李祥云教授从冲任论治复发性外阴阴道假丝酵母菌病经验及常用药对
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摘要
本文旨在介绍全国名老中医药专家李祥云教授治疗复发性外阴阴道假丝酵母菌病(RVVC)特色经验。李教授认为治带之法与调经之法本质相通,RVVC主要病机为冲任虚损。以《医学衷中参西录》固冲汤作为固摄冲任之气血的基础方剂,运用"血水同治"理论,收敛冲任之滑脱。该病的发生离不开冲任之湿、热、瘀的病机关键,因此,其在配伍上多采用利湿、清热、活血之药,祛冲任之邪,理冲任之瘀。本文总结了李教授临床常用经验药对,以供同道共勉。
This article aims to introduce feature experience in the treatment of recurrent volvovaginal candidiasis(RVVC) of Professor LI Xiangyun, who is a national expert in Chinese traditional medicine. Professor Li thinks that the essence of RVVC treatment is similar to the method of regulating menstruation. The main pathogenesis of RVVC is the deficiency of Chong and Ren meridians. Experienced prescription Gu Chong Tang from the Book Records of Traditional Chinese and Western Medicine in Combination, was used as the basic prescription. The theory of "blood and water with the same treatment" was applied in astringing Chong and Ren meridians′ gliding. The occurrence of this disease cannot be separated from the key pathogenesis, containing wet, heat and blood stasis. So in the decoctions, clearing away heat and activating blood, dispelling Chong and Ren′s pathogens, and regulating the Chong and Ren channels were commonly used in clinic. This article summarizes the commonly used herbal pairs by Professor LI for mutual encouragement.
This article aims to introduce feature experience in the treatment of recurrent volvovaginal candidiasis(RVVC) of Professor LI Xiangyun, who is a national expert in Chinese traditional medicine. Professor Li thinks that the essence of RVVC treatment is similar to the method of regulating menstruation. The main pathogenesis of RVVC is the deficiency of Chong and Ren meridians. Experienced prescription Gu Chong Tang from the Book Records of Traditional Chinese and Western Medicine in Combination, was used as the basic prescription. The theory of "blood and water with the same treatment" was applied in astringing Chong and Ren meridians′ gliding. The occurrence of this disease cannot be separated from the key pathogenesis, containing wet, heat and blood stasis. So in the decoctions, clearing away heat and activating blood, dispelling Chong and Ren′s pathogens, and regulating the Chong and Ren channels were commonly used in clinic. This article summarizes the commonly used herbal pairs by Professor LI for mutual encouragement.
引文
[1]中华妇产科学分会感染性疾病协作组.外阴阴道念珠菌病诊治规范(草案)[J].中华妇产科杂志,2004(6):72-73
[2]董建春,王波.女性生殖道感染性疾病[M].4版.济南:山东科学技术出版社,2004:179.
[3]傅沛藩,王晓萍.明清名医医学大成·万密斋医学[M].北京:中国中医药出版社,1999.
[4]马大正.中医妇科水血学说及其发挥[J].中华中医药杂志,2017,32(2):496-501.
[5]叶天士.《临证指南医案》[M].上海:上海科学技术出版社,1959.
[6]毛淑梅,李承德,王琳,等.黄芪多糖对糖尿病大鼠胰岛β细胞超微结构及Fas表达的影响[J].中国药理学通报,2010,26(6):791-793.
[7]杨凤华,康成,李淑华,等.黄芪水溶性黄酮类对小鼠细胞免疫功能的影响[J].时珍国医国药,2002(12):718-719.
[8]李承德,周文宾,孙艳,等.黄芪多糖对哮喘大鼠Th17Treg细胞因子及肺部炎症的影响[J].中国药理学通报,2013,29(9):1275-1278.
[9]贾宁,王汉,郑晶.复方党参提取物对环磷酰胺处理小鼠免疫功能的调节作用[J].中国实验方剂学杂志,2011,17(17):206-209.
[10]杨东旭,任宏雪,储妍,等.山茱萸多糖对环磷酰胺致小鼠白细胞减少症的影响[J].中华中医药学刊,2009,27(6):1296-1297.
[11]张志军.龙骨与牡蛎的药理作用[J].国外医学:中医中药分册,1999,21(4):5-8.
[12]许雯雯,独家能,郝旭亮,等.化石类矿物药龙骨的现代研究与应用进展[J].中国中药杂志,2017,42(10):1825-1829.
[13]江长优,张健,赵江贺.牡蛎多糖增强小鼠免疫功能作用研究[J].中成药,2013,35(5):1062-1065.
[14]黄大川,李鹏,宋昱洲.牡蛎低分子活性物质对人肺腺癌A549细胞的生物学效应[J].厦门大学学报:自然科学版,2002,41(5):614-617.
