理气活血法治疗子宫内膜异位症探析
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摘要
从内异症的病机、内异症与气滞血瘀的关系、理气活血法在内异症治疗中的应用及疗效机理等方面探析理气活血法治疗内异症的可行性。认为血瘀是内异症的主要发病机理,瘀血内阻为本病基本病机,气滞血瘀证是内异症的最常见中医证型,理气活血法是中医临床治疗内异症的常用治法。建议内异症的临床研究及疗效评价体系应不断客观化与标准化,对理气活血中药机理研究应多方位、多靶点深入开展,为中医药治疗内异症提供更为有效的思路和方法。
This paper analyzes the feasibility of promoting Qi and activating blood method in the treatment of endometriosis from the pathogenesis of endometriosis,the relationship between endometriosis and Qi stagnation and blood stasis syndrome,promoting Qi and activating blood method in the treatment of endometriosis,therapeutic effectiveness mechanism. Thinks that blood stasis is the main pathogenesis of endometriosis and blood stasis resistance is the basic pathogenesis of the disease. Qi stagnation and blood stasis syndrome is the most common type of the disease,promoting Qi and activating blood method is commonly used in the clinical treatment in TCM. Suggest endometriosis clinical research and curative effect evaluation system should be constantly objectification and standardization,research on the mechanism of TCM for Qi and blood circulation should be comprehensive,more in-depth development targets,in order to provide ideas and methods for future researches.
This paper analyzes the feasibility of promoting Qi and activating blood method in the treatment of endometriosis from the pathogenesis of endometriosis,the relationship between endometriosis and Qi stagnation and blood stasis syndrome,promoting Qi and activating blood method in the treatment of endometriosis,therapeutic effectiveness mechanism. Thinks that blood stasis is the main pathogenesis of endometriosis and blood stasis resistance is the basic pathogenesis of the disease. Qi stagnation and blood stasis syndrome is the most common type of the disease,promoting Qi and activating blood method is commonly used in the clinical treatment in TCM. Suggest endometriosis clinical research and curative effect evaluation system should be constantly objectification and standardization,research on the mechanism of TCM for Qi and blood circulation should be comprehensive,more in-depth development targets,in order to provide ideas and methods for future researches.
引文
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[4]罗颂平,张玉珍.罗元恺妇科经验集.上海科学技术出版社,2005:284.
[5]付金荣,郑锦,胡晓梅等.盆痛灵直肠给药治疗子宫内膜异位症盆腔痛的临床观察[J].上海中医药杂志,2007,41(3):35.
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[10]蒲翔,冯永,梅颖.理气活血法配伍规律的实验室研究[J].贵阳中医学院学报,2011,33(3):13.
[11]牟梅君.疏肝化瘀法治疗子宫内膜异位症36例[J].黑龙江中医药,2000(2):44.
[12]谭妙群,黄春凤.醋酸甲轻孕酮联合行气逐瘀止痛方治疗气滞血瘀型子宫内膜异位症的临床疗效观察[J].中国医学工程,2016,24(8):78.
[13]颜艳芳.自拟内异消瘀汤治疗气滞血瘀型子宫内膜异位症40例[J].中国中医药科技,2015,22(5):597.
[14]徐云霞,徐经凤,李伟莉,等.徐氏痛经松方治疗子宫内膜异位症痛经临床及实验研究[J].辽宁中医药大学学报,2015,17(5):129.
[15]柴华,王嘉梅.理气活血法治疗气滞血瘀型子宫内膜异位症痛经73例的临床效果[J].中国医药导报,2015,12(19):89.
[16]杨娜,张艳萍.气滞血瘀型子宫内膜异位症的临床治疗疗效分析[J].中国医药指南,2016,17(21):186.
[17]张晓娜.木达汤对气滞血瘀型卵巢子宫内膜异位囊肿术后复发的影响[D].福建中医药大学,2012.
