肖承悰治疗经前期综合征临证思路及特色
|
摘要
经前期综合征发病机制为肝血不足,肝阳上亢;肝失疏泄,气滞血瘀;肝郁乘脾,脾虚湿停;肝肾同源,阴阳俱虚。治疗上肖承悰教授立足于肝脏,兼顾脾、肾二脏,以养血调肝、健脾补肾、行气止痛为主要治疗法则,以"未病先防,已病防传"为基本思想,其基础方经前安宁汤中以养血柔肝为主,兼顾肝、肾二脏,临床中再根据症状加减,效果颇佳。
The pathogenesis of pre-menstrual syndrome is Liver blood deficiency,Liver Yang sputum;Liver Qi stagnation,Qi stagnation and blood stasis;Liver Qi overcome Spleen,Spleen deficiency and Phlegm stagnation;Liver and Kidney being homologous,Yin and Yang deficiency. In the treatment of the syndrome,Professor Xiao Chengcong focuses on the Liver,taking into account of the Spleen and Kidney,with nourishing the blood,regulating the Liver,tonifying Spleen and kidney as well as motivating Qi to stop pain as the main medical principle. At the same time,the basic idea in treatment is treatment before the disease and prevention the progress of the disease afterwards. The basic prescription is Jingqian Anning Decoction,which mainly functions to nourish the blood and soften the Liver,taking into account the Liver and Kidney. In clinical practices,modified prescriptions are commonly used according to the symptoms and the treatment effect is quite good.
The pathogenesis of pre-menstrual syndrome is Liver blood deficiency,Liver Yang sputum;Liver Qi stagnation,Qi stagnation and blood stasis;Liver Qi overcome Spleen,Spleen deficiency and Phlegm stagnation;Liver and Kidney being homologous,Yin and Yang deficiency. In the treatment of the syndrome,Professor Xiao Chengcong focuses on the Liver,taking into account of the Spleen and Kidney,with nourishing the blood,regulating the Liver,tonifying Spleen and kidney as well as motivating Qi to stop pain as the main medical principle. At the same time,the basic idea in treatment is treatment before the disease and prevention the progress of the disease afterwards. The basic prescription is Jingqian Anning Decoction,which mainly functions to nourish the blood and soften the Liver,taking into account the Liver and Kidney. In clinical practices,modified prescriptions are commonly used according to the symptoms and the treatment effect is quite good.
引文
[1]张佩霞.辨证治疗经前期综合征64例[J].实用中医药杂志,2014,30(1):11-12.
[2]工卉,丁美红,潘爱萍,等.泰州市医学高职女生PMS现状与生活质量的调查分析[J].现代医药卫生,2013,29(20):3045-3048.
[3]李洋.女大学生PMS发生现况及其影响的调查研究[J].预防医学论坛,2013,19(11):801-803.
[4]孙智颖,刘凤茹,林万春.经前期紧张综合征的认知神经机制及综合干预研究[J].心理月刊,2018,13(13):13-14.
[5]郝桂荣,刘东.634 名女大学生痛经情况调查分析[J].泰山医学院学报,2010,21(3):235-236.
[6]周春慧,杨白兰,杨章莉,等.小剂量米非司酮治疗经前期综合征的随机双盲对照研究[J].中国临床药理学与治疗学,2012,17(12):1398-1400.
[7]TAKEDA T,LMOTO Y,NAGASAWA H,et al.Premenstrual syndrome and premenstrual dysphoric disorder in Japanese collegiate athletes[J].J Pediatr Adolescent Gynecol,2015,28(4):215-218.
[8]LOVICK T A,GUAPO V G,ANSELMO-FRANCI J A,et al.A specific profile of luteal phase progesterone is associated with the development of premenstrual symptoms[J].Psychoneuroendocrinology,2017,75:83-90.
[9]YOUN J.Central 5-HT 1 A receptor-mediated modulation of heart rate dynamics and its adjustment by conditioned and unconditioned fear in mice[J].Bri J Pharmacol,2013,170(4):859-870.
[10]孙丽,刘海燕,刑伟.认知行为疗法对经前期综合征女性疾病相关症状的影响[J].中国实用神经疾病杂志,2017,20(1):47-48.
[11]张佩霞.辨证治疗经前期综合征64例[J].实用中医药杂志,2014,30(1):11-12.
[12]李靖.中药结合中医情志疗法治疗经前期综合征疗效观察[J].心理月刊,2018,13(1):13.
[13]乔明琦,张珍玉,徐旭杰,等.经前期综合征证候分布规律的流行病学调查研究[J].中国中医基础医学杂志,1997,3(3):31.
[14]许茹,钟风林.经前期紧张综合征治疗方剂组方用药规律分析[J].亚太传统医药,2016,12(21):124-125.
[15]梁洁莎,林浣妹,王小云.疏肝理气法治疗经前期综合征疗效观察[J].海南医学,2018,29(7):1017-1018.
[2]工卉,丁美红,潘爱萍,等.泰州市医学高职女生PMS现状与生活质量的调查分析[J].现代医药卫生,2013,29(20):3045-3048.
[3]李洋.女大学生PMS发生现况及其影响的调查研究[J].预防医学论坛,2013,19(11):801-803.
[4]孙智颖,刘凤茹,林万春.经前期紧张综合征的认知神经机制及综合干预研究[J].心理月刊,2018,13(13):13-14.
[5]郝桂荣,刘东.634 名女大学生痛经情况调查分析[J].泰山医学院学报,2010,21(3):235-236.
[6]周春慧,杨白兰,杨章莉,等.小剂量米非司酮治疗经前期综合征的随机双盲对照研究[J].中国临床药理学与治疗学,2012,17(12):1398-1400.
[7]TAKEDA T,LMOTO Y,NAGASAWA H,et al.Premenstrual syndrome and premenstrual dysphoric disorder in Japanese collegiate athletes[J].J Pediatr Adolescent Gynecol,2015,28(4):215-218.
[8]LOVICK T A,GUAPO V G,ANSELMO-FRANCI J A,et al.A specific profile of luteal phase progesterone is associated with the development of premenstrual symptoms[J].Psychoneuroendocrinology,2017,75:83-90.
[9]YOUN J.Central 5-HT 1 A receptor-mediated modulation of heart rate dynamics and its adjustment by conditioned and unconditioned fear in mice[J].Bri J Pharmacol,2013,170(4):859-870.
[10]孙丽,刘海燕,刑伟.认知行为疗法对经前期综合征女性疾病相关症状的影响[J].中国实用神经疾病杂志,2017,20(1):47-48.
[11]张佩霞.辨证治疗经前期综合征64例[J].实用中医药杂志,2014,30(1):11-12.
[12]李靖.中药结合中医情志疗法治疗经前期综合征疗效观察[J].心理月刊,2018,13(1):13.
[13]乔明琦,张珍玉,徐旭杰,等.经前期综合征证候分布规律的流行病学调查研究[J].中国中医基础医学杂志,1997,3(3):31.
[14]许茹,钟风林.经前期紧张综合征治疗方剂组方用药规律分析[J].亚太传统医药,2016,12(21):124-125.
[15]梁洁莎,林浣妹,王小云.疏肝理气法治疗经前期综合征疗效观察[J].海南医学,2018,29(7):1017-1018.