陆启滨诊治绝经综合征
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摘要
陆启滨教授认为,绝经综合征的病因病机是肾阴亏虚、心肝火旺,关键病机在于肾阴亏虚,肾水不能涵养肝木,同时肾水不能上济于心。在治疗绝经综合征时,主张标本兼治,阴阳同调,强调滋阴益肾以治本,清肝宁心以治标。临床围绕滋阴益肾、清肝宁心的原则立法组方,临证经验丰富,值得深入探讨和临床推广应用。
Professor Lu Qibin believes that the etiology and pathogenesis of menopausal syndrome is deficiency of kidney yin and fire of heart and liver. The key pathogenesis is deficiency of kidney yin. Kidney water can not maintain liver, and kidney water can not help the heart. In the treatment of menopausal syndrome, he advocates the treatment of both symptoms and yin-yang harmony, emphasizing nourishing yin and kidney to cure the root cause, clearing the liver and tranquilizing the heart to cure the symptoms. The principle of nourishing yin, nourishing kidney and clearing liver and tranquilizing heart is the basis of clinical legislation. It has rich experience in clinical practice and is worthy of further discussion and clinical application.
Professor Lu Qibin believes that the etiology and pathogenesis of menopausal syndrome is deficiency of kidney yin and fire of heart and liver. The key pathogenesis is deficiency of kidney yin. Kidney water can not maintain liver, and kidney water can not help the heart. In the treatment of menopausal syndrome, he advocates the treatment of both symptoms and yin-yang harmony, emphasizing nourishing yin and kidney to cure the root cause, clearing the liver and tranquilizing the heart to cure the symptoms. The principle of nourishing yin, nourishing kidney and clearing liver and tranquilizing heart is the basis of clinical legislation. It has rich experience in clinical practice and is worthy of further discussion and clinical application.
引文
[1]杜惠兰.中西医结合妇产科学[M].北京:中国中医药出版社,2012:184.
[2]谢幸.妇产科学[M].北京:人民卫生出版社,2018:353.
[3]许凤全,郑瑀,许琳洁,等.加味二仙汤联合心理疏导对更年期抑郁症女性单胺类神经递质的影响[J].中国中西医结合杂志,2017,37(7):789-794.
[4]丁楠,周惠芳.周惠芳治疗更年期综合征经验[J].中华中医药杂志,2018,33(8):3426-3428.
[5]朱晓宏,倪晓春,陆永嘉,等.耳穴贴压结合黄连阿胶汤口服对心肾不交型女性围绝经期综合征患者性激素水平的影响[J].中国临床保健杂志,2015,18(1):79-80.
[6]王翠红.固冲解郁汤配合心理疏导治疗更年期综合征[J].山西中医,2014,30(5):44,54.
[7]郭红玉,钱菁.从心肾论治更年期综合征体会[J].江苏中医药,2017,49(5):25-26.
[8]谈勇.中国百年百名中医临床家丛书-夏桂成[M].北京:中国中医药出版社,2001:147.
[9]吕文勇.自拟生地熟地方治疗肝肾阴虚证更年期综合征疗效观察[J].四川中医,2016,34(6):121-123.
[10]郭姗珊,王珍贞,汤倩珏.王大增运用“清心平肝法”膏方治疗更年期综合征[J].长春中医药大学学报,2018,34(1):67-69.
[11]李克建.柏子养心汤加减治疗中老年围绝经期失眠症[J].吉林中医药,2017,37(12):1219-1222.
[12]宋淼,夏亲华.围绝经期抑郁的中药调治[J].长春中医药大学学报,2016,32(3):498-500.
[13]程艳然,熊振芳,胡慧,等.浅议肾气丸中生地黄的应用[J].中医药导报,2018,24(16):11-13.
[14]邵礼梅,许世伟.山药化学成分及现代药理研究进展[J].中医药学报,2017,45(2):125-127.
[15]褚书豪,汪小彩,冯良.太子参化学成分及其药理作用研究进展[J].光明中医,2016,31(4):1047-1048.
