张晓丹治疗崩漏经验
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摘要
张晓丹教授治疗崩漏,不离塞流、澄源、复旧三大治法,但也不拘泥于初期塞流,中期澄源,末期复旧的步骤,而是将其融会贯通。在塞流方面,重视瘀血为患,不一味见血止血,并根据不同出血阶段,将瘀血分为"死血"和"活血",灵活处之;澄源大法始终贯穿诊疗之中,辨证论治,青春期崩漏者,注重脾肾调治,育龄期及围绝经期崩漏者,尤以肝肾为重,兼顾心脾。其治法虽各不相同,但终不离肝、肾、脾三脏,随其病因而治之。复旧之法则根据患者情况,或调经,或种子,或善其后。
There three major methods of Sailiu,Chengyuan and Fujiu when Professor Zhang Xiaodan treats for metrorrhagia and metrostaxis. However,it is not limited to the mechanic steps in doing so. In terms of " Sailiu",she pays attention to blood stasis,not blindly stopping bleeding when seeing blood. According to different bleeding stages,the stasis blood is divided into " dead blood" and " living blood",which is treated flexiblely. The " Chengyuan" method is always used through the whole process of syndrome differentiation and treatment. For adolescent metrorrhagia and metrostaxis,treatment focuses on Spleen and Kidney. For childbearing age and perimenopausal uterus,Liver and Kidney are more focused with Heart and Spleen being noticed. Although the treatment methods are different,they usually focus the Liver,Kidney and Spleen,and treatment is carried out according to the pathogenesis of the disease. The method of"Fujiu is based on the patient's condition,method of regulataing menstruation or sowing seed or dealing with problem afterwards.
There three major methods of Sailiu,Chengyuan and Fujiu when Professor Zhang Xiaodan treats for metrorrhagia and metrostaxis. However,it is not limited to the mechanic steps in doing so. In terms of " Sailiu",she pays attention to blood stasis,not blindly stopping bleeding when seeing blood. According to different bleeding stages,the stasis blood is divided into " dead blood" and " living blood",which is treated flexiblely. The " Chengyuan" method is always used through the whole process of syndrome differentiation and treatment. For adolescent metrorrhagia and metrostaxis,treatment focuses on Spleen and Kidney. For childbearing age and perimenopausal uterus,Liver and Kidney are more focused with Heart and Spleen being noticed. Although the treatment methods are different,they usually focus the Liver,Kidney and Spleen,and treatment is carried out according to the pathogenesis of the disease. The method of"Fujiu is based on the patient's condition,method of regulataing menstruation or sowing seed or dealing with problem afterwards.
引文
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[13]宋婷婷,刘喜庆.再谈塞流[J].中医临床研究,2015,7(7)31:71-72.
[14]鲍粉红,孙园园.夏桂成治疗崩漏经验浅析[J].临床合理用药杂志,2017,10(4):123-124.
[15]王丹.浅谈中药炒炭后止血功效产生或增强的因素[J].湖北中医杂志,2014,36(1):70-71.
[16]秦小东,宋敏,袁宏佳.炭类中药浅谈[J].实用中医药杂志,2017,33(5):583-584.
[2]谢幸,苟文丽.妇产科学[M]. 8版.北京:人民卫生出版社,2014:344.
[3]MALCOLM G,MUNROHILARY O D. Critchley,Ian S. Fraser. The FIGO classification of causes of abnormal uterine bleeding in the reproductive years[J]. Fertility Sterility,2011,95(7):2204-2208.
[4]ANDRA H. JAMES,PETER A. Abdul-Kadir R,et al. J. Evaluation and management of acute menorrhagia in women with and without underlying bleeding disorders:consensus from an international expert panel[J]. European J Obstetrics Gynecology,2011,158(2):120-123.
[5]MALCOLM G. Munro,Hilary O D. Critchley,Michael S. Broder,Ian S. Fraser. FIGO classification system(PALM-COEIN)for causes of abnormal uterine bleeding in nongravid women of reproductive age[J]. Interna J Gynecology Obstetrics,2010,113(1):3-9.
[6]中华医学会妇产科学分会内分泌学组.异常子宫出血诊断与治疗指南[J].中华妇产科杂志,2014,49(11):801.
[7]李涛,任晓红,周铭心.周铭心治疗崩漏经验[J].中医杂志,2011,57(14):1246.
[8]蔡颖超,谷灿灿,何珏,等.江南妇科流派治疗崩漏经验浅析[J].四川中医,2017,35(7):3-5.
[9]傅山.傅青主女科[M].北京:人民卫生出版社,2006:3.
[10]唐宗海.血证论[M].北京:人民卫生出版社,2005:37.
[11]梁志齐.梁仪韵治疗崩漏经验[J].中国中医药信息杂志,2013,20(4):85-86.
[12]孙思邈.备急千金要方[M].北京:中国医药科技出版社,2005:271.
[13]宋婷婷,刘喜庆.再谈塞流[J].中医临床研究,2015,7(7)31:71-72.
[14]鲍粉红,孙园园.夏桂成治疗崩漏经验浅析[J].临床合理用药杂志,2017,10(4):123-124.
[15]王丹.浅谈中药炒炭后止血功效产生或增强的因素[J].湖北中医杂志,2014,36(1):70-71.
[16]秦小东,宋敏,袁宏佳.炭类中药浅谈[J].实用中医药杂志,2017,33(5):583-584.