中医药临床杂志2024,Vol.36Issue(3) :410-413.DOI:10.16448/j.cjtcm.2024.0305

基于"一气周流"理论阐释节食后闭经的病机与证治

The Pathogenesis and Treatment of Amenorrhea after Dieting based on the Theory of "Circular Flow of Qi"

李雪 刘卉 于真苹
中医药临床杂志2024,Vol.36Issue(3) :410-413.DOI:10.16448/j.cjtcm.2024.0305

基于"一气周流"理论阐释节食后闭经的病机与证治

The Pathogenesis and Treatment of Amenorrhea after Dieting based on the Theory of "Circular Flow of Qi"

李雪 1刘卉 2于真苹3
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作者信息

  • 1. 山东中医药大学第一临床医学院 山东济南 250014
  • 2. 山东中医药大学附属医院 山东济南 250014
  • 3. 山东中医药大学中医学院 山东济南 250014
  • 折叠

摘要

"以瘦为美"成为当下的主流审美,不正当的减肥方式层出不穷,致使节食后闭经的发病率逐年增加.针对这一现象,试图在对"一气周流"理论认识的基础上,阐释节食后闭经的病机与症治,从而更加有效的进行辨证论治,拓宽临床治疗思路.清代著名医家黄元御提出一气周流理论,认为中气左升右降是人体气机运转的基本形式,月经为中气周流的结果和体现.通过研究,得到以下主要结论:脾胃亏虚、转运乏源是本病发生的起点,肝木郁陷是病机的关键,肾虚水寒、脾虚湿困是发展的重要环节.治疗原则以固护脾胃为本;补肾阳助左升之轮;通行木气以调畅情志;审因论治,兼以行气活血.

Abstract

'Taking thin as beauty ' has become the mainstream aesthetics at present, and improper weight loss meth-ods have emerged in an endless stream, resulting in an increasing incidence of amenorrhea after dieting. In view of this phenomenon, this paper attempts to explain the pathogenesis and treatment of amenorrhea after dieting on the basis of understanding the theory of ' circular flow of qi ', so as to make more accurate selection of treatment based on the diffe rential diagnosis.Huang Yuanyu, a famous doctor in the Qing Dynasty, put forward the theory of circular flow of qi. He believes that the left rise and right fall of the middle Qi is the basic form of the operation of the human Qi machine, and menstruation is the result and embodiment of the circulation of the middle Qi. Through research, the following main conclusions are obtained : The deficiency of spleen and stomach leading to the lack of source of transport is the starting point of this disease. Liver wood stagnation is the key to the pathogenesis. Kidney deficiency, water cold, spleen defi-ciency and dampness stagnation are important links in development. The treatment principle is based on solid protec-tion of the spleen and stomach ; tonifying the kidney yang to help the left ascending wheel ; passing wood gas to smooth emotions ; Examinating of diagnosis seeking reasons, and promoting qi and blood circulation.

关键词

一气周流/节食后闭经/理论探讨/数据挖掘

Key words

circulation of one Qi/Amenorrhea after dieting/Theoretical discussion/Data mining

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基金项目

山东省卫生健康委员会齐鲁医派中医学术流派传承项目(鲁卫函[2022]93号)

山东省中医药科技发展计划项目(2017-071号)

出版年

2024
中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
参考文献量20
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