[18]霍晓蕾,刘书芳,张洪英.疏肝活血方对子宫内膜异位症腹腔镜术后复发率与IL-8的影响[J].中医药导报,2014,20(2):121.
[19]宋秋菊.行气逐瘀止痛方治疗气滞血瘀型子宫内膜异位症的临床研究[D].山东中医药大学,2012.
[20]杨艳环.基于“AAA通路”探讨活血消异方抑制大鼠子宫内膜异位症复发的机理[D].中国中医科学院,2011.
[21]孙伟伟,杨艳环,郝增平.丹赤饮对于子宫内膜异位症患者血清白细胞介素的影响[J].中国中医药信息杂志,2014,21(6):14.
[2]Howard FM.Surgical treatment of endometriosis[J].Obstet Gynecol Clin North Am,2011,38(4):677.
[3]王佳莲.中医药治疗子宫内膜异位症痛经的现代文献及临床研究[D].黑龙江中医药大学,2014.
[4]罗颂平,张玉珍.罗元恺妇科经验集.上海科学技术出版社,2005:284.
[5]付金荣,郑锦,胡晓梅等.盆痛灵直肠给药治疗子宫内膜异位症盆腔痛的临床观察[J].上海中医药杂志,2007,41(3):35.
[6]韩亚光,朱晓琳,杜家天等.韩延华教授治疗子宫内膜异位症经验探析[C].中华中医药学会妇科分会第十次全国中医妇科学术大会论文集.2010:63.
[7]王阿丽,陈艳.王子瑜妇科临证经验集,第1版.北京:人民卫生出版社,2008:199.
[8]郭雯雯.子宫内膜异位症相关古代文献证候要素及用药规律研究[D].广州中医药大学,2012.
[9]陈彦辛.子宫内膜异位症证候分布研究与病证结合动物模型的研制[D].广州中医药大学,2014.
[10]蒲翔,冯永,梅颖.理气活血法配伍规律的实验室研究[J].贵阳中医学院学报,2011,33(3):13.
[11]牟梅君.疏肝化瘀法治疗子宫内膜异位症36例[J].黑龙江中医药,2000(2):44.
[12]谭妙群,黄春凤.醋酸甲轻孕酮联合行气逐瘀止痛方治疗气滞血瘀型子宫内膜异位症的临床疗效观察[J].中国医学工程,2016,24(8):78.
[13]颜艳芳.自拟内异消瘀汤治疗气滞血瘀型子宫内膜异位症40例[J].中国中医药科技,2015,22(5):597.
[14]徐云霞,徐经凤,李伟莉,等.徐氏痛经松方治疗子宫内膜异位症痛经临床及实验研究[J].辽宁中医药大学学报,2015,17(5):129.
[15]柴华,王嘉梅.理气活血法治疗气滞血瘀型子宫内膜异位症痛经73例的临床效果[J].中国医药导报,2015,12(19):89.
[16]杨娜,张艳萍.气滞血瘀型子宫内膜异位症的临床治疗疗效分析[J].中国医药指南,2016,17(21):186.
[17]张晓娜.木达汤对气滞血瘀型卵巢子宫内膜异位囊肿术后复发的影响[D].福建中医药大学,2012.
[18]霍晓蕾,刘书芳,张洪英.疏肝活血方对子宫内膜异位症腹腔镜术后复发率与IL-8的影响[J].中医药导报,2014,20(2):121.
[19]宋秋菊.行气逐瘀止痛方治疗气滞血瘀型子宫内膜异位症的临床研究[D].山东中医药大学,2012.
[20]杨艳环.基于“AAA通路”探讨活血消异方抑制大鼠子宫内膜异位症复发的机理[D].中国中医科学院,2011.
[21]孙伟伟,杨艳环,郝增平.丹赤饮对于子宫内膜异位症患者血清白细胞介素的影响[J].中国中医药信息杂志,2014,21(6):14.