摘要
王翠霞教授认为"寒、热、虚、实"均可致瘀,滥用固涩止血药也可致瘀,故瘀血是崩漏的重要病理产物,同时又成为发病的重要因素。瘀血既是崩漏本质,又是继发病因,治疗应从"血瘀"并分期论治,瘀血崩漏补涩剂效果不佳,必须活血化瘀,瘀血不去则新血不得归经。出血期"通因通用""化瘀止血",止血后"补肾健脾,调经促排卵",王师主张月经周期、经期、经量恢复两个周期以上停止用药。附崩漏(瘀血阻滞)验案1则。
Metrorrhagia and metrostaxis is department of gynaecology common clinical refractory severe and urgent, Professor WANG Cuixia believes that "cold, heat, deficiency and overdo" could cause blood stasis, Metrorrhagia generation is because the application of hemostatic generated due to blood stasis, so blood stasis is an important pathological product of metrorrhagia. At the same time, it is also an important factor of pathogenesis.Treating metrorrhagia and metrostaxis could according to blood stasis and ues treatment by stages, bleeding period, use "method of removing blood stasis and hemostasis", After hemostasis,use invigorating kidney and strengthening spleen, regulating menstrual cycle and promoting ovulation, the effect is significant.
引文
[1]马宝璋.中医妇科学[M].北京:中国中医药出版社,2012.
[2]胡国臣.唐容川医学全书·血证论[M].北京:中国中医药出版社,1999:81.
[3]巢元方.诸病源候论·卷三十八·崩中漏下候[M].北京:人民卫生出版社,1955:205.
[4]张玉珍.中医妇科学[M].北京:中国中医药出版社,2002:217.
[5]方广.丹溪心法附余[M].清·大本堂木刻本,1837:334.
[6]吕春英.止血塞流法治疗崩漏浅析[J].湖北中医,2013,35(4):520.
[7]萧埙.女科经纶[M].郭瑞华,点校.北京:人民卫生出版社,1986:39-40.
[8]齐学敏.文晓红通因通用法治疗妇科崩漏28例[J].湖北中医杂志,2011,33(12):52-53.
[9]经燕,赵红,李鸿芝.崩漏浅析[J].中国医学报,1998,18(6):75.