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清瘀温通法治疗子宫腺肌病探析

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

adenomyosisblood stasismethod of clearing blood stasis,warming and dredgingcold congealing and blood stasisprolonged blood stasis transforming into heatusing both cold and warm medicinals

曹敏、吴中恺、杜尘、曾薇薇、庄梦斐、曹阳、张婷婷

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上海中医药大学附属岳阳中西医结合医院妇科,上海 200437

上海中医药大学附属曙光医院妇科,上海 201203

子宫腺肌病 瘀血 清瘀温通法 寒凝血瘀 瘀久化热 寒温并用

国家自然科学基金面上项目上海市卫生健康委名老中医学术经验研究工作室项目上海市进一步加快中医药传承创新发展三年行动计划上海市卫生健康委海派中医流派传承创新团队建设项目国家自然科学基金青年科学基金

8207150243SHGZS-202229ZY2021-202303022021LPTD-00282004398

2024

10.16295/j.cnki.0257-358x.2024.06.004

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
年,卷(期)：2024.43(6)