[16]盖晓红,刘素香,任涛,等.黄连的化学成分及药理作用研究进展[J].中草药,2018,49(20):4919-4927.
[17]徐浩,卢静,曲彩红.茯苓多糖的药理作用研究概况[J].临床合理用药,2015,8(6A):175-176.
[18]吴闽枫,李斌.雷公藤药理作用及治疗免疫性皮肤病研究进展[J].中国中西医结合杂志,2018,38(10):1271-1276.
[19]刘小云.更年期相关性疾病与中医优势[J].中医药导报,2017,23(2):1-4.
[20]冯璇,王小云.王小云教授“以情胜情”法治疗更年期女性情志障碍经验[J].中华中医药杂志,2014,29(3):789-792.
[21]许凤全,张成,王彩凤,等.心身并治对更年期抑郁症患者女性激素的影响[J].世界中西医结合杂志,2017,17(7):893-895.
[2]谢幸.妇产科学[M].北京:人民卫生出版社,2018:353.
[3]许凤全,郑瑀,许琳洁,等.加味二仙汤联合心理疏导对更年期抑郁症女性单胺类神经递质的影响[J].中国中西医结合杂志,2017,37(7):789-794.
[4]丁楠,周惠芳.周惠芳治疗更年期综合征经验[J].中华中医药杂志,2018,33(8):3426-3428.
[5]朱晓宏,倪晓春,陆永嘉,等.耳穴贴压结合黄连阿胶汤口服对心肾不交型女性围绝经期综合征患者性激素水平的影响[J].中国临床保健杂志,2015,18(1):79-80.
[6]王翠红.固冲解郁汤配合心理疏导治疗更年期综合征[J].山西中医,2014,30(5):44,54.
[7]郭红玉,钱菁.从心肾论治更年期综合征体会[J].江苏中医药,2017,49(5):25-26.
[8]谈勇.中国百年百名中医临床家丛书-夏桂成[M].北京:中国中医药出版社,2001:147.
[9]吕文勇.自拟生地熟地方治疗肝肾阴虚证更年期综合征疗效观察[J].四川中医,2016,34(6):121-123.
[10]郭姗珊,王珍贞,汤倩珏.王大增运用“清心平肝法”膏方治疗更年期综合征[J].长春中医药大学学报,2018,34(1):67-69.
[11]李克建.柏子养心汤加减治疗中老年围绝经期失眠症[J].吉林中医药,2017,37(12):1219-1222.
[12]宋淼,夏亲华.围绝经期抑郁的中药调治[J].长春中医药大学学报,2016,32(3):498-500.
[13]程艳然,熊振芳,胡慧,等.浅议肾气丸中生地黄的应用[J].中医药导报,2018,24(16):11-13.
[14]邵礼梅,许世伟.山药化学成分及现代药理研究进展[J].中医药学报,2017,45(2):125-127.
[15]褚书豪,汪小彩,冯良.太子参化学成分及其药理作用研究进展[J].光明中医,2016,31(4):1047-1048.
[16]盖晓红,刘素香,任涛,等.黄连的化学成分及药理作用研究进展[J].中草药,2018,49(20):4919-4927.
[17]徐浩,卢静,曲彩红.茯苓多糖的药理作用研究概况[J].临床合理用药,2015,8(6A):175-176.
[18]吴闽枫,李斌.雷公藤药理作用及治疗免疫性皮肤病研究进展[J].中国中西医结合杂志,2018,38(10):1271-1276.
[19]刘小云.更年期相关性疾病与中医优势[J].中医药导报,2017,23(2):1-4.
[20]冯璇,王小云.王小云教授“以情胜情”法治疗更年期女性情志障碍经验[J].中华中医药杂志,2014,29(3):789-792.
[21]许凤全,张成,王彩凤,等.心身并治对更年期抑郁症患者女性激素的影响[J].世界中西医结合杂志,2017,17(7):893-895.