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《妇人大全良方》产后恶露不绝证治特点浅析

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从《妇人大全良方》论治产后恶露不绝的理法方药入手,总结和归纳陈自明对于该病病因病机的认识和用药特点.产后恶露不绝多与气血亏虚、阴虚内热、风冷搏之、内伤七气等因素导致冲任不固、气血运行失常有关,病因病机包含虚、瘀两端,而以瘀为主;通过简单的统计学分析,总结出其治疗上通、补结合,选方用药以通瘀为主,配合补虚,所用药物药性偏于温平,味多苦甘辛;服用时多以酒调下或以酒同煎服,活血化瘀的同时引药入经;并从饮食、情志、休息、房事等方面强调产后护理的重要性.对后世医家治疗产后恶露不绝具有重要的指导意义.
Discussion on the Characteristics of Furen Daquan Liangfang in Treating Postpartum Lochiorrhea
Chen Ziming's understanding of the etiology and pathogenesis and the characteristics of the medication is summa-rized in the paper by studying the treating principles and prescriptions of postpartum lochiorrhea in Furen Daquan Liangfang.Postpartum lochiorrhea is mostly related to Chong-Ren debility and Qi-blood imbalance caused by deficiency of Qi and blood,Yin deficiency with internal heat,cold coagulation and emotional disorder.Although both deficiency and stasis are included in its etiology and pathogenesis,stasis is more focused.Regarding the treatment,the simple statistical analysis turns out that Chen Zim-ing emphasizes on"promoting and tonifying treatment",which is a combination of dispersing blood stasis and tonifying deficien-cy.The properties of the drugs are warm and mild,and the tastes are mostly bitter,sweet or pungent.While taking it,it's usual-ly better to add wine to the decoction,which helps to promote blood circulation and remove blood stasis.Besides,postpartum care is important,especially in diet,emotion,rest,sex,etc.Chen's experience has important clinical guiding significance in treating postpartum lochiorrhea in later ages.

Furen Daquan LiangfangPostpartum LochiorrheaPathogenesisTreatment

梁嘉玲、刘雁峰

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上海交通大学医学院附属第九人民医院中医科,上海 200011

北京中医药大学东直门医院妇科,北京 100700

《妇人大全良方》 产后恶露不绝 病机 通补结合

上海市卫生健康委中医药科研项目

2022QN024

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(3)
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