrual bleeding. Jiao'ai Decoction mainly nourishes blood, stops bleeding, regulates menstruation, and prevents miscarriage. It targets the pathogenesis of "the inability of keeping yin qi internally and controlling menstrual blood due to the deficiency of the thoroughfare vessel and conception vessel",and can be used for the treatment of restless fetus. Gegen Qinlian Decoction is a classic formula for fever with diarrhea, with the main effects of clearing internal heat and venting pathogens. It targets the core pathogenesis of "fullness in the middle and internal heat", and is used for the treatment of delayed menstruation.

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杨益萍,陈永灿.经方治疗妇科病医案4 则[J].新中医,2025,57(4):18-22

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  • 在线发布日期: 2025-03-03
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