[15]胡苗芬,宋新波,张丽娟,等.椿皮中铁屎米酮的分离及其体外抗菌活性研究[J].辽宁中医药大学学报,2013,15(12):75-77.
[16]胡辉,张永信.白色念珠菌生物被膜形成和由其产生的耐药机制[J].国外医药:抗生素分册,2008,29(1):1-6.
[17]彦培傲,彭成,李芸霞,等.广藿香抗菌作用的研究进展[J].华西药学杂志,2016,31(5):540-543.
[18]殷网虎,袁武军,曹美琳.土茯苓配方颗粒对临床常见致病菌的抗菌研究[J].中国中医急症,2011,20(12):1957-1958.
[19]陈静,张明珠.鸡冠花对小鼠免疫功能的影响[J].中国公共卫生,2003,18(10):77.
[20]Moteriya P,Chanda S.Synthesis and characterization of silver nanoparticles using Caesalpinia pulcherrima flower extract and assessment of their in vitro antimicrobial,antioxidant,cytotoxic,and genotoxic activities[J].Artif Cells Nanomed Biotechnol,2017,45(8):1556-1567.
[21]潘峰,郭建文.国医大师朱良春对奇经八脉理论的传承和创新[J].中华中医药杂志,2017,32(6):2522-2524.
[22]王斌,张成桂,高鹏飞,等.中药蜂房的化学成分及临床药理研究进展[J].国际药学研究杂志,2014,41(2):184-189.
[2]董建春,王波.女性生殖道感染性疾病[M].4版.济南:山东科学技术出版社,2004:179.
[3]傅沛藩,王晓萍.明清名医医学大成·万密斋医学[M].北京:中国中医药出版社,1999.
[4]马大正.中医妇科水血学说及其发挥[J].中华中医药杂志,2017,32(2):496-501.
[5]叶天士.《临证指南医案》[M].上海:上海科学技术出版社,1959.
[6]毛淑梅,李承德,王琳,等.黄芪多糖对糖尿病大鼠胰岛β细胞超微结构及Fas表达的影响[J].中国药理学通报,2010,26(6):791-793.
[7]杨凤华,康成,李淑华,等.黄芪水溶性黄酮类对小鼠细胞免疫功能的影响[J].时珍国医国药,2002(12):718-719.
[8]李承德,周文宾,孙艳,等.黄芪多糖对哮喘大鼠Th17Treg细胞因子及肺部炎症的影响[J].中国药理学通报,2013,29(9):1275-1278.
[9]贾宁,王汉,郑晶.复方党参提取物对环磷酰胺处理小鼠免疫功能的调节作用[J].中国实验方剂学杂志,2011,17(17):206-209.
[10]杨东旭,任宏雪,储妍,等.山茱萸多糖对环磷酰胺致小鼠白细胞减少症的影响[J].中华中医药学刊,2009,27(6):1296-1297.
[11]张志军.龙骨与牡蛎的药理作用[J].国外医学:中医中药分册,1999,21(4):5-8.
[12]许雯雯,独家能,郝旭亮,等.化石类矿物药龙骨的现代研究与应用进展[J].中国中药杂志,2017,42(10):1825-1829.
[13]江长优,张健,赵江贺.牡蛎多糖增强小鼠免疫功能作用研究[J].中成药,2013,35(5):1062-1065.
[14]黄大川,李鹏,宋昱洲.牡蛎低分子活性物质对人肺腺癌A549细胞的生物学效应[J].厦门大学学报:自然科学版,2002,41(5):614-617.
[15]胡苗芬,宋新波,张丽娟,等.椿皮中铁屎米酮的分离及其体外抗菌活性研究[J].辽宁中医药大学学报,2013,15(12):75-77.
[16]胡辉,张永信.白色念珠菌生物被膜形成和由其产生的耐药机制[J].国外医药:抗生素分册,2008,29(1):1-6.
[17]彦培傲,彭成,李芸霞,等.广藿香抗菌作用的研究进展[J].华西药学杂志,2016,31(5):540-543.
[18]殷网虎,袁武军,曹美琳.土茯苓配方颗粒对临床常见致病菌的抗菌研究[J].中国中医急症,2011,20(12):1957-1958.
[19]陈静,张明珠.鸡冠花对小鼠免疫功能的影响[J].中国公共卫生,2003,18(10):77.
[20]Moteriya P,Chanda S.Synthesis and characterization of silver nanoparticles using Caesalpinia pulcherrima flower extract and assessment of their in vitro antimicrobial,antioxidant,cytotoxic,and genotoxic activities[J].Artif Cells Nanomed Biotechnol,2017,45(8):1556-1567.
[21]潘峰,郭建文.国医大师朱良春对奇经八脉理论的传承和创新[J].中华中医药杂志,2017,32(6):2522-2524.
[22]王斌,张成桂,高鹏飞,等.中药蜂房的化学成分及临床药理研究进展[J].国际药学研究杂志,2014,41(2):184-189.