刘瑞芬运用三期祛瘀法治疗子宫内膜增生症经验
LIU Ruifen's Experience in Treating Endometrial Hyperplasia with Three-staged Stasis Dispelling Method
于明玥 1杨婕 2陈朴 2张丽娟 2刘瑞芬3
作者信息
- 1. 山东中医药大学中医学院,山东省济南市历下区经十路16369号,250014
- 2. 山东中医药大学第一临床医学院
- 3. 山东中医药大学附属医院
- 折叠
摘要
总结刘瑞芬教授治疗子宫内膜增生症的临证经验.认为伏瘀内阻胞宫胞络为子宫内膜增生症的核心病机,结合疾病临床表现将月经周期分为经行期、经漏期、经净期3个阶段,提出三期祛瘀法.经行期伏瘀积久化癥,治宜行气活血、化瘀消癥,自拟宫清方;经漏期气阴两虚兼瘀热互结,治宜益气清热、祛瘀止血,自拟通用止血方;经净期易因痰、郁加重伏瘀,治宜化痰散结、行气祛瘀,自拟止痛调血方.同时重视辨证与辨病相结合,中西医协同诊疗.
Abstract
This paper summarized professor LIU Ruifen's clinical experience in treating endometrial hyperplasia.It is believed that the core pathogenesis of endometrial hyperplasia is internal obstruction of uterus and intrauterine collaterals by latent stasis.Based on the clinical manifestations,the menstrual cycle is divided into three stages,that is menstrual period,menstrual leakage period,and clear menstrual period,and the method of"three-staged stasis dis-pelling"is proposed.During the menstrual period,it is appropriate to move qi and invigorate blood,dissolve stasis and disperse concretions,with self-made Gongqing Formula(宫清方).For menstrual leakage period,it is suggested to boost qi and clear heat,dispel stasis and stanch bleeding,with self-made Tongyong Zhixue Formula(通用止血方).In terms of clear menstrual period,the method of dissolving phlegm and dissipating masses,moving qi and dispelling stasis is advised,and self-made Zhitong Tiaoxue Formula(止痛调血方)can be used.Simultaneously,attention should be paid to the combination of syndrome differentiation and disease differentiation,as well as collaborative diag-nosis and treatment with traditional Chinese and Western medicine.
关键词
子宫内膜增生症/伏瘀/祛瘀/名医经验/刘瑞芬Key words
endometrial hyperplasia/latent stasis/dispel stasis/experience of famous doctor/LIU Ruifen引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据