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中西医结合治疗寒凝血瘀型原发性痛经研究进展

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原发性痛经(primary dysmenorrhea,PD)是女性生殖内分泌疾病中常见的顽症之一,目前发病机制尚不明确.西医治疗原发性痛经即时止痛效果佳但疼痛易反复,中医药治疗原发性痛经有独特优势,临床主要分为肾气亏损、气血虚弱、气滞血瘀、寒凝血瘀及湿热蕴结等,其中以寒凝血瘀型较为常见;因此,临床上多采用中西医结合治疗原发性痛经来有效减缓患者疼痛反复的频率等.文章通过整理分析近年来运用中药内服、针刺、艾灸、推拿、等中医药传统治疗方法联合现代医学治疗寒凝血瘀型原发性痛经的文献,以期为临床诊疗寒凝血瘀型原发性痛经提供参考.
Research Progress on the Treatment of Primary Dysmenorrhea with Cold Coagulation and Blood Stasis by Combining Traditional Chinese and Western Medicine
Primary Dysmenorrhea(PD)is one of the most common female reproductive endocrine diseases,and its pathogen-esis is still unclear.Western medicine has a good immediate analgesic effect on primary dysmenorrhea,but the pain is easy to re-peat.Traditional Chinese medicine has a unique advantage in the treatment of primary dysmenorrhea,which is mainly divided into kidney qi deficit,qi and blood weakness,qi stagnation and blood stasis,cold coagulation blood stasis and damp-heat accumula-tion,among which cold coagulation blood stasis type is more common.Therefore,the clinical use of traditional Chinese and western medicine to treat primary dysmenorrhea to effectively reduce the frequency of pain recurrence.In order to provide reference for clinical diagnosis and treatment of primary dysmenorrhea with cold coagulation and blood stasis,this article collates and analyzes the literature of traditional Chinese medicine combined with modern medicine in the treatment of primary dysmenorrhea with cold coagulation and blood stasis in recent years.

primary dysmenorrheaChinese and western medicine treatmentetiology and pathogenesiscold coagulation blood stasis

李新梅、王蓉、水蓉枝、张怡、李晶、代雅婷、王雪芳、王新斌

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甘肃中医药大学,甘肃兰州 730000

中国人民解放军联勤保障部队第九四○医院,甘肃兰州 730000

宝鸡市中医院,陕西宝鸡 721000

武威市人民医院,甘肃武威 733000

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原发性痛经 中西医治疗 病因病机 寒凝血瘀

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(11)