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从"虚气留滞"论治子宫内膜异位症

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认为虚气留滞是子宫内膜异位症的重要病机,"虚气"为发病之本,以脾气亏虚为主;"留滞"为致病之标,以瘀血为主,兼郁、痰、热、毒等病理因素.提出以补虚通滞为治则,主张以益气健脾、化瘀消癥为主要治法,自拟扶正化瘀方为基础方,分为经期与非经期进行随证加减治疗,兼顾运用行气、祛痰、清热、解毒等多法,标本同治.
Treatment of Endometriosis from the Perspective of"Retention due to Deficiency Qi"
It is believed that retention due to deficient qi is an important pathogenesis of endometriosis(EMs).Deficient qi is the root of the disease,mainly manifested as spleen deficiency,while retention is the branch pathogene-sis of the disease,mainly with blood stasis,complicated with constraint,phlegm,heat,toxin and other pathological factors.Therefore,it is proposed to follow the treatment principle of supplementing deficiency and unblocking stagna-tion,and take the methods of replenishing qi and fortifying the spleen,removing stasis and eliminating concretions.Self-made Fuzheng Huayu Formula(扶正化瘀方)is taken as the basic formula,and can be modified with the symp-toms in menstrual and non-menstrual periods.Additionally,the methods of moving qi,dispelling phlegm,clearing heat,relieving toxin and others can be combined,and it is recommended to treat the root and the branch simultaneously.

endometriosisretention due to deficient qireplenishing qi and fortifying the spleenremoving stasis and eliminating concretions

张瑜娟、朱友华、赵嘉静、杨亚楠、卜梦雅、方梦鑫、黄欲晓

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北京中医药大学研究生院,北京市朝阳区北三环东路11号,100029

中国中医科学院西苑医院

子宫内膜异位症 虚气留滞 益气健脾 化瘀消癥

首都卫生发展科研专项中国中医科学院科技创新工程重大攻关项目中国中医科学院"优势病种-医院制剂-新药"研发专项

首发2018-2-4174CI2021A02411ZZ15-XY-PT-04

2024

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子:1.464
ISSN:1001-1668
年,卷(期):2024.65(9)
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