从温阳法论治产后痹
Treatment of postpartum paralysis using the warming yang method
李艺 1谢京红2
作者信息
- 1. 北京市通州区妇幼保健院 北京 101101
- 2. 中国中医科学院西苑医院
- 折叠
摘要
产后痹是临床常见妇科疾病,可归属于中医"产后关节痛""产后身痛"等范畴.阳气固密是维持人体阴阳平衡的关键,妇人"阴常不足,阳亦常虚",临床治疗应注重顾护阳气,温阳法广泛用于临床妇科等疾病的治疗.阳气受损是产后痹主要病机,具体包括:风寒阻络,阳气受损;气血亏虚,卫阳不固;脾肾阳虚,温煦失司;久病阳虚,血络郁滞;阳郁神颓,情志失调.产后痹的治法主要有:祛风散寒,温阳止痛;益气温阳,行血通痹;温补脾肾,蠲痹通络;温阳补虚,活血祛瘀;温阳行气,解郁安神.并通过临床案例阐述从温阳法论治产后痹的思路.
Abstract
Postpartum paralysis is a common gynecological condition characterized in Traditional Chinese Medicine (TCM) as "postpartum joint pain" and "postpartum body pain". Yang qi,essential for maintaining the balance of yin and yang in the body,is often deficient in women,affecting their health. Clinical treatment emphasizes the protection and enhancement of yang qi,with the warming yang method widely employed in gynecological practice and other areas of TCM. The primary pathogenesis of postpartum paralysis involves impairment of yang qi,including factors such as wind-cold obstruction leading to yang damage,deficiency of qi and blood affecting wei yang stability,and deficiencies in spleen and kidney yang resulting in failed warming functions. Prolonged illness exacerbates yang deficiency and blood stasis,further leading to spiritual fatigue and emotional disturbances. Treatment strategies for postpartum paralysis include dispelling wind and cold,warming yang to alleviate pain;boosting qi and warming yang,promoting blood circulation to relieve paralysis;tonifying spleen and kidney to clear channels and relieve paralysis;replenishing yang deficiency to promote blood circulation and dispel stasis;and invigorating yang and promoting qi to relieve depression and soothe the spirit. Clinical cases are presented to elucidate the application of the warming yang method in treating postpartum paralysis.
关键词
温阳法/产后痹/辨证论治/关节冷痛/理论探讨Key words
warming yang method/postpartum paralysis/diagnosis and treatment/joint cold pain/theoretical discussion引用本文复制引用
基金项目
北京市通州区科技计划项目(KJ2023CX078)
出版年
2024
国家科技期刊平台
NSTL
万方数据