山东中医杂志2024,Vol.43Issue(6) :574-577,584.DOI:10.16295/j.cnki.0257-358x.2024.06.004

清瘀温通法治疗子宫腺肌病探析

Analysis of Treatment of Adenomyosis with Method of Clearing Blood Stasis,Warming and Dredging

曹敏 吴中恺 杜尘 曾薇薇 庄梦斐 曹阳 张婷婷
山东中医杂志2024,Vol.43Issue(6) :574-577,584.DOI:10.16295/j.cnki.0257-358x.2024.06.004

清瘀温通法治疗子宫腺肌病探析

Analysis of Treatment of Adenomyosis with Method of Clearing Blood Stasis,Warming and Dredging

曹敏 1吴中恺 1杜尘 1曾薇薇 2庄梦斐 1曹阳 1张婷婷
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作者信息

  • 1. 上海中医药大学附属岳阳中西医结合医院妇科,上海 200437
  • 2. 上海中医药大学附属曙光医院妇科,上海 201203
  • 折叠

摘要

瘀血是子宫腺肌病的重要致病因素,女性体内瘀血的产生多与寒邪相关,而瘀久又易化热,故寒凝血瘀、瘀久化热是子宫腺肌病的主要病机.临床治疗本病应从寒热错杂、瘀血内阻角度出发,采用寒温并用、清瘀温通的治法.清瘀温通方由赤芍、桃仁、生蒲黄、五灵脂、乌药、小茴香、当归、生地黄、黄芪组成,具有活血化瘀、消癥止痛之效,可供临床治疗子宫腺肌病选用.

Abstract

Blood stasis is an important pathogenic factor of adenomyosis,and the generation of blood stasis in women's body is often related to cold pathogens.Prolonged blood stasis can easily transform into heat.Therefore,the main pathological mechanism of adenomyosis is the combination of cold congealing and blood stasis transforming into heat.Clinical treatment for this disease should start from the perspective of mixed cold and heat and internal obstruction of blood stasis,and adopt the treatment method of clearing blood stasis,warming and dredging,using both cold and warm medicinals.The Qingyu Wentong Formula(清瘀温通方)is composed of Chishao(Paeoniae Radix Rubra),Taoren(Persicae Semen),Shengpuhuang(Typhae Pollen),Wulingzhi(Faeces Togopteri),Wuyao(Linderae Radix),Xiaohuixiang(Foeniculi Fructus),Danggui(Angelicae Sinensis Radix),Shengdihuang(Rehmanniae Radix),and Huangqi(Astragali Radix),with the effect of activating blood circulation to remove blood stasis and eliminating mass to relieve pain.This formula can be used for clinical treatment of adenomyosis.

关键词

子宫腺肌病/瘀血/清瘀温通法/寒凝血瘀/瘀久化热/寒温并用

Key words

adenomyosis/blood stasis/method of clearing blood stasis,warming and dredging/cold congealing and blood stasis/prolonged blood stasis transforming into heat/using both cold and warm medicinals

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基金项目

国家自然科学基金面上项目(8207150243)

上海市卫生健康委名老中医学术经验研究工作室项目(SHGZS-202229)

上海市进一步加快中医药传承创新发展三年行动计划(ZY2021-20230302)

上海市卫生健康委海派中医流派传承创新团队建设项目(2021LPTD-002)

国家自然科学基金青年科学基金(82004398)

出版年

2024
山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子:0.431
ISSN:0257-358